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 |
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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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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.</description><identifier>ISSN: 1661-7800</identifier><identifier>ISSN: 0006-3126</identifier><identifier>EISSN: 1661-7819</identifier><identifier>EISSN: 1421-9727</identifier><identifier>DOI: 10.1159/000067011</identifier><identifier>PMID: 12566677</identifier><identifier>CODEN: BNEOBV</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>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</subject><ispartof>Biology of the neonate, 2003-01, Vol.83 (1), p.12-18</ispartof><rights>2003 S. Karger AG, Basel</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2003 S. Karger AG, Basel</rights><rights>Copyright (c) 2003 S. 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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.</description><subject>Anesthesia. Intensive care medicine. Transfusions. 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Sudden death</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - blood</subject><subject>Infant, Premature - physiology</subject><subject>Intensive care medicine</subject><subject>Intensive Care Units, Neonatal</subject><subject>Intubation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Original Paper</subject><subject>Oxyhemoglobins - analysis</subject><issn>1661-7800</issn><issn>0006-3126</issn><issn>1661-7819</issn><issn>1421-9727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0E1LxDAQBuAgit8Hz4IEQcHDapI2SXvURVdBVvEDvJU0nSzVNl0nreC_t-suq4i5JDAPk5mXkD3OTjmX6Rnrj9KM8xWyyZXiA53wdHX5ZmyDbIXwypiUUol1ssGFVEppvUlehoCQY_Nhgu0qg_QBwrTxAWjp6WNtqoreI7SANb3xzvg20KLD0k_oQ9O1pQc67jAAftKR-TAToFcARV8OO2TNmSrA7uLeJs9Xl0_D68Ht3ehmeH47sFEi24EWiVSQQCqtZSoyBVimE8ULbVwU57mz0qkkTyMtmXKxiFMQTkiteJyKPHHRNjme951i895BaLO6DBaqynhoupDpiDEeR3EPD__A16ZD38-WCSG0EprN0MkcWWxCQHDZFMva4GfGWTbLOltm3duDRcMur6H4kYtwe3C0AH24pnJovC3Dj4vjflP1a7I3gxPAJbi4G3__lE2L2Z77_6L5LF87j5l5</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Baserga, Mariana C.</creator><creator>Gregory, George A.</creator><creator>Sola, Augusto</creator><general>Karger</general><general>S. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Blood Volume</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Electron Transport Complex IV - blood</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Emergency and intensive care: neonates and children. Prematurity. 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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.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>12566677</pmid><doi>10.1159/000067011</doi><tpages>7</tpages></addata></record> |
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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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