Lack of irrefutable validation does not negate clinical utility of near-infrared spectroscopy monitoring

Learning to trust new technology

Jason M. Kane, David M. Steinhorn

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Reliance on new monitoring device technology is based upon an understanding of how the device operates and its reliability in a specific clinical setting. The introduction of new monitoring devices will therefore elicit either distrust of the new technology and the data presented or adoption of new devices. The use of near-infrared spectroscopy (NIRS) technology to monitor vital organs in postoperative pediatric cardiac surgery patients has been extensively described yet controversy remains as to the use of this monitoring device. The following retrospective case series demonstrates how learning from trends in data elicited from 2-site NIRS monitoring provided important bedside insights. These insights led to changes in clinician behavior and reliance on NIRS monitoring for early recognition of clinically silent deteriorations. Disregard for the NIRS data may have led to a fatal outcome in an unstable patient who might have received more timely intervention if the NIRS data had been acknowledged earlier. This case series demonstrates that 2-site NIRS monitoring accurately reflects situations in which poor clinical outcomes may occur when declining trends in somatic tissue oxygen saturations are not corrected. Physician management of the postoperative pediatric cardiac surgery patient can change based upon the insights gained through the application of NIRS monitoring.

Original languageEnglish (US)
JournalJournal of Critical Care
Volume24
Issue number3
DOIs
StatePublished - Sep 2009
Externally publishedYes

Fingerprint

Near-Infrared Spectroscopy
Learning
Technology
Equipment and Supplies
Thoracic Surgery
Pediatrics
Fatal Outcome
Oxygen
Physicians

Keywords

  • Congenital heart disease
  • Near-infrared spectroscopy
  • Pediatric critical care
  • Physician practice patterns
  • Technology

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Lack of irrefutable validation does not negate clinical utility of near-infrared spectroscopy monitoring : Learning to trust new technology. / Kane, Jason M.; Steinhorn, David M.

In: Journal of Critical Care, Vol. 24, No. 3, 09.2009.

Research output: Contribution to journalArticle

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