Abstract

INTRODUCTION

Hearth rate, respiratory rate, arterial blood pressure, pulse oximetri, urinary ouput, and lactate level are the most important parameters on the critically ill child who admitted to the pediatric emergency department. Aim of this study is to determine if there is an advantage of cerebral and splanchnic regional tissue saturation (rSO2) over conventional monitoring systems on children with acute respiratory failure or shock in pediatric emergency department.

METHODS

Children admitted to pediatric emergency department between May 2014 and March 2016 with acute respiratory failure or shock were prospectively included into this study. The cerebral and splanchnic rSO2 levels were recorded via NIRS monitor (INVOS 5100C cerebral/somatic oximetri Covidien, Mansfield, MA, USA) additionally to conventional monitoring parameters (heart rate, respiratory rate, pulseoxymeter, and arterial blood pressure). Pre and post – treatment values of the patients were compared with Wilcoxon Signed Ranks test. Statistical significance was accepted as p<0.05 for all tests.

RESULTS

Fifteen children were included to this study. The median age of the patients was 16.0 (10.0 – 66.0)months. The respiratory rate and hearth rate decreased significantly (p=0.02 and p=0.03, respectively) whereas SpO2 and Splanchnic rSO2 increased (p=0.01 and p=0.04, respectively). Cerebral rSO2 and Cerebral/splanchnic rSO2 ratio were not showed significant difference (p<0.05).

DISCUSSION AND CONCLUSION

In this study, we showed that the splanchnic rSO2 values in critically ill children were shown increment after the treatment.