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BMC Pediatrics
Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Case report

Near-infrared spectroscopy as a predictor of clinical deterioration: a case report of two infants with duct-dependent congenital heart disease

Authors: Mirthe J. Mebius, Gideon J. du Marchie Sarvaas, Diana W. Wolthuis, Beatrijs Bartelds, Martin C. J. Kneyber, Arend F. Bos, Elisabeth M. W. Kooi

Published in: BMC Pediatrics | Issue 1/2017

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Abstract

Background

Some infants with congenital heart disease are at risk of in-hospital cardiac arrest. To better foresee cardiac arrest in infants with congenital heart disease, it might be useful to continuously assess end-organ perfusion. Near-infrared spectroscopy is a non-invasive method to continuously assess multisite regional tissue oxygen saturation.

Case presentation

We report on two infants with duct-dependent congenital heart disease who demonstrated a gradual change in cerebral and/or renal tissue oxygen saturation before cardiopulmonary resuscitation was required. In both cases, other clinical parameters such as heart rate, arterial oxygen saturation and blood pressure did not indicate that deterioration was imminent.

Conclusions

These two cases demonstrate that near-infrared spectroscopy might contribute to detecting a deteriorating clinical condition and might therefore be helpful in averting cardiopulmonary collapse and need for resuscitation in infants with congenital heart disease.
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Metadata
Title
Near-infrared spectroscopy as a predictor of clinical deterioration: a case report of two infants with duct-dependent congenital heart disease
Authors
Mirthe J. Mebius
Gideon J. du Marchie Sarvaas
Diana W. Wolthuis
Beatrijs Bartelds
Martin C. J. Kneyber
Arend F. Bos
Elisabeth M. W. Kooi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-017-0839-3

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