지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 14 - 21 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: Premature infants have immature respiratory control and cerebral autoregulation. We aimed to investigate changes in cerebral oxygenation during apnea with and without peripheral oxygen desaturation in premature infants. Methods: This prospective observational study was conducted at Inha University Hospital. Near-infrared spectroscopy (NIRS)-monitored regional cerebral oxygen saturation (rScO2) and pulse oximeter-monitored peripheral oxygen saturation (SpO2) were assessed during the first week of life in 16 stable, spontaneously breathing preterm infants. Apneic episodes that lasted for ≥20 seconds or were accompanied by desaturation or bradycardia were included for analysis. The average rScO2 value during the 5-minute prior to apnea (baseline), the lowest rScO2 value following apnea (nadir), the time to recover to baseline (recovery time), the area under the curve (AUC), and the overshoot above the baseline after recovery were analyzed. Results: The median gestational age and birth weight of the infants were 29.2 weeks (interquartile range [IQR], 28.5 to 30.5) and 1,130 g (IQR, 985 to 1,245), respectively. A total of 73 apneic episodes were recorded at a median postnatal age of 2 days (IQR, 1 to 4). The rScO2 decreased significantly following apneic episodes regardless accompanied desaturation. There were no differences in baseline, nadir, or overshoot rScO2 between the two groups. However, the rScO2 AUC for apnea with desaturation was significantly higher than that for apnea without desaturation. Conclusion: Cerebral oxygenation can significantly decrease during apnea, especially when accompanied by reduced SpO2. These results add the evidence for the clinical utility of NIRS in monitoring premature infants.
목차
등록된 정보가 없습니다.
참고문헌 (32)
참고문헌 신청
Perlman JM / 1985 / Episodes of apnea and bradycardia in the preterm newborn : impact on cerebral circulation / Pediatrics 76:333~338
Horne RS / 2017 / The longitudinal effects of persistent apnea on cerebral oxygenation in infants born preterm / J Pediatr 182:79~84
Pillekamp F / 2007 / Factors influencing apnea and bradycardia of prematurity : implications for neurodevelopment / Neonatology 91:155~161
Janvier A / 2004 / Apnea is associated with neurodevelopmental impairment in very low birth weight infants / J Perinatol 24:763~768
Greisen G / 2005 / Autoregulation of cerebral blood flow in newborn babies / Early Hum Dev 81:423~428
Horne RS / 2017 / The longitudinal effects of persistent apnea on cerebral oxygenation in infants born preterm / J Pediatr 182:79~84
Pillekamp F / 2007 / Factors influencing apnea and bradycardia of prematurity : implications for neurodevelopment / Neonatology 91:155~161
Janvier A / 2004 / Apnea is associated with neurodevelopmental impairment in very low birth weight infants / J Perinatol 24:763~768
Greisen G / 2005 / Autoregulation of cerebral blood flow in newborn babies / Early Hum Dev 81:423~428
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Both the Duration of Apnea and the Number of Apneas Are Important in Obstructive Sleep Apnea Syndrome
sleep medicine research
2020 .01
-
Use of human patient simulator for apnea studies: a preliminary in vitro trial
Korean Journal of Anesthesiology
2022 .10
-
Augmentation of respiratory muscle activities in preterm infants with feeding desaturation
Clinical and Experimental Pediatrics
2018 .01
-
프라더-윌리증후군 소아의 수면호흡장애에 대한 연구
Allergy Asthma & Respiratory Diseases
2021 .10
-
Changes of hemodynamic and cerebral oxygenation after exercise in normobaric and hypobaric hypoxia : associations with acute mountain sickness
대한직업환경의학회지
2019 .01
-
Combined cerebral and somatic near-infrared spectroscopy oximetry monitoring during liver surgery: an observational and non-interventional study
Korean Journal of Anesthesiology
2022 .10
-
A Classifying Model of Obstructive Sleep Apnea Based on Heart Rate Variability in a Large Korean Population
Journal of Korean Medical Science
2023 .02
-
한국인 폐쇄성 수면무호흡증 환자에서 무호흡-저호흡 지수와 일반혈액검사의 상관관계 분석
임상이비인후과
2016 .12
-
Spectroscopy, near-infrared; Infant, premature; Apnea
Neonatal medicine
2021 .01
-
Diagnosis of Obstructive Sleep Apnea in Adults Using the Cardiopulmonary Coupling-Derived Software-Generated Apnea-Hypopnea Index
Clinical and Experimental Otorhinolaryngology
2021 .11
-
Comparison between Caffeine and Theophylline Therapy for Apnea of Prematurity
Neonatal medicine
2015 .01
-
Predisposing Hemodynamic Factors Associated with a Failed Apnea Test during Brain Death Determination
Acute and Critical Care
2016 .01
-
Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report-
Korean Journal of Anesthesiology
2024 .04
-
Level III 수면검사의 Test-Retest 결과: Apnea-Hypopnea Index Score 차이와Severity of Obstructive Sleep Apnea 차이를 이용한 결과 비교
대한이비인후-두경부외과학회지
2021 .01
-
Experiences of Mothers of Premature Infants Receiving Rehabilitation Therapy
Child Health Nursing Research
2018 .01
-
급성호흡부전이 발생한 다운증후군 23세 여자에서 진단된 폐쇄성 수면무호흡증 1예
Allergy Asthma & Respiratory Diseases
2024 .04
-
Clinical Application of Near-Infrared Spectroscopy in Neonates
Neonatal medicine
2019 .01
-
미숙아 혈당 조절 장애
Neonatal medicine
2015 .01
-
코골이가 수면무호흡증의 중증도를 예측할 수 있을까?
Annals of Clinical Neurophysiology
2015 .01
-
Development of Central Sleep Apnea After Sleep Surgery
Journal of Rhinology
2022 .03
이 논문의 저자 정보
최근 본 자료
댓글(0)
0