Novel Mode of Near-Infrared Spectroscopy as a Continuous Cerebral Physiological Monitoring Device during Cardiopulmonary Resuscitation: Four Case Reports.
near-infrared spectroscopy
out-of-hospital cardiac arrest
physiological monitoring
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
04 Apr 2022
04 Apr 2022
Historique:
received:
07
03
2022
revised:
31
03
2022
accepted:
01
04
2022
entrez:
12
4
2022
pubmed:
13
4
2022
medline:
13
4
2022
Statut:
epublish
Résumé
NIRO-Pulse is a novel mode of near-infrared spectroscopy that can be used to visually evaluate cerebral perfusion during cardiopulmonary resuscitation (CPR), providing real-time feedback as to the quality of the CPR. The aim of this report was to describe the several representative cases of NIRO-Pulse for physiological monitoring during CPR. We present several cases from out-of-hospital cardiac arrest (OHCA) patients for whom NIRO-Pulse was attached to the forehead after hospital arrival. Patients were subjected to continuous brain monitoring during CPR using NIRO-Pulse, which allows for the visualisation of ΔHb (Hb pulsation). NIRO-Pulse is capable of simultaneously measuring and displaying cerebral tissue oxygen saturation (SctO2) and Hb pulsation, providing real-time feedback during CPR in the form of physiological indicators, and assessing changes in SctO2 throughout the CPR procedure by post-mortem analysis. We observed several representative cases that provided the following insights: (1) SctO2 increased after a change in the quality of chest compression, (2) SctO2 decreased during the ventilation phase of synchronised CPR, (3) SctO2 decreased during the interruption of chest compressions for the preparation of defibrillation, and (4) SctO2 gradually and continuously increased after return of spontaneous circulation. Displaying Hb pulsation in conjunction with SctO2 during CPR may be helpful for evaluating the quality of and patient responsiveness to CPR. Further studies investigating the association between the use of NIRO-Pulse during CPR and subsequent outcomes should be conducted.
Sections du résumé
BACKGROUND
BACKGROUND
NIRO-Pulse is a novel mode of near-infrared spectroscopy that can be used to visually evaluate cerebral perfusion during cardiopulmonary resuscitation (CPR), providing real-time feedback as to the quality of the CPR. The aim of this report was to describe the several representative cases of NIRO-Pulse for physiological monitoring during CPR.
METHODS
METHODS
We present several cases from out-of-hospital cardiac arrest (OHCA) patients for whom NIRO-Pulse was attached to the forehead after hospital arrival. Patients were subjected to continuous brain monitoring during CPR using NIRO-Pulse, which allows for the visualisation of ΔHb (Hb pulsation). NIRO-Pulse is capable of simultaneously measuring and displaying cerebral tissue oxygen saturation (SctO2) and Hb pulsation, providing real-time feedback during CPR in the form of physiological indicators, and assessing changes in SctO2 throughout the CPR procedure by post-mortem analysis.
RESULTS
RESULTS
We observed several representative cases that provided the following insights: (1) SctO2 increased after a change in the quality of chest compression, (2) SctO2 decreased during the ventilation phase of synchronised CPR, (3) SctO2 decreased during the interruption of chest compressions for the preparation of defibrillation, and (4) SctO2 gradually and continuously increased after return of spontaneous circulation.
CONCLUSION
CONCLUSIONS
Displaying Hb pulsation in conjunction with SctO2 during CPR may be helpful for evaluating the quality of and patient responsiveness to CPR. Further studies investigating the association between the use of NIRO-Pulse during CPR and subsequent outcomes should be conducted.
Identifiants
pubmed: 35407626
pii: jcm11072018
doi: 10.3390/jcm11072018
pmc: PMC8999562
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Japan Society for the Promotion of Science
ID : 21K16576
Références
Crit Care. 2015 Mar 24;19:112
pubmed: 25887259
Resuscitation. 2013 Dec;84(12):1713-6
pubmed: 23948447
Resuscitation. 2012 Aug;83(8):982-5
pubmed: 22322284
Stroke. 2001 Nov;32(11):2492-500
pubmed: 11692006
Circulation. 2015 Nov 3;132(18 Suppl 2):S414-35
pubmed: 26472993
Circulation. 2015 Nov 3;132(18 Suppl 2):S444-64
pubmed: 26472995
Am J Emerg Med. 2014 Jul;32(7):747-51
pubmed: 24768333
Circulation. 2020 Oct 20;142(16_suppl_2):S337-S357
pubmed: 33081530
Resuscitation. 2021 Apr;161:1-60
pubmed: 33773824
Am J Emerg Med. 2013 Oct;31(10):1504-8
pubmed: 23969279
Crit Care Med. 2012 Apr;40(4):1192-8
pubmed: 22202708
Can J Anaesth. 2005 Jan;52(1):79-87
pubmed: 15625262
Curr Opin Crit Care. 2003 Jun;9(3):211-7
pubmed: 12771672
Anesthesiology. 2000 Oct;93(4):964-70
pubmed: 11020747
Am J Emerg Med. 2014 Jan;32(1):14-7
pubmed: 24139953
Circulation. 2012 Jun 19;125(24):3004-12
pubmed: 22623717
Scand J Trauma Resusc Emerg Med. 2014 Oct 05;22:58
pubmed: 25286829
Crit Care Med. 2015 Apr;43(4):840-8
pubmed: 25565457
Thorac Cardiovasc Surg. 2000 Aug;48(4):247-53
pubmed: 11005605
Resuscitation. 2017 Jun;115:120-128
pubmed: 28392371
Resuscitation. 2015 Nov;96:16-22
pubmed: 26215479
Emerg Med J. 2015 May;32(5):353-6
pubmed: 24662518