Case Report : Usefulness of monitoring the oxygen reserve index in the pediatric intensive care unit

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  • Usefulness of monitoring the oxygen reserve index in the pediatric intensive care unit cavopulmonary anastomosis

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[SUMMARY] Advanced warning of desaturation based on child-specific physiology is needed. Pulse oximetry does not indicate downward trends in arterial partial pressure（PaO2） until the percutaneous arterial oxygen saturation（SpO2）begins to fall. Therefore, SpO2 cannot provide advanced warning of desaturation events. The oxygen reserve index（ORI）is a new, noninvasive method of monitoring oxygen reserves. The clinical usefulness of the ORI has been reported in anesthesiology but reports from pediatric critical care are still few in number. The current study is the first to demonstrate the usefulness of the ORI for the management of sick children in a pediatric intensive care unit. To improve outcomes for sick children, using the ORI for advanced warning of desaturation is recommended.

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