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Renal Tissue Oxygenation Monitoring—An Opportunity to Improve Kidney Outcomes in the Vulnerable Neonatal Population by Harer, Matthew W.; Chock, Valerie Y. is a Medicine article available to read on EtoBox.

What is Renal Tissue Oxygenation Monitoring—An Opportunity to Improve Kidney Outcomes in the Vulnerable Neonatal Population about?

Adequate oxygenation of the kidney is of critical importance in the neonate. Non-invasive monitoring of renal tissue oxygenation using near-infrared spectroscopy (NIRS) is a promising bedside strategy for early detection of circulatory impairment as well as recognition of specific renal injury. As a diagnostic tool, renal NIRS monitoring may allow for earlier interventions to prevent or reduce injury in various clinical scenarios in the neonatal intensive care unit. Multiple studies utilizing NIRS monitoring in preterm and term infants have provided renal tissue oxygenation values at different time points during neonatal hospitalization, and have correlated measures with ultrasound and Doppler flow data. With the establishment of normal values, studies have utilized renal tissue oxygenation monitoring in preterm neonates to predict a hemodynamically significant patent ductus arteriosus, to assess response to potentially nephrotoxic medications, to identify infants with sepsis, and to describe changes after red blood cell transfusions. Other neonatal populations being investigated with renal NIRS monitoring include growth restricted infants, those requiring delivery room resuscitati

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Author

Harer, Matthew W.; Chock, Valerie Y.

Publisher

Frontiers Media SA; Frontiers Media S.A.; Lausanne: Frontiers Media S.A., 2013- (ISSN 2296-2360)

Published

2020

Language

EN

Field

Medicine (Health Sciences)