Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Current state of renal NIRS monitoring in the NICU: results from a CHNC Survey

This is a preview of subscription content, access via your institution

Access options

Rent or buy this article

Get just this article for as long as you need it


Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Indications and Limitations for use of Renal Near Infrared Spectroscopy monitoring in the Neonatal Intensive Care Unit.

Data availability

Data is available for sharing upon reasonable request dependent on IRB approval and data sharing agreements between institutions.


  1. Hunter CL, Oei JL, Suzuki K, Lui K, Schindler T. Patterns of use of near-infrared spectroscopy in neonatal intensive care units: international usage survey. Acta Paediatr. 2018;107:1198–204.

    Article  PubMed  Google Scholar 

  2. Pichler G, Goeral K, Hammerl M, Perme T, Dempsey EM, Springer L, et al. Cerebral regional tissue Oxygen Saturation to Guide Oxygen Delivery in preterm neonates during immediate transition after birth (COSGOD III): multicentre randomised phase 3 clinical trial. BMJ. 2023;380:e072313.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Harer MW, Chock VY. Renal tissue oxygenation monitoring-an opportunity to improve kidney outcomes in the vulnerable neonatal population. Front Pediatr. 2020;8:241.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Marin T, Williams BL, Mansuri A, Mundy C, Cockfield C, Mann PC, et al. Renal oxygenation (rSO2) population parameter estimates in premature infants routinely monitored with near-infrared spectroscopy. Adv Neonatal Care. 2021;22:370–7.

    Article  PubMed  Google Scholar 

  5. Hoffman SB, Magder LS, Viscardi RM. Renal versus cerebral saturation trajectories: the perinatal transition in preterm neonates. Pediatr Res. 2022;92:1437–42.

    Article  CAS  PubMed  Google Scholar 

Download references


We are indebted to the following CHNC participating institutions that serve the infants and their families; these institutions (and their site sponsors) also have invested in and continue to participate in the Children’s Hospital’s Neonatal Database (CHND): 1. Alfred I. duPont Hospital for Children, Wilmington, DE. 2. All Children’s Hospital Johns Hopkins Medicine, St. Petersburg, FL. 3. American Family Hospital, Madison, WI. 4. Advent Health for Children, Orlando, FL. 5. Ann & Robert H. Lurie Children’s Hospital of Chicago; Chicago, IL. 6. Arkansas Children’s Hospital. 7. Boston Children’s Hospital; Boston, MA. 8. Brenner Children’s Hospital, Winston-Salem, NC. 9. Cincinnati Children’s Hospital; Cincinnati, OH. 10. Children’s Healthcare of Atlanta at Egleston; Atlanta, GA. 11. Children’s Healthcare of Atlanta at Scottish Rite; Atlanta, GA. 12. Children’s Hospital and Medical Center, Omaha, NE. 13. Children’s Hospital Colorado, Denver. 14. Children’s Hospital of Orange County; Orange, CA. 15. Children’s Hospital of Philadelphia. 16. Children’s Hospital of Pittsburgh of UPMC; Pittsburgh, PA. 17. Children’s Hospital of Wisconsin, Milwaukee, WI. 18. Children’s Medical Center Dallas, TX. 19. Children’s Mercy Hospitals and Clinics, Kansas City. MO. 20. Children’s National Medical Center, Washington, DC. 21. Children’s of Alabama, Birmingham, AL. 22. Children’s Hospital of Los Angeles, Los Angeles, CA. 23. Children’s Hospital of Michigan, Detroit, MI. 24. Connecticut Children’s Medical Center, Hartford, CT. 25. Cook Children’s Medical Center, Fort Worth, TX. 26. Hospital for Sick Children, Toronto, Ontario, Canada. 27. Le Bonheur Children’s Hospital, Memphis, TN. 28. Nationwide Children’s Hospital, Columbus, OH. 29. Nemours Children’s Hospital, Orlando, FL. 30. Oklahoma Children’s Hospital, Oklahoma City, OK. 31. Primary Children’s Hospital, Salt Lake City, UT. 32. Rady Children’s Hospital, San Diego, CA. 33. Riley Children’s, Indianapolis, IN. 34. Seattle Children’s Hospital, Seattle, WA. 35. Stead Family Children’s Hospital, Iowa City, IO. 36. St Christopher’s Hospital for Children, Philadelphia, PA. 37. St. Louis Children’s Hospital, St. Louis, MO. 38. Texas Children’s Hospital, Houston; Houston, TX. 39. UCSF Benioff Children’s Hospital Oakland; Oakland, CA.

Author information

Authors and Affiliations




MWH: significant contributions to the design and conception, data analysis and interpretation, drafting the manuscript, critical revision of the manuscript and final approval. SP, JAR: contributions to the design and conception, data analysis, interpretation, and critical revision of the manuscript. CS, BL, CLS, JD, SBH, NA, MGK: contributions to design and revision of the manuscript.

Corresponding author

Correspondence to Matthew W. Harer.

Ethics declarations

Competing interests

The authors have no financial disclosures. Dr. Harer is supported by the Wisconsin Partnership Program New Investigator Award and an institutional KL2 award (KL2TR002374.).

Consent for publication

Patient consent was not required for this study, IRB approved at Children’s National.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Harer, M.W., Rumpel, J.A., Stoops, C. et al. Current state of renal NIRS monitoring in the NICU: results from a CHNC Survey. J Perinatol (2023).

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • DOI:


Quick links