A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany
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, Irelan...
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| Veröffentlicht in: | Pediatric critical care medicine 2016-01, Vol.17 (1), p.36-44 |
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| creator | Hoskote, Aparna U Tume, Lyvonne N Trieschmann, Uwe Menzel, Christoph Cogo, Paola Brown, Katherine L Broadhead, Michael W |
| description | 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.
A cross-sectional multicenter, multinational electronic survey of one consultant in each pediatric cardiac ICU.
Pediatric cardiac ICUs in the United Kingdom and Ireland (n = 13), Italy (n = 12), and Germany (n = 33).
Questionnaire targeted to establish use, targets, protocols/thresholds for intervention, and perceived usefulness of near-infrared spectroscopy monitoring.
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.
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. |
| doi_str_mv | 10.1097/PCC.0000000000000564 |
| format | Article |
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A cross-sectional multicenter, multinational electronic survey of one consultant in each pediatric cardiac ICU.
Pediatric cardiac ICUs in the United Kingdom and Ireland (n = 13), Italy (n = 12), and Germany (n = 33).
Questionnaire targeted to establish use, targets, protocols/thresholds for intervention, and perceived usefulness of near-infrared spectroscopy monitoring.
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.
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.</description><identifier>ISSN: 1529-7535</identifier><identifier>DOI: 10.1097/PCC.0000000000000564</identifier><identifier>PMID: 26509814</identifier><language>eng</language><publisher>United States</publisher><subject>Algorithms ; Brain - blood supply ; Cardiac Surgical Procedures - methods ; Clinical Protocols ; Cross-Sectional Studies ; Europe ; Humans ; Intensive Care Units, Pediatric - organization & administration ; Oximetry ; Oxygen - blood ; Perioperative Care - methods ; Risk Assessment ; Spectroscopy, Near-Infrared - statistics & numerical data</subject><ispartof>Pediatric critical care medicine, 2016-01, Vol.17 (1), p.36-44</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-31b793a38c0a2663764fc0a5bbfaba25ba07d2a29735c77b2495aa6ff2a884ad3</citedby><cites>FETCH-LOGICAL-c377t-31b793a38c0a2663764fc0a5bbfaba25ba07d2a29735c77b2495aa6ff2a884ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26509814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoskote, Aparna U</creatorcontrib><creatorcontrib>Tume, Lyvonne N</creatorcontrib><creatorcontrib>Trieschmann, Uwe</creatorcontrib><creatorcontrib>Menzel, Christoph</creatorcontrib><creatorcontrib>Cogo, Paola</creatorcontrib><creatorcontrib>Brown, Katherine L</creatorcontrib><creatorcontrib>Broadhead, Michael W</creatorcontrib><title>A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany</title><title>Pediatric critical care medicine</title><addtitle>Pediatr Crit Care Med</addtitle><description>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.
A cross-sectional multicenter, multinational electronic survey of one consultant in each pediatric cardiac ICU.
Pediatric cardiac ICUs in the United Kingdom and Ireland (n = 13), Italy (n = 12), and Germany (n = 33).
Questionnaire targeted to establish use, targets, protocols/thresholds for intervention, and perceived usefulness of near-infrared spectroscopy monitoring.
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.
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.</description><subject>Algorithms</subject><subject>Brain - blood supply</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Clinical Protocols</subject><subject>Cross-Sectional Studies</subject><subject>Europe</subject><subject>Humans</subject><subject>Intensive Care Units, Pediatric - organization & administration</subject><subject>Oximetry</subject><subject>Oxygen - blood</subject><subject>Perioperative Care - methods</subject><subject>Risk Assessment</subject><subject>Spectroscopy, Near-Infrared - statistics & numerical data</subject><issn>1529-7535</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1OwzAQhb0A0VK4AUJesmiKY8dxsqwiKBUVVCpZRxPHhqD8YSdIOQHXxlULQsxmnjTvzYw-hK58svBJLG63SbIgf4uHwQma-pzGnuCMT9C5te-E-HEYiDM0oSEnceQHU_S1xIlprfV2SvZl20CFd4P5VCNuNX5SYLx1ow0YVeBd5yzOK9tuxKlVuGzwVhUl9KaUOAHjpMTrJLX7Sf-mcNqUvQs-ls1r0dZzvDaqgqZwoodqnGOn8UqZGprxAp1qqKy6PPYZSu_vXpIHb_O8WifLjSeZEL3H_FzEDFgkCdAwZCIMtJM8zzXkQHkORBQUaCwYl0LkNIg5QKg1hSgKoGAzdHPY25n2Y1C2z-rSSlW5v1Q72MwXPOCUxjRy1uBglXtARumsM2UNZsx8ku2xZw579h-7i10fLwx5rYrf0A9z9g0PN397</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Hoskote, Aparna U</creator><creator>Tume, Lyvonne N</creator><creator>Trieschmann, Uwe</creator><creator>Menzel, Christoph</creator><creator>Cogo, Paola</creator><creator>Brown, Katherine L</creator><creator>Broadhead, Michael W</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany</title><author>Hoskote, Aparna U ; Tume, Lyvonne N ; Trieschmann, Uwe ; Menzel, Christoph ; Cogo, Paola ; Brown, Katherine L ; Broadhead, Michael W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-31b793a38c0a2663764fc0a5bbfaba25ba07d2a29735c77b2495aa6ff2a884ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Algorithms</topic><topic>Brain - blood supply</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Clinical Protocols</topic><topic>Cross-Sectional Studies</topic><topic>Europe</topic><topic>Humans</topic><topic>Intensive Care Units, Pediatric - organization & administration</topic><topic>Oximetry</topic><topic>Oxygen - blood</topic><topic>Perioperative Care - methods</topic><topic>Risk Assessment</topic><topic>Spectroscopy, Near-Infrared - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoskote, Aparna U</creatorcontrib><creatorcontrib>Tume, Lyvonne N</creatorcontrib><creatorcontrib>Trieschmann, Uwe</creatorcontrib><creatorcontrib>Menzel, Christoph</creatorcontrib><creatorcontrib>Cogo, Paola</creatorcontrib><creatorcontrib>Brown, Katherine L</creatorcontrib><creatorcontrib>Broadhead, Michael W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoskote, Aparna U</au><au>Tume, Lyvonne N</au><au>Trieschmann, Uwe</au><au>Menzel, Christoph</au><au>Cogo, Paola</au><au>Brown, Katherine L</au><au>Broadhead, Michael W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany</atitle><jtitle>Pediatric critical care medicine</jtitle><addtitle>Pediatr Crit Care Med</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>17</volume><issue>1</issue><spage>36</spage><epage>44</epage><pages>36-44</pages><issn>1529-7535</issn><abstract>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.
A cross-sectional multicenter, multinational electronic survey of one consultant in each pediatric cardiac ICU.
Pediatric cardiac ICUs in the United Kingdom and Ireland (n = 13), Italy (n = 12), and Germany (n = 33).
Questionnaire targeted to establish use, targets, protocols/thresholds for intervention, and perceived usefulness of near-infrared spectroscopy monitoring.
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.
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.</abstract><cop>United States</cop><pmid>26509814</pmid><doi>10.1097/PCC.0000000000000564</doi><tpages>9</tpages></addata></record> |
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| subjects | Algorithms Brain - blood supply Cardiac Surgical Procedures - methods Clinical Protocols Cross-Sectional Studies Europe Humans Intensive Care Units, Pediatric - organization & administration Oximetry Oxygen - blood Perioperative Care - methods Risk Assessment Spectroscopy, Near-Infrared - statistics & numerical data |
| title | A Cross-Sectional Survey of Near-Infrared Spectroscopy Use in Pediatric Cardiac ICUs in the United Kingdom, Ireland, Italy, and Germany |
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