Nariae Baik1, Berndt Urlesberger1, Bernhard Schwaberger1, Georg M Schmölzer2, Alexander Avian3, Gerhard Pichler4. 1. Division of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Austria Research Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Austria. 2. Division of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Austria Department of Pediatrics, University of Alberta, Edmonton, Canada Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Canada. 3. Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria. 4. Division of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Austria Research Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Austria Department of Pediatrics, University of Alberta, Edmonton, Canada Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Canada.
Abstract
OBJECTIVES: To investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition. METHODS: In this two-centre prospective observational cohort study, crSO2 was measured with near-infrared spectroscopy in preterm infants (<32 weeks of gestational age) during the immediate neonatal transition (15 min). In addition, arterial oxygen saturation (SpO2) and heart rate (HR) were monitored with pulse oximetry. Cranial ultrasound scans were performed on day 4, day 7 and day 14 after birth and before discharge. Neonates with IVH of any grade (IVH group) were matched to the neonates without IVH (Non-IVH group) on gestational age (±1 week) and birth weight (±100 g). The duration and magnitude of deviation from the 10th centile in crSO2 during immediate transition was analysed and expressed in %minutes. RESULTS: IVH was found in 12 of the included neonates, who were matched to 12 neonates without IVH. There was no difference in SpO2 and HR between these two groups. The duration and magnitude of centiles-deviation of crSO2 was significantly pronounced in the IVH group compared with the Non-IVH group (1870%min vs 456%min). CONCLUSIONS: The neonates of the IVH group showed significantly lower crSO2 values during the immediate transition, although there was no difference concerning SpO2 and HR. The additional monitoring of crSO2 during the immediate transition could reveal neonates with higher risk of developing an IVH later in the course. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
OBJECTIVES: To investigate the occurrence of peri/intraventricular haemorrhage (P/IVH) in preterm infants and its potential association with cerebral regional oxygen saturation (crSO2) during the immediate transition. METHODS: In this two-centre prospective observational cohort study, crSO2 was measured with near-infrared spectroscopy in preterm infants (<32 weeks of gestational age) during the immediate neonatal transition (15 min). In addition, arterial oxygen saturation (SpO2) and heart rate (HR) were monitored with pulse oximetry. Cranial ultrasound scans were performed on day 4, day 7 and day 14 after birth and before discharge. Neonates with IVH of any grade (IVH group) were matched to the neonates without IVH (Non-IVH group) on gestational age (±1 week) and birth weight (±100 g). The duration and magnitude of deviation from the 10th centile in crSO2 during immediate transition was analysed and expressed in %minutes. RESULTS: IVH was found in 12 of the included neonates, who were matched to 12 neonates without IVH. There was no difference in SpO2 and HR between these two groups. The duration and magnitude of centiles-deviation of crSO2 was significantly pronounced in the IVH group compared with the Non-IVH group (1870%min vs 456%min). CONCLUSIONS: The neonates of the IVH group showed significantly lower crSO2 values during the immediate transition, although there was no difference concerning SpO2 and HR. The additional monitoring of crSO2 during the immediate transition could reveal neonates with higher risk of developing an IVH later in the course. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Authors: Souvik Mitra; Courtney E Gardner; Abigale MacLellan; Tim Disher; Danielle M Styranko; Marsha Campbell-Yeo; Stefan Kuhle; Bradley C Johnston; Jon Dorling Journal: Cochrane Database Syst Rev Date: 2022-04-01
Authors: Nhu N Tran; Jodie K Votava-Smith; John C Wood; Ashok Panigrahy; Choo Phei Wee; Matthew Borzage; S Ram Kumar; Paula M Murray; Mary-Lynn Brecht; Lisa Paquette; Kenneth M Brady; Bradley S Peterson Journal: PLoS One Date: 2021-05-10 Impact factor: 3.240
Authors: Nariae Baik-Schneditz; Bernhard Schwaberger; Lukas Mileder; Nina Höller; Alexander Avian; Berndt Urlesberger; Gerhard Pichler Journal: Children (Basel) Date: 2021-05-24
Authors: Samantha K Barton; Mary Tolcos; Suzie L Miller; Charles C Roehr; Georg M Schmölzer; Peter G Davis; Timothy J M Moss; Domenic A LaRosa; Stuart B Hooper; Graeme R Polglase Journal: Front Pediatr Date: 2015-11-10 Impact factor: 3.418