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
Neonatologyjournal_title
Neonatologyauthors
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 Tdoi
10.1159/000351346subject
Has Abstractpub_date
2013-01-01 00:00:00pages
171-8issue
3eissn
1661-7800issn
1661-7819pii
000351346journal_volume
104pub_type
杂志文章,随机对照试验相关文献
Neonatology文献大全abstract:INTRODUCTION:Oral propranolol has improved the treatment of infantile hemangiomas, and a pediatric oral solution of propranolol has recently been licensed in the USA and Europe. In very preterm infants, infantile hemangiomas are associated with the occurrence of retinopathy of prematurity (ROP), and both diseases share...
journal_title:Neonatology
pub_type: 杂志文章,随机对照试验
doi:10.1159/000381659
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Alveolar development and lung parenchymal simplification are not well characterized in vivo in neonatal patients with respiratory morbidities, such as bronchopulmonary dysplasia (BPD). Hyperpolarized (HP) gas diffusion magnetic resonance imaging (MRI) is a sensitive, safe, nonionizing, and noninvasive biomar...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000511084
更新日期:2020-11-11 00:00:00
abstract:BACKGROUND:International neonatal resuscitation guidelines recommend assessing chest excursion when the heart rate is not improving. However, the accuracy in assessing 'adequate' chest excursion lacks objectivity. AIM:It was the aim of this study to test the accuracy in the assessment of 'adequate' chest excursion by ...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000322009
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Retinopathy of prematurity (ROP) is a sight-threatening disease affecting extremely preterm infants. The introduction of new ROP screening surveillance systems, with higher sensitivity and specificity than established ROP screening guidelines, has the potential to reduce the number of stressful eye examinati...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000435770
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Nosocomial infections endanger preterm infants. OBJECTIVE:The aim of the present controlled randomized trial was to investigate whether Bifidobacterium lactis reduces the incidence of nosocomial infections in infants with very low birth weight (VLBW; <1,500 g) <30 weeks of gestation. PATIENTS AND METHODS:I...
journal_title:Neonatology
pub_type: 杂志文章,随机对照试验
doi:10.1159/000280291
更新日期:2010-01-01 00:00:00
abstract::Mechanical ventilation is a risk factor for cerebral inflammation and brain injury in preterm neonates. The risk increases proportionally with the intensity of treatment. Recent studies have shown that cerebral inflammation and injury can be initiated in the delivery room. At present, initiation of intermittent positi...
journal_title:Neonatology
pub_type: 杂志文章,评审
doi:10.1159/000444918
更新日期:2016-01-01 00:00:00
abstract::There is mounting evidence that early continuous positive airway pressure (CPAP) from birth is feasible and safe even in very preterm infants. However, many infants will develop respiratory distress syndrome (RDS) and require surfactant treatment. Combining a noninvasive ventilation approach with a strategy for surfac...
journal_title:Neonatology
pub_type: 杂志文章,评审
doi:10.1159/000381122
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Congenital diaphragmatic hernia (CDH) is an abnormal development of the diaphragm leading to high neonatal mortality and morbidity. Beyond the neonatal period, prospective data on overall long-term outcome in CDH survivors is scarce. In particular, for those treated with fetoscopic endoluminal tracheal occlu...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000479145
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Characteristics of neonatal tracheal intubations (TI) may vary between the neonatal intensive care unit (NICU) and delivery room (DR). The impact of the setting on TI outcomes is not well characterized. OBJECTIVE:The aim of this study was to define variation in neonatal TI practice between settings, and ide...
journal_title:Neonatology
pub_type: 杂志文章,多中心研究
doi:10.1159/000502611
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Pharmacological closure of patent ductus arteriosus (PDA) is commonly achieved by intravenous (IV) administration of ibuprofen or indomethacin. Occasionally, oral ibuprofen is used for PDA treatment although its efficacy and safety are unclear. OBJECTIVES:To systematically review randomized and quasi-random...
journal_title:Neonatology
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000335332
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Nasal continuous positive airway pressure (NCPAP) is a well-studied treatment for respiratory problems in preterm infants. However, the best strategy for NCPAP weaning is unknown. OBJECTIVE:We aimed to compare the success of progressive pressure wean versus sudden wean for discontinuation of NCPAP in preter...
journal_title:Neonatology
pub_type: meta分析
doi:10.1159/000507863
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Schistocytes are circulating erythrocyte fragments. They can be identified microscopically from a blood smear; but automated systems evaluate more cells and avoid inconsistencies in microscopy. Studies using adult subjects indicate that automated quantification of schistocytes can be clinically useful. Howev...
journal_title:Neonatology
pub_type: 杂志文章,多中心研究
doi:10.1159/000491626
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Apnea of prematurity (AOP) occurs frequently in preterm infants and a variable proportion of AOP can be induced by gastroesophageal reflux (GER). Conservative treatment, including dietary modifications, should be the first-line approach for both GER and GER-related apneas in this population. OBJECTIVES:To e...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000342703
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Strategies for oxygen therapy for preterm infants, such as the Vermont-Oxford's 'Breathsavers' guidelines, seek to strike a balance between the potential risks of the extremes of hyperoxia and hypoxia in preterm infants. Using an algorithm based on those guidelines, we aimed to compare the proportion of time...
journal_title:Neonatology
pub_type: 杂志文章,随机对照试验
doi:10.1159/000368295
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Corticosteroids have been used widely after birth in preterm infants with respiratory failure; hydrocortisone may be preferable to other corticosteroids for this purpose. OBJECTIVES:To determine if postnatal hydrocortisone is useful to prevent or treat bronchopulmonary dysplasia (BPD) in preterm infants. M...
journal_title:Neonatology
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000279992
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Delayed cord clamping (DCC) improves placental transfusion and increases blood volume in preterm infants when compared with immediate cord clamping (ICC). However, evidence to support DCC in multiple-birth preterm infants is still lacking. OBJECTIVE:To compare the outcomes of ICC versus DCC in preterm infan...
journal_title:Neonatology
pub_type: 杂志文章,随机对照试验
doi:10.1159/000494132
更新日期:2019-01-01 00:00:00
abstract::We describe three positive influenza AH1N1 cases in a neonatal unit during the influenza pandemic in Spain. One term baby presented with an upper respiratory tract infection, another preterm infant with an apnea episode following nosocomial infection, and thirdly, a term infant of a mother with influenza AH1N1 had sev...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000324232
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Targeted milrinone treatment for low left ventricular output (LVO) reduces the incidence of acute cardiorespiratory instability following ligation of patent ductus arteriosus (PDA) in preterm infants. Despite this, some infants continue to experience postoperative deterioration. Adrenal insufficiency related...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000350017
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:We hypothesized that color Doppler-measured cerebral blood flow velocity (CD-CBFV) as measured in the three feeding arteries of the brain can be used as an estimator of global cerebral blood flow. PATIENTS AND METHODS:CD-CBFV was determined as soon as possible after determination of phase-contrast magnetic ...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000342336
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:The identification of factors involved in the postnatal growth of preterm infants will help achieve growth similar to that of term infants. OBJECTIVES:As per protocol: to compare body composition in very preterm infants at term-corrected age (TCA) with that in term infants, and to explore relationships betw...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000450882
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Doxapram has been advocated as a treatment for persistent apnea of prematurity (AOP). OBJECTIVE:To evaluate the effect of doxapram on long-term neurodevelopmental outcome in preterm infants as its safety still needs to be established. METHODS:From a retrospective cohort of preterm infants with a gestationa...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000444006
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Recurrent and prolonged seizures are harmful for the developing brain, emphasizing the importance of early seizure recognition and effective therapy. Amplitude-integrated electroencephalography (aEEG) has become a valuable tool to diagnose epileptic seizures, and, in parallel, genetic etiologies are increasi...
journal_title:Neonatology
pub_type: 杂志文章,多中心研究
doi:10.1159/000478651
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The probabilities of survival and survival without major brain damage (MBD) are low in newborns at the limit of viability. Survival without MBD constitutes a major concern for parents and professionals. OBJECTIVES:To know the probabilities of survival without MBD in newborns ≤26 weeks' gestational age (GA) ...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000452195
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Higher patient-to-nurse ratios and nursing workload are associated with increased mortality in the adult intensive care unit (ICU). Most neonatal ICUs (NICUs) in the United Kingdom do not meet national staffing recommendations. The impact of staffing on outcomes in the NICU is unknown. OBJECTIVE:To determin...
journal_title:Neonatology
pub_type: 杂志文章,评审
doi:10.1159/000353458
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Intermittent hypoxic episodes are common among preterm infants, although longer term consequences on growth pattern and cardiovascular regulation are unclear. Furthermore, the effects of intermittent hypoxia (IH) may depend on the pattern of hypoxia-reoxygenation. OBJECTIVES:We tested the hypothesis that a ...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000338096
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Phenobarbitone induces suppression of cerebral electrical activity on amplitude-integrated electroencephalography (aEEG) in neonates with hypoxic-ischemic encephalopathy (HIE); however, its effect during therapeutic hypothermia (TH) has not been well characterized. OBJECTIVE:To evaluate the effect of phenob...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000511540
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Neonatal reference values of gallbladder size have been assessed in healthy newborns with enteral feeding regimen. Their applicability to critically ill patients under total parenteral nutrition (TPN) remains to be questioned. OBJECTIVE:Our aim was to evaluate the impact of short-term TPN versus enteral nut...
journal_title:Neonatology
pub_type: 临床试验,杂志文章
doi:10.1159/000102058
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Refinement of ventilatory techniques remains a challenge given the persistence of chronic lung disease of preterm infants. METHODS:To test the hypothesis that proportional assist ventilation (PAV) will allow to lower the ventilator pressure at equivalent fractions of inspiratory oxygen (FiO(2)) and arterial...
journal_title:Neonatology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1159/000098376
更新日期:2007-01-01 00:00:00
abstract::Treatment of sick neonates originated in maternity and foundling hospitals in the 19th century. Nosocomial infections and difficult logistics of wet-nursing prevented admission of neonates in most children's hospitals well into the 20th century. In this article, 31 hospitals are described, all located in large cities,...
journal_title:Neonatology
pub_type: 历史文章,杂志文章
doi:10.1159/000336285
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Numerous studies in cultured cells indicate that damage to mitochondrial DNA (mtDNA) dictates cellular responses to oxidant stress, yet the consequences of mtDNA damage have not been studied directly in the preterm lung. OBJECTIVE:We sought to determine whether hyperoxia-induced fetal lung dysmorphogenesis ...
journal_title:Neonatology
pub_type: 杂志文章
doi:10.1159/000342632
更新日期:2013-01-01 00:00:00