Is renal tissue oxygen desaturation during severe hypoxia underestimated? An observational study in term newborn piglets

AbstractThe kidney is an organ highly susceptible to injury by regional tissue oxygen desaturation during hypoxic episodes. Transcutaneous monitoring of renal tissue oxygen saturation is therefore of increasing interest. The aim of the present study was to compare renal tissue oxygen saturation measured by near‐infrared spectroscopy (NIRS) during acute hypoxia in neonates directly on the kidney and transcutaneously. We hypothesized that transcutaneous renal tissue oxygen saturation measurements would be influenced by superficial tissue. Five term newborn piglets were anesthetized, instrumented and exposed to normocapnic hypoxia at an inspired oxygen concentration of 0.14. Regional tissue oxygen saturation (rSO2) was simultaneously measured for comparison with the sensor of NIRS (Invos 5100, Somanetics Corp., Troy, MI, USA) applied directly on the left kidney (renaldirectrSO2) and on the skin of right flank above the right kidney (renalskinrSO2). Cerebral regional tissue oxygenation (cerebralskinrSO2), arterial oxygen saturation, heart rate (HR) and mean arterial pressure (MAP) were also monitored. NIRS parameters were analyzed in 5 s intervals during first 2 min of hypoxia. Hypoxia was achieved with an arterial oxygen desaturation from median (range) 95.3% (86.8–98.0) to 23.5% (13.0–41.0) after 2 min. HR and MAP did not change significantly during hypoxia. There were pronounced and lower renaldirectrSO2 readings when compared with those of renalskinrSO2 with significant differences from 25 to 55 s after initiation of hypoxia. Changes of cerebralskinrSO2 and renalskinrSO2 were similar. Transcutaneous monitoring of renal tissue oxygen saturation may underestimate acute oxygen desaturation of the kidney during hypoxia in neonates.