NIRS Monitoring in the Ambulatory Single Ventricle Patient
NIRS Monitoring in the Ambulatory Single Ventricle Patient
The normal heart has four chambers. There are two upper (or filling) chambers and are called
 the atrium. There are two lower (or pumping) chambers and are called the ventricles. One of
 the ventricles pumps blood to the lungs to get oxygen. This oxygenated blood is returned to
 the heart then pumped to the rest of the body by the other ventricle.

 Sometimes babies are born with heart defects that only allow one of the lower chambers
 (ventricle) to work properly. This means that the one ventricle must pump blood to both the
 lungs and to the rest of the body. Babies born with this defect must undergo multiple
 surgeries, the first of which is usually done during their first week of life.

 There is a machine that is FDA approved that can measure how much oxygen is delivered to the
 brain. This non-invasive (outside the body) machine uses Near-infrared spectroscopy (NIRS),
 which is similar technology used in pulse oximetry and is routinely used to measure the level
 of oxygen in blood. At Children's Healthcare of Atlanta, we typically place the NIRS machine
 on the baby in the Cardiac Intensive Care Unit immediately after their first surgery to
 monitor oxygen delivery to the brain. The monitor has proven to be accurate in this
 situation.

 We now want to know if we can use this monitor to assess oxygen delivery to the brain before
 and during a routine heart catheterization prior to the child's second surgery. Once consent
 is obtained, we will place a probe on the child's forehead during the pre-catheterization
 visit and obtain readings for 5 minutes. The probes are about the size of a quarter and are
 self-stick (they look like the kind of leads used to measure the babies heart rate [EKG]).
 The machine will be disconnected for the rest of the Pre-catheterization visit, however the
 probes will stay on the child's forehead. Once the child is in the catheterization suite, the
 machine will be reconnected. A sheath or hollow tube is routinely placed in a blood vessel in
 the child's neck or groin for the catheterization. The doctor would place a special catheter
 in this sheath that measures oxygen levels in blood continuously. This monitor would be
 calibrated by using the results of a blood sample that is routinely drawn from the child's
 IV. During the same sampling, an additional 2cc's of blood would be collected to measure the
 lactate level. The lactate level is an indicator of how well the child is using oxygen. Once
 this monitor is calibrated, data will be collected for 5 minutes to compare it with the NIRS
 machine. The special catheter will be removed after the 5-minute time period, and the
 catheterization will proceed as usual. The NIRS probes will stay on the child's forehead
 during the entire catheterization with the data documented. At the end of the
 catheterization, the probes will be removed.
The study will be a prospective evaluation of all single ventricle patients as they undergo
 their routine cardiac catheterization prior to second stage palliation. Upon arrival to the
 pre-catheterization area, NIRS probes will be placed on the child's forehead and data along
 with vital signs will be collected at initial placement, 3 minutes and at 5 minutes. The
 monitor will be disconnected as the routine pre-catheterization procedures proceed.

 Once the child is in the catheterization suite, the monitor will be reconnected and the
 routine catheterization procedures will proceed. After the standard sheath for
 catheterization is placed in the child, a routine superior vena cava saturation (COOX) will
 be drawn and the NIRS reading along with routine vital signs will be documented. At the same
 time the routine saturation is drawn, an additional 2ccs of blood will be drawn for a lactate
 level. At 3 and 5 minutes after the routine saturation, a COOX will be drawn and the NIRS
 reading along with vital signs will be documented. The catheterization will continue as
 usual. At the end of the case, a final NIRS reading and vital signs will be documented prior
 to the removal of the probes.
Inclusion Criteria:

 1. Patients with single ventricle anatomy undergoing routine, elective cardiac
 catheterization prior to second stage palliation.

 2. Parental consent to participate in the study -

 Exclusion Criteria:

 1. Admission to the Intensive Care Unit or intubation prior to catheterization

 2. Emergent catheterization -