Progress in clinical application of neonatal renal oxygen saturation monitoring
10.3760/cma.j.cn101070-20210103-00003
- VernacularTitle:新生儿肾氧饱和度监测临床应用进展
- Author:
Bingjie FAN
1
;
Guoqiang CHENG
;
Chunmei LU
;
Zhaoqing YIN
Author Information
1. 昆明医科大学附属德宏医院新生儿科，昆明 650032
- Keywords:
Infant, newborn;
Near-infrared spectroscopy;
Renal oxygen saturation;
Kidney injury
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(23):1838-1840
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of acute kidney injury (AKI) in Neonatal Intensive Care Unit (NICU) is about 30%.The morbidity and mortality of AKI are higher in very premature infants, very low birth weight infants and infants with long mechanical ventilation.Serum creatinine (Scr) and urine output are diagnostic indicators for AKI, which usually change within 12-48 hours after the onset of irreversible injury, and cannot be used for early diagnosis and clinical intervention.Therefore, it is necessary to search for indicators of early renal insufficiency, aiming to intervene and prevent early-stage AKI or reduce the occurrence of AKI.Near-infrared spectroscopy (NIRS) is a non-invasive, continuous, real-time monitoring method, which serves as a supplement to conventional biochemical markers.It provides evidence of early-stage renal ischemia and hypoxia, which contributes to prevent or reduce AKI.This study reviews the clinical application of neonatal renal oxygen saturation monitoring, thus providing clinical reference for renal function protection in critically ill neonates to reduce the occurrence of AKI and improve their prognosis.
