Monitoring lung and cerebral oxygenation using near-infrared spectroscopy in preterm infants during kangaroo mother care.

Autor: Dani C; Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, Florence, 50141, Italy. carlo.dani@unifi.it.; Department of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy. carlo.dani@unifi.it., Perugi S; Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, Florence, 50141, Italy., Pizzetti C; Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, Florence, 50141, Italy., Poggi C; Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, Florence, 50141, Italy., Corsini I; Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, Florence, 50141, Italy., Pratesi S; Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, Florence, 50141, Italy.
Jazyk: angličtina
Zdroj: European journal of pediatrics [Eur J Pediatr] 2024 Oct; Vol. 183 (10), pp. 4411-4416. Date of Electronic Publication: 2024 Aug 09.
DOI: 10.1007/s00431-024-05674-5
Abstrakt: Lung function has never been assessed during kangaroo mother care (KMC) in preterm infants. We measured lung (rSO 2 L) and cerebral (rSO 2 C) oxygenation by near-infrared spectroscopy (NIRS) in infants born at less than 32 weeks of gestation or weighing ≤ 1500 g during KMC. rSO 2 L, rSO 2 C, and pulmonary (FOEL) and cerebral (FOEC) tissue oxygen extraction fraction were measured in 20 preterm infants before, during, and after a 2-h period of KMC at a mean postnatal age of 36 ± 21 days of life. We found that rSO 2 L, rSO 2 C, FOEL, and FOEC did not change in our patients. After 120 min of KMC, rSO 2 L was lower (71.3 ± 1.4 vs. 76.7 ± 4.6%; P = 0.012) in infants with BPD (n = 6; 30%) than in infants without BPD (n = 14 = 60%), while FOEL was higher (0.26 ± 0.02 vs. 0.20 ± 0.05; P = 0.012).Conclusion: Cerebral and lung oxygenation did not change in preterm infants during KMC. A transient decrease in lung oxygenation was offset by the increase in oxygen extraction, but these changes were clinically insignificant. These results confirm the safety of KMC in preterm infants who are in stable clinical conditions. What is Known • Kangaroo mother care (KMC) is widely used to improve the care of preterm newborns since it improves their outcome. • KMC is safe as patients' vital parameters, are not negatively affected, but lung function has never been directly assessed. What is New • Cerebral and lung oxygenation measured by near-infrared spectroscopy did not change during KMC. • A transient decrease in lung oxygenation compensated for by the increase in oxygen extraction occurred only in infants with BPD, but these changes were clinically insignificant.
(© 2024. The Author(s).)
Databáze: MEDLINE
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