Neuroanesthesia & neurocritical care

Are near-infrared spectroscopy (NIRS)-derived cerebral autoregulation and ABPopt values different between hemispheres in hypoxic-ischemic brain injury patients following cardiac arrest?

J Clin Monit ComputPublished Observational study

Authors' conclusion

We found no differences between left and right-sided NIRS recordings or CA estimation in comatose and ventilated HIBI patients.

Study context

Population
Comatose, ventilated patients with hypoxic-ischemic brain injury (HIBI) after cardiac arrestABPopt compared in 9
Participants
11 participants
Exposure
Left vs right-sided bifrontal NIRS recordings
Outcome
Differences in NIRS-derived cerebral autoregulation (CA) (COx) and ABPopt values between left and right-sided recordings
Methodological detailspaired comparison of left vs right recordings, Average recording time 26 (IQR, 22-42) hours
  • Paired comparison of left vs right recordings
  • Average recording time 26 (IQR, 22-42) hours

Main finding

As reported in the abstract

ABPopt, left vs right NIRS recordings

P = 1.0

Intraclass correlation coefficients (ICC) for ABPopt (agreement between bifrontal recordings), high
0.95
ICC for ABPopt, interval
0.78-0.98
ICC for ABPopt, P
P < 0.001

Observational data: associations, not effects.

Further findings

rSO2 and COx

Similar results to ABPopt (no left-right difference, high agreement)
  • Compared in 10 patients

Original publication

Are NIRS-derived cerebral autoregulation and ABPopt values different between hemispheres in hypoxic-ischemic brain injury patients following cardiac arrest? J Clin Monit Comput. Published 17 May 2023. doi:10.1007/s10877-023-01008-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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