{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:51:18Z","timestamp":1747187478699,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T00:00:00Z","timestamp":1570492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Advances in perioperative pediatric care have resulted in an increased number of procedures requiring anesthesia. During anesthesia and surgery, the patient is subjected to factors that affect the circulatory homeostasis, which can influence oxygenation of the brain. Near\u2010infrared spectroscopy (NIRS) is an easy applicable noninvasive method for monitoring of regional tissue oxygenation (rScO\u2082%). Alternate placements for NIRS have been investigated; however, no alternative cranial placements have been explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the agreement between frontal and occipital recordings of rScO\u2082% in infants using INVOS<jats:sup>TM<\/jats:sup> during surgery and general anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A standard frontal monitoring of rScO\u2082% with NIRS was compared with occipital rScO\u2082% measurements in fifteen children at an age &lt;1\u00a0year, ASA 1\u20102, undergoing cleft lip and\/or palate surgery during general anesthesia with sevoflurane. An agreement analysis was performed according to Bland and Altman.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean values of frontal and occipital rScO\u2082% at baseline were largely similar (70.7\u00a0\u00b1\u00a04.77% and 69.40\u00a0\u00b1\u00a05.04%, respectively). In the majority of the patients, the frontal and occipital recordings of rScO<jats:sub>2<\/jats:sub> changed in parallel. There was a moderate positive correlation between frontal and occipital rScO\u2082% INVOS\u2122 readings (rho[\u03c1]: 0.513, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.01). The difference between frontal and occipital rScO\u2082 ranged from \u221231 to 28 with a mean difference (bias) of \u22120.15%. The 95% limit of agreement was \u221218.04%\u201017.74%. The error between frontal and occipital rScO\u2082 recordings was 23%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The agreement between frontal and occipital recordings of brain rScO\u2082% in infants using INVOS<jats:sup>TM<\/jats:sup> during surgery and general anesthesia was acceptable. In surgical procedures where the frontal region of the head is not available for monitoring, occipital recordings of rScO\u2082% could be an option for monitoring.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.13743","type":"journal-article","created":{"date-parts":[[2019,9,19]],"date-time":"2019-09-19T18:34:31Z","timestamp":1568918071000},"page":"1122-1127","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Agreement between frontal and occipital regional cerebral oxygen saturation in infants during surgery and general anesthesia an observational study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7518-8915","authenticated-orcid":false,"given":"Pether","family":"Jildenst\u00e5l","sequence":"first","affiliation":[{"name":"Institute of Health and Care Sciences Sahlgrenska academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Anesthesia and Intensive Care Institute for Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Anesthesiology, Surgery and Intensive Care Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Sandin","sequence":"additional","affiliation":[{"name":"Department of children\u00b4s surgery division Queen Silvia\u00b4s children\u00b4s hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margareta","family":"Warr\u00e8nStomberg","sequence":"additional","affiliation":[{"name":"Institute of Health and Care Sciences Sahlgrenska academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"P\u00e5lsson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Institute for Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Anesthesiology, Surgery and Intensive Care Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven\u2010Erik","family":"Ricksten","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Institute for Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Anesthesiology, Surgery and Intensive Care Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Snygg","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Institute for Clinical Sciences Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Anesthesiology, Surgery and Intensive Care Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10,8]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"The society of thoracic surgeons.The STS congenital heart surgery database (CHSD). 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