PO-0725e Cerebral Tissue Oxygenation At Birth In Term Infants: Comparison Between Early And Late Cord Clamping
| Autor: | Eren Özek, B Arcagok, M Guclu, Asli Memisoglu, D Save, Hülya Bilgen, Kıvılcım Gücüyener, Senay Coskun |
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| Rok vydání: | 2014 |
| Předmět: | |
| Zdroj: | Archives of Disease in Childhood. 99:A492.2-A493 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/archdischild-2014-307384.1365 |
| Popis: | Background and aims The aim of our study is to compare the postnatal cerebral tissue oxygenation values in babies with early versus late cord clamping born after elective C/S. Methods In this prospective, observational study, we included term newborns delivered by elective C/S. Babies were segregated into two groups as early (within 15 seconds) and late cord clamping (at 60th seconds). Peripheral arterial oxygen saturation (SpO 2 ) and heart rate were measured using pulse oximetry (Nellcor N200) and regional oxygen saturation of the brain (rSO 2 brain) were measured (Invos 5100) between the 3rd and15th minutes and recorded every minute. Fractional tissue oxygen extraction (FTOE) was calculated for each minute (FTOE=pulse oximetry value-rSO 2 /pulse oximetry value). The measurements were compared for both groups. Results The demographical characteristics, SpO 2 levels, heart rates and umbilical cord blood gas values were not significantly different between the groups (p > 0.05). Cerebral oxygenation measurements and FTOE values were significantly higher for each minute in the late cord clamping group (p 2 was faster and the rSO 2 plateau was reached earlier in the late cord clamping group (Figure). Conclusions In our study we found that rSO 2 brain measurements and FTOE values were higher in the late cord clamping group without the need for any therapy as a result of high bilirubin and hematocrit levels. |
| Databáze: | OpenAIRE |
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