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DOI :10.26650/jchild.2024.1532366   IUP :10.26650/jchild.2024.1532366    Tam Metin (PDF)

Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values

Burcu AygünFeyza Girgin İnceköyEmel UyarNilüfer Yalındağ Öztürk

Objective: To study the effects of fluid resuscitation on cerebral (cSO2 ) and renal tissue oxygenation (cSO2 ) in pediatric shock patients.

Methods: Prospective, observational study in a tertiary PICU (January- September 2016). We monitored bilateral cSO2 and rSO2 via NIRS during fluid resuscitation.

Results: Twenty-five patients (56% female) with compensated shock were included. Median age was 19 months (IQR 10-85). Median weight was 12 kg (IQR 5.9-20). The mean left and right brain tissue oxygenation (cSO2 ) of the patients participating was 57.7±16.4 and 54.1±16.7, mean left and right kidney tissue oxygenation (rSO2 ) was 63.1 ±14.1, and 62.8 ±14.8. Tissue oxygen saturation increased significantly after fluid resuscitation The decline in lactate level and the increase in systolic and diastolic blood pressures was statistically significant. The median absolute differences between R-L cSO2 and rSO2 at time 0 were 5 (IQR 4-7), and 4 (IQR 1-9) respectively, but the difference was significant only for the brain (p=0.046). Bilateral cSO2 and rSO2 increased significantly after fluid bolus in survivors, whereas in non-survivors (n=9, 36%), there was no significant change. The mortality scores of the non survivors were higher than survivors (p<0.005).

Conclusions: This study provides insights into laterality and pediatric cerebral and renal NIRS measurements in critically ill children and may facilitate the interpretation of NIRS data in critically ill patients. Further research with a larger cohort of healthy and critically ill patients is needed to confirm these findings. 


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APA

Aygün, B., Girgin İnceköy, F., Uyar, E., & Yalındağ Öztürk, N. (2024). Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values. Çocuk Dergisi, 24(3), 136-140. https://doi.org/10.26650/jchild.2024.1532366


AMA

Aygün B, Girgin İnceköy F, Uyar E, Yalındağ Öztürk N. Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values. Çocuk Dergisi. 2024;24(3):136-140. https://doi.org/10.26650/jchild.2024.1532366


ABNT

Aygün, B.; Girgin İnceköy, F.; Uyar, E.; Yalındağ Öztürk, N. Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values. Çocuk Dergisi, [Publisher Location], v. 24, n. 3, p. 136-140, 2024.


Chicago: Author-Date Style

Aygün, Burcu, and Feyza Girgin İnceköy and Emel Uyar and Nilüfer Yalındağ Öztürk. 2024. “Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values.” Çocuk Dergisi 24, no. 3: 136-140. https://doi.org/10.26650/jchild.2024.1532366


Chicago: Humanities Style

Aygün, Burcu, and Feyza Girgin İnceköy and Emel Uyar and Nilüfer Yalındağ Öztürk. Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values.” Çocuk Dergisi 24, no. 3 (Jan. 2025): 136-140. https://doi.org/10.26650/jchild.2024.1532366


Harvard: Australian Style

Aygün, B & Girgin İnceköy, F & Uyar, E & Yalındağ Öztürk, N 2024, 'Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values', Çocuk Dergisi, vol. 24, no. 3, pp. 136-140, viewed 30 Jan. 2025, https://doi.org/10.26650/jchild.2024.1532366


Harvard: Author-Date Style

Aygün, B. and Girgin İnceköy, F. and Uyar, E. and Yalındağ Öztürk, N. (2024) ‘Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values’, Çocuk Dergisi, 24(3), pp. 136-140. https://doi.org/10.26650/jchild.2024.1532366 (30 Jan. 2025).


MLA

Aygün, Burcu, and Feyza Girgin İnceköy and Emel Uyar and Nilüfer Yalındağ Öztürk. Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values.” Çocuk Dergisi, vol. 24, no. 3, 2024, pp. 136-140. [Database Container], https://doi.org/10.26650/jchild.2024.1532366


Vancouver

Aygün B, Girgin İnceköy F, Uyar E, Yalındağ Öztürk N. Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values. Çocuk Dergisi [Internet]. 30 Jan. 2025 [cited 30 Jan. 2025];24(3):136-140. Available from: https://doi.org/10.26650/jchild.2024.1532366 doi: 10.26650/jchild.2024.1532366


ISNAD

Aygün, Burcu - Girgin İnceköy, Feyza - Uyar, Emel - Yalındağ Öztürk, Nilüfer. Near-Infrared Spectroscopy (NIRS) Monitoring in Pediatric Shock, and The Effect of Fluid Resuscitation on Multisite NIRS Values”. Çocuk Dergisi 24/3 (Jan. 2025): 136-140. https://doi.org/10.26650/jchild.2024.1532366



ZAMAN ÇİZELGESİ


Gönderim13.08.2024
Kabul19.09.2024
Çevrimiçi Yayınlanma31.12.2024

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