1. Noninvasive Neuromonitoring Modalities in Children Part I: Pupillometry, Near-Infrared Spectroscopy, and Transcranial Doppler Ultrasonography.
- Author
-
Lovett ME, MacDonald JM, Mir M, Ghosh S, O'Brien NF, and LaRovere KL
- Subjects
- Humans, Child, Spectroscopy, Near-Infrared, Critical Illness, Intensive Care Units, Pediatric, Multicenter Studies as Topic, Ultrasonography, Doppler, Transcranial methods, Brain Injuries
- 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., (© 2023. Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society.)
- Published
- 2024
- Full Text
- View/download PDF