NIRS Monitoring for Neonates With Mild Hypoxic-Ischemic Encephalopathy.
Adv Neonatal CareJun 18, 2026 (epub)
Clinical ResearchPediatrics
Pollieanna Sepúlveda, Lizette Lee, Monica Madrid Ornelas et al.
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In 30 seconds
This systematic review evaluated the use of near-infrared spectroscopy (NIRS) for continuous monitoring of cerebral oxygenation in term neonates with mild hypoxic-ischemic encephalopathy (HIE). The study established clinical practice guidelines recommending NIRS initiation within the first 6 hours of life and continuous monitoring for the first 24 hours. Key thresholds for nursing assessment were identified.
Key findings
- NIRS should be initiated within the first 6 hours of life for neonates with mild HIE.
- Continuous cerebral monitoring is recommended for the first 24 hours in this population.
- Nursing assessment is advised for rScO2 levels <55% and >85%-90%.
Why it matters
Implementing standardized NIRS monitoring guidelines can facilitate early detection of cerebral oxygenation issues, potentially leading to timely neuroprotective interventions in vulnerable neonates with mild HIE.