Effects of selective head cooling on cerebral blood flow and metabolism in newborn piglets after hypoxia-ischemia.

Abstract:

AIM:the effect of selective head cooling on cerebral blood flow (CBF) and cerebral metabolism rate (CMR) was investigated in newborn piglets. METHODS:seven days old newborn piglets were randomly assigned to one of the following three groups: Selective head cooling in normal piglets (n=4), selective head cooling after HI (n=6) and normal temperature after HI (n=6). CBF was measured with color microspheres. Cerebral oxygenation metabolism rate (CMRO(2)), Cerebral glucose consumption (CMR(Glu)) and Cerebral lactate production (CMR(lac)) were calculated. RESULT:in normal piglets, CBF, CMRO(2) and CMR(glu) were significantly decreased at both 35°C (P<0.05) and 32°C (P<0.01), while CMR(lac) did not change. Compared to baseline, CBF and CMRO(2) were significantly reduced (P<0.05), while CMR(glu) and CMR(lac) were significantly increased (P<0.01), AVDO(2) was decreased (P<0.05), while AVD(glu) and AVD(lac) were significantly increased (P<0.01 respectively) in HI piglets with normal temperature respectively. Compared to normal temperature after HI, selective head cooling after HI significantly reduced CMR(glu) and CMR(lac), and AVDO(2), AVD(glu), AVD(lac) were improved at 35°C. CONCLUSION:selective head cooling not only reduced energy consumption, but also improve brain oxygen metabolism in newborn after HI.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Cheng G,Sun J,Wang L,Shao X,Zhou W

doi

10.1016/j.earlhumdev.2010.11.007

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

109-14

issue

2

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(10)00690-0

journal_volume

87

pub_type

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