Abstract:

In newborn intensive care units (YYBU) nursing care and practice are very important. In YYBU, babies are especially exposed to pain and stress. The frequent repetition and prolongation of pain in newborn babies in advanced periods creates neurological complications. The care and applications to be provided to babies in the relief of pain are therefore very important. Symptoms of pain are identified by physiological parameters and the level is determined by scales. One of the new applications in this field is the NIRS (Near-Infrared Spectroscopy-NIRS/Near-Infrared Spectroscopy). NIRS is a non-invasive technique that can be used to measure the concentrations of oxygenic and deoxygenic hemoglobin (Hb02 and HbR) in the tissue and to detect subtle changes in brain concentrations. NIRS monitor regional tissue oxygenation (rSO2) by placing probes in different areas of the body, such as the rectum (cerebral), the abdomen (mezenter) and the lower back (belly). NIRS can be used as a technique for evaluating brain activation stimulated by pain in preeterm and critical patients based in YBU. Recently, the use of NIRS has shown that brain hemodynamic changes occur in response to both stressful and painful stimuli in both term and premature babies. Painful processes (invasive processes, collective care, etc. It allows us to identify the O2 changes that are used in the tissues during the process. During the painful process, applications such as kanguru care, rolling, position changes have been found to relieve the pain and make changes in the brain’s Hb02 level. NIRS has also been found to be used in other applications, such as smell, music, sleep and the start of oxygen treatment after childbirth. It is easy to use because it can be used in front of bed and is a non-invasive process. The NIRS device is in a remarkable position because it is a device that can be used in the effectiveness of many nursing care and applications. In recent years, the measurement of the oxygen consumption of tissues with the NIRS technology is becoming increasingly prevalent in newborn centers. Nurses working in YYBU need to learn how to use and interpret the NIRS device and work in nursing.

Keywords: