Abstract
Noninvasive monitoring of oxygenation and ventilation is an essential part of pediatric respiratory care. Carbon dioxide, gas exchange monitoring, transcutaneous monitoring, near-infrared spectroscopy, pulse oximetry, and electrical impedance tomography are examined. Although some of these technologies have been utilized for decades, incorporation into mechanical ventilators and recently developed methods may provide important clinical insights in a broader patient range. Less mature technologies (electrical impedance tomography and near-infrared spectroscopy) have been of particular interest, since they offer easy bedside application and potential for improved care of children with respiratory failure and other disorders. This article provides an overview of the principles of operation, a survey of recent and relevant literature, and important technological limitations and future research directions.
Footnotes
- Correspondence: Craig D Smallwood RRT, Division of Critical Care Medicine, Department of Anesthesiology, Pain and Perioperative Medicine, MSICU Office, Bader 634, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115. E-mail: craig.smallwood{at}childrens.harvard.edu.
The authors have disclosed relationships with GE Healthcare and Draeger Medical.
Mr Smallwood presented a version of this paper at the 55th Respiratory Care Journal Conference, “Pediatric Respiratory Care,” held June 10-11, 2016, in St Petersburg, Florida.
↵* Richard D Branson MSc RRT FAARC, Deputy Editor, Respiratory Care.
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