A Critical Appraisal of the Role of Near Infrared Spectroscopy (NIRS) in the Pediatric Intensive Care Unit (PICU)
Completed
Conditions studied: Pediatric Intensive Care Unit
In brief
While near infrared spectroscopy is an exciting technology, scientific rigor is required in order to optimize its appropriate use in the clinical arena. This study will explore the feasibility and clinical applicability of data obtained from the NIRS device. The ability to noninvasively monitor peripheral perfusion remains an area of intense research. The most widely used method is pulse oximetry. The international mandate of its use in operating rooms in the early 1990s after the publication of the Harvard minimum standards for monitoring speaks to its unquestionable utility. Its pervasive application notwithstanding, pulse oximetry merely provides a calibrated ratio of arterial and venous hemoglobin saturation. While this data is valuable, time-tested, and even may hold the promise of accurately noninvasively trending cardiac output, cellular dysmetabolism -- hallmarks of vulnerable, yet viable tissue beds -- are beyond the predictive values of currently available devices.
Key facts
- Study ID
- NCT01282099
- Run by
- Akron Children's Hospital
- People needed
- 22
- Starts
- 2011-09-01
- Expected to finish
- 2013-02-01
- Last updated by the study team
- 2014-06-26
Who can join
Age: any, up to 15. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- neonates to 16 year olds
- requiring stay in the PICU greater than 24 hours
You may not qualify if…
- anticipated PICU stay less than 24 hours
- children with ALLOW NATURAL DEATH orders
Where it is running
- Akron Children's Hospital — Akron, Ohio, United States
Full record on ClinicalTrials.gov
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