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Title: Measurement of tissue oxygenation index during the first three days in premature born infants
Authors: Naulaers, Gunnar ×
Morren, Geert
Van Huffel, Sabine
Casaer, Paul
Devlieger, Hugo #
Issue Date: Jan-2003
Publisher: Kluwer Academic Publishers
Series Title: Advances in Experimental Medicine and Biology vol:510 pages:379-83
Abstract: No normal values of tissue oxygenation index (TOI) of the brain are known regarding premature born infants. We measured TOI, a measure for the cerebral hemoglobin oxygen saturation, on the head of 15 preterm infants with a median postmenstrual age of 28 weeks (interquartile range (IQR) between 26-29 weeks) with spatially resolved spectroscopy (NIRO 300, Hamamatsu) during the first three days of life. Infants with intra-ventricular hemorrhage or periventricular leucomalacia before the first measurement, as shown by ultrasound, were excluded. The first measurement was done within the first 6 hours of life, the second and third measurement at, respectively, 24 and 48 hours after this first measurement. The mean TOI was calculated if saturation did not change by more than 5% for at least 30 minutes. Other parameters measured were PaO2, PCO2, pH, mean arterial blood pressure, heart rate, hemoglobin, glycemia and peripheral oxygen saturation. There was a significant increase of TOI after 24 (p < 0.05) and 48 (p < 0.001) hours. The median TOI on the first day was 57% (95% CI: 54-65.7), 66.1% on the second day (95%CI: 61.9-82.3%) and 76.1% on the third day (95%CI 67.8-80.1%). No correlation was found between TOI and peripheral oxygen saturation, blood pressure, PaO2, PaCO2 and hemoglobin concentration after multiple regression analysis. TOI increases in the first three days in premature born babies. The increase of TOI is not due to an increase of oxygenation or mean arterial blood pressure. In our opinion, it reflects the increase in cerebral blood flow during the first three days.
Description: \emph{Oxygen Transport to Tissue XII}, (Wilson D.F., Evans S.M., Biaglow J., and Pastuszko A., eds.), Proceedings of the 29th Annual Meeting of the International Society on Oxygen Transport to Tissue (ISOTT 2001), August 11-15, 2001, Univ. of Pennsylvania, Philadelphia, PA, USA),vol. 510 of {Advances in Experimental Medicine and Biology}, Kluwer Academic Publishers, Dordrecht, The Netherlands, 2002}
ISSN: 0065-2598
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Section Newborn (-)
ESAT - STADIUS, Stadius Centre for Dynamical Systems, Signal Processing and Data Analytics
Electrical Engineering - miscellaneous
Section Child - Miscellaneous (-)
× corresponding author
# (joint) last author

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