Cerebrovascular Response in Small Preterm Infants during Routine Nursery Gavage Feedings

Although gavage feedings are considered a standard of care, they are often accompanied by hemodynamic changes that may have important effects on the cerebral circulation. In 23 premature infants receiving intermittent bolus gavage feeds, changes in cerebral hemodynamics and oxygenation were studied...

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Veröffentlicht in:Biology of the neonate 2003-01, Vol.83 (1), p.12-18
Hauptverfasser: Baserga, Mariana C., Gregory, George A., Sola, Augusto
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container_title Biology of the neonate
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creator Baserga, Mariana C.
Gregory, George A.
Sola, Augusto
description Although gavage feedings are considered a standard of care, they are often accompanied by hemodynamic changes that may have important effects on the cerebral circulation. In 23 premature infants receiving intermittent bolus gavage feeds, changes in cerebral hemodynamics and oxygenation were studied using near-infrared spectroscopy. Orogastric tube insertion resulted in an increased cerebral blood volume in 73% of the infants and in an increase in reduced hemoglobin and in cytochrome aa 3 oxygenase in approximately 66% of the patients. Within 10 min of initiating a gavage feed, cerebral blood volume, oxygenated hemoglobin, reduced hemoglobin, and cytochrome aa 3 oxygenase decreased from baseline in about 60% of the infants. Towards the end of the study, during the postfeeding period, cytochrome aa 3 oxygenase and oxygenated hemoglobin increased in 60%, while reduced hemoglobin decreased in 78% of the infants.
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identifier ISSN: 1661-7800
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Volume
Cerebrovascular Circulation - physiology
Electron Transport Complex IV - blood
Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Enteral Nutrition
Female
Hemoglobins - analysis
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature - blood
Infant, Premature - physiology
Intensive care medicine
Intensive Care Units, Neonatal
Intubation
Male
Medical sciences
Original Paper
Oxyhemoglobins - analysis
title Cerebrovascular Response in Small Preterm Infants during Routine Nursery Gavage Feedings
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