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Continuous measurement of cerebral blood volume and oxygenation during rewarming of neonates
Author(s) -
Naulaers G,
Cossey V,
Morren G,
Huffel S,
Casaer P,
Devlieger H
Publication year - 2004
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2004.tb02644.x
Subject(s) - medicine , asphyxia , oxygenation , anesthesia , hypothermia , oxygenation index , perinatal asphyxia , blood volume , asphyxia neonatorum
Aim : To investigate the effect of rewarming in preterm infants presenting with hypothermia at admission. Methods : The tissue oxygenation index (TOI), changes in cerebral blood volume (ACBV) and changes in intravascular oxygenation (AHbD) were measured in eight preterm infants, presenting with a temperature less than 35°C at admission. Results : A significant increase in HbD and TOI was seen in four patients (group A), while a significant increase in CBV and a decrease in HbD was seen in four other patients (group B). Retrospective analysis showed that group A had important signs of peripartal asphyxia. Conclusion : While infants with peripartal asphyxia showed an important increase in oxygenation during rewarming, no significant changes were seen in the non‐asphyxiated infants.