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A Critical Appraisal of the Role of Near Infrared Spectroscopy (NIRS) in the Pediatric Intensive Care Unit (PICU)

This study has been completed.
Information provided by (Responsible Party):
Akron Children's Hospital Identifier:
First received: January 21, 2011
Last updated: June 24, 2014
Last verified: June 2014
While near infrared spectroscopy is an exciting technology, scientific rigor is required in order to optimize its appropriate use in the clinical arena. This study will explore the feasibility and clinical applicability of data obtained from the NIRS device. The ability to noninvasively monitor peripheral perfusion remains an area of intense research. The most widely used method is pulse oximetry. The international mandate of its use in operating rooms in the early 1990s after the publication of the Harvard minimum standards for monitoring speaks to its unquestionable utility. Its pervasive application notwithstanding, pulse oximetry merely provides a calibrated ratio of arterial and venous hemoglobin saturation. While this data is valuable, time-tested, and even may hold the promise of accurately noninvasively trending cardiac output, cellular dysmetabolism -- hallmarks of vulnerable, yet viable tissue beds -- are beyond the predictive values of currently available devices.

Pediatric Intensive Care Unit

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Is There a Canary in the PICU? A Critical Appraisal of the Role of Near Infrared Spectroscopy (NIRS) in the Pediatric Intensive Care Unit (PICU)

Further study details as provided by Akron Children's Hospital:

Primary Outcome Measures:
  • Comparison of data obtained using Near Infrared Spectroscopy (NIRS) versus traditional Pediatric Intensive Care Unit (PICU) clinical parameters [ Time Frame: 48 hours ]
    Upon arrival to PICU, 1 lead will be place on the forehead to monitor cerebral regional saturation (CrSO2)and 1 lead will be placed on the flank to measure somatic regional saturation (SrSO2).

Enrollment: 22
Study Start Date: September 2011
Study Completion Date: February 2013
Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Cardiac patients
Postoperative congenital heart disease patients requiring stay in the PICU
non-cardiac patients
non-cardiac patients requiring stay in the PICU


Ages Eligible for Study:   up to 15 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
neonates to 16 years of age requiring stay in the PICU postoperative congenital heart disease patients non-cardiac patients

Inclusion Criteria:

  • neonates to 16 year olds
  • requiring stay in the PICU greater than 24 hours

Exclusion Criteria:

  • anticipated PICU stay less than 24 hours
  • children with ALLOW NATURAL DEATH orders
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01282099

United States, Ohio
Akron Children's Hospital
Akron, Ohio, United States, 44308
Sponsors and Collaborators
Akron Children's Hospital
Principal Investigator: Michael L Forbes, MD, FAAP Akron Children's Hospital
  More Information

Webster JG 1997 Design of Pulse Oximeters (Bristol: Institute of Physics Publishing)
Armonda RA, McGee B, Veznadaraglu E, Rosenwasser RH. Near-infrared spectroscopy (NIRS) measurements of cerebral oximetry in the neurovascular ICU. Crit Care Med 1999; 27:173
Kohn, Linda T, Corrigan, J, Donaldson, Molla S. To err is human: building a safer health system. Institute of Medicine (U.S.). Committee on Quality of Health Care in America. Vol. 627, Nov.1999
Society of Critical Care Medicine Consensus Conference on Physiologic Moitoring Devices: Standards of Evidence for the Safety and Effectiveness of Critical Care Monitoring Devices and Related Interventions, Deptember 13-14, 1994.

Responsible Party: Akron Children's Hospital Identifier: NCT01282099     History of Changes
Other Study ID Numbers: 100603
Study First Received: January 21, 2011
Last Updated: June 24, 2014

Keywords provided by Akron Children's Hospital:
all children entering the PICU eligible for enrollment
age range: neonate to 16 years processed this record on August 16, 2017