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Monitoring cerebral oxygenation of preterm infants using a neonatal specific sensor
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نویسنده
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Kenosi M. ,O’Toole J. M. ,Hawkes G. A. ,Hutch W. ,Low E. ,Wall M. ,Boylan G. B. ,Ryan C. A. ,Dempsey E. M.
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منبع
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journal of perinatology - 2018 - دوره : 38 - شماره : 3 - صفحه:264 -270
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چکیده
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Introductioncerebral oxygenation (rcso2) monitoring in preterm infants may identify periods of cerebral hypoxia or hyperoxia. we hypothesised that there was a relationship between rcso2 values and short term outcome in infants of ga < 32weeks.methodsrcso2 values were recorded for the first 48 h of life using an invos monitor with a neonatal sensor. the association between cranial ultrasound scan measured brain injury and rcso2 was assessed.results120 infants were included. sixty-nine percent (83) of infants had a normal outcome (no ivh, no pvl, and survival at 1 month); less than one-quarter, 22% (26), had low grade ivh 1 or 2 (moderate outcome); and 9% (11) of infants had a severe outcome (ivh ≥ 3, pvl or died before 1 month age). rcso2 values were lower for infants ga < 28weeks when compared with those ga 28–32, p < 0.001. there was no difference in absolute rcso2 values between the three outcome groups but a greater degree of cerebral hypoxia was associated with preterm infants who had low grade 1 or 2 ivh.conclusioninfants of ga < 28 weeks have lower cerebral oxygenation in the first 2 days of life. a greater degree of hypoxia was seen in infants with grade 1 or 2 haemorrhage. normative ranges need to be gestation specific.
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آدرس
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Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland, Department of Paediatrics and Child Health, Neonatal Intensive Care Unit, Ireland. University College Cork, Ireland
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Authors
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