The SafeBoosC phase II randomised clinical trial: a treatment guideline for targeted near-infrared-derived cerebral tissue oxygenation versus standard treatment in extremely preterm infants.

Abstract:

UNLABELLED:Near-infrared spectroscopy-derived regional tissue oxygen saturation of haemoglobin (rStO2) reflects venous oxygen saturation. If cerebral metabolism is stable, rStO2 can be used as an estimate of cerebral oxygen delivery. The SafeBoosC phase II randomised clinical trial hypothesises that the burden of hypo- and hyperoxia can be reduced by the combined use of close monitoring of the cerebral rStO2 and a treatment guideline to correct deviations in rStO2 outside a predefined target range. AIMS:To describe the rationale for and content of this treatment guideline. METHODS:Review of the literature and assessment of the quality of evidence and the grade of recommendation for each of the interventions. RESULTS AND CONCLUSIONS:A clinical intervention algorithm based on the main determinants of cerebral perfusion-oxygenation changes during the first hours after birth was generated. The treatment guideline is presented to assist neonatologists in making decisions in relation to cerebral oximetry readings in preterm infants within the SafeBoosC phase II randomised clinical trial. The evidence grades were relatively low and the guideline cannot be recommended outside a research setting.

journal_name

Neonatology

journal_title

Neonatology

authors

Pellicer A,Greisen G,Benders M,Claris O,Dempsey E,Fumagalli M,Gluud C,Hagmann C,Hellström-Westas L,Hyttel-Sorensen S,Lemmers P,Naulaers G,Pichler G,Roll C,van Bel F,van Oeveren W,Skoog M,Wolf M,Austin T

doi

10.1159/000351346

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

171-8

issue

3

eissn

1661-7800

issn

1661-7819

pii

000351346

journal_volume

104

pub_type

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