Universität zu Köln

Hoskote, Aparna U., Tume, Lyvonne N., Trieschmann, Uwe, Menzel, Christoph, Cogo, Paola, Brown, Katherine L. and Broadhead, Michael W. (2016). A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany. Pediatr. Crit. Care Med., 17 (1). S. 36 - 45. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1947-3893

Full text not available from this repository.

Abstract

Objectives: Despite the increasing use of near-infrared spectroscopy across pediatric cardiac ICUs, there is significant variability and equipoise with no universally accepted management algorithms. We aimed to explore the use of near-infrared spectroscopy in pediatric cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany. Design: A cross-sectional multicenter, multinational electronic survey of one consultant in each pediatric cardiac ICU. Setting: Pediatric cardiac ICUs in the United Kingdom and Ireland (n = 13), Italy (n = 12), and Germany (n = 33). Interventions: Questionnaire targeted to establish use, targets, protocols/thresholds for intervention, and perceived usefulness of near-infrared spectroscopy monitoring. Results: Overall, 42 of 58 pediatric cardiac ICUs (72%) responded: United Kingdom and Ireland, 11 of 13 (84.6%); Italy, 12 of 12 (100%); and Germany, 19 of 33 (57%, included all major centers). Near-infrared spectroscopy usage varied with 35% (15/42) reporting that near-infrared spectroscopy was not used at all (7/42) or occasionally (8/42); near-infrared spectroscopy use was much less common in the United Kingdom (46%) when compared with 78% in Germany and all (100%) in Italy. Only four units had a near-infrared spectroscopy protocol, and 18 specifically used near-infrared spectroscopy in high-risk patients; 37 respondents believed that near-infrared spectroscopy added value to standard monitoring and 23 believed that it gave an earlier indication of deterioration, but only 19 would respond based on near-infrared spectroscopy data alone. Targets for absolute values and critical thresholds for intervention varied widely between units. The reasons cited for not or occasionally using near-infrared spectroscopy were expense (n = 6), limited evidence and uncertainty on how it guides management (n = 4), difficulty in interpretation, and unreliability of data (n = 3). Amongst the regular or occasional near-infrared spectroscopy users (n = 35), 28 (66%) agreed that a multicenter study is warranted to ascertain its use. Conclusions: Although most responding units used near-infrared spectroscopy for high-risk patients, the majority (31/35 [88%]) did not have any protocols or guidelines for intervention. Target thresholds and intervention algorithms are needed to support the use of near-infrared spectroscopy in pediatric cardiac ICUs; an international multicenter study is warranted.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hoskote, Aparna U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Tume, Lyvonne N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Trieschmann, Uwe UNSPECIFIED UNSPECIFIED UNSPECIFIED Menzel, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Cogo, Paola UNSPECIFIED UNSPECIFIED UNSPECIFIED Brown, Katherine L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Broadhead, Michael W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-293289
DOI:	10.1097/PCC.0000000000000564
Journal or Publication Title:	Pediatr. Crit. Care Med.
Volume:	17
Number:	1
Page Range:	S. 36 - 45
Date:	2016
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1947-3893
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CEREBRAL OXYGEN-SATURATION; LEFT-HEART-SYNDROME; CARDIOPULMONARY BYPASS; NORWOOD PROCEDURE; RESOLVED SPECTROSCOPY; SURGERY; CHILDREN; OXIMETRY; PERFUSION; ISCHEMIA Multiple languages Critical Care Medicine; Pediatrics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/29328