Renal Oxygen Saturation as an Early Indicator of Shock in Children

Abstract

Neurinda Permata Kusumastuti,1,2 Teddy Ontoseno,2 Anang Endaryanto2 1Doctoral Program of Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia; 2Departement of Child Health, Dr. Soetomo General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaCorrespondence: Neurinda Permata Kusumastuti, Department of Child Health, Dr. Soetomo General Hospital, Faculty of Medicine, Universitas Airlangga, Jl. Mayjend Prof. Dr. Moestopo No. 6-8, Airlangga, Gubeng, Surabaya, East Java, 60286, Indonesia, Tel [phone], Email [email protected]: Shock is a life-threatening syndrome in which tissue perfusion and oxygen delivery are inadequate. Near-infrared spectroscopy (NIRS) has been suggested as a noninvasive tool for monitoring and detecting the state of inadequate tissue perfusion. Renal and mesenteric oximetry show decreased cardiac output earlier than systemic or global parameters of tissue oxygenation or cerebral oximetry. However, until now there has been no study on the validity of regional renal oxygen saturation (rRSO2) by NIRS for diagnosing shock in children.Purpose: To analyze the validity of rRSO2 by NIRS to diagnose shock in children.Patients and Methods: This cross-sectional study was conducted in critically ill children (aged 1 month– 18 years) who were admitted to the pediatric intensive care unit (PICU), from September to November 2020, consecutively. Patients were classified into two groups: shock and non-shock. The diagnosis of shock is based on clinical criteria (tachycardia, sign of hypoperfusion and decrease systolic blood pressure

Keywords

• critically ill children
• regional renal oxygen saturation
• nirs
• shock