1. Noninvasive Neuromonitoring Modalities in Children Part I: Pupillometry, Near-Infrared Spectroscopy, and Transcranial Doppler Ultrasonography.
- Author
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Lovett, Marlina E., MacDonald, Jennifer M., Mir, Marina, Ghosh, Suman, O'Brien, Nicole F., and LaRovere, Kerri L.
- Subjects
NEAR infrared spectroscopy ,CRITICALLY ill children ,PEDIATRIC intensive care ,TRANSCRANIAL Doppler ultrasonography ,INTENSIVE care units ,PUPILLOMETRY ,CLINICAL medicine - Abstract
Background: Noninvasive neuromonitoring in critically ill children includes multiple modalities that all intend to improve our understanding of acute and ongoing brain injury. Methods: In this article, we review basic methods and devices, applications in clinical care and research, and explore potential future directions for three noninvasive neuromonitoring modalities in the pediatric intensive care unit: automated pupillometry, near-infrared spectroscopy, and transcranial Doppler ultrasonography. Results: All three technologies are noninvasive, portable, and easily repeatable to allow for serial measurements and trending of data over time. However, a paucity of high-quality data supporting the clinical utility of any of these technologies in critically ill children is currently a major limitation to their widespread application in the pediatric intensive care unit. Conclusions: Future prospective multicenter work addressing major knowledge gaps is necessary to advance the field of pediatric noninvasive neuromonitoring. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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