Table 2.
Pediatric studies of the microcirculation using orthogonal polarization spectral or sidestream dark field
Study | N | Age group | Technique/site | Disease | Intervention | Outcome |
---|---|---|---|---|---|---|
Top et al. 2010 [71] | 45 | 0–3 years | OPS/buccal | - | - | FCD decreases after the first week of life |
Top et al. 2011 [48] | 18 | 0–15 years | OPS/buccal | Septic shock | - | FCD does not differ on day 1, non-survivors have persistently low FCD |
Top et al. 2011 [72] | 8 | 0–3 years | OPS/buccal | Respiratory failure | iNO | iNO increases FCD without altering macrocirculatory parameters |
Paize et al. 2012 [117] | 60 | 0–6 years | SDF/sublingual | MCD | - | FCD is decreased at admission; however, it increases when MCD resolves. HI is correlated with duration of ventilation |
Buijs et al. 2014 [49] | 20 | 0–16 years | SDF/buccal | Cardiac arrest | TH | FCD and flow are impaired during TH; however, they recover after re-warming. Severe impairment was associated with mortality |
Nussbaum et al. 2015 [85] | 40 | 0–3 years | SDF/ear | Cardiac surgery/catheterization | - | Transient reduction in MFI and PVD after cardiac surgery with and without cardiopulmonary bypass |
Schinagl et al. 2016 [86] | 37 | Unknown | SDF/buccal | Anemia | Blood Tx | Transfusion increased TVD with decreased RBC velocity, particularly during infection |
FCD functional capillary density, HI heterogeneity index, iNO inhaled nitric oxide, MCD meningococcal disease, MFI microvascular flow index, OPS orthogonal polarization spectral imaging, PVD perfused vessel density, RBC red blood cell, SDF sidestream dark field imaging, TH therapeutic hypothermia, TVD total vessel density, Tx transfusion