Recording of amplitude-integrated electroencephalography, oxygen saturation, pulse rate, and cerebral blood flow during massage of premature infants
| Autor: | Marek Niedbalski, Pawel Ogniewski, Hanna Podraza, Pawel Niedbalski, Marek Boberski, Jacek Rudnicki, Ewa Butrymowicz, Wojciech Podraza, Zbigniew Niedbalski |
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| Rok vydání: | 2012 |
| Předmět: |
Anterior Cerebral Artery
Ultrasonography Doppler Transcranial Electroencephalography Heart Rate medicine.artery Anterior cerebral artery medicine Humans Oximetry Oxygen saturation (medicine) Massage medicine.diagnostic_test Pulse (signal processing) business.industry Infant Newborn Obstetrics and Gynecology Brain Amplitude integrated electroencephalography Cerebral blood flow Anesthesia Pediatrics Perinatology and Child Health business Perfusion Infant Premature |
| Zdroj: | American journal of perinatology. 29(7) |
| ISSN: | 1098-8785 |
| Popis: | Objective Stimulation of the nervous system plays an important role in brain function and psychomotor development of children. Massage can benefit premature infants, but has limitations. Study Design The authors conducted a study to verify the direct effects of massage on amplitude-integrated electroencephalography (aEEG), oxygen saturation (SaO2), and pulse analyzed by color cerebral function monitor (CCFM) and cerebral blood flow assessed by the Doppler technique. Results The amplitude of the aEEG trend during massage significantly increased. Massage also impacted the dominant frequency δ waves. Frequency significantly increased during the massage and return to baseline after treatment. SaO2 significantly decreased during massage. In four premature infants, massage was discontinued due to desaturation below 85%. Pulse frequency during the massage decreased but remained within physiological limits of greater than 100 beats per minute in all infants. Doppler flow values in the anterior cerebral artery measured before and after massage did not show statistically significant changes. Resistance index after massage decreased, which might provide greater perfusion of the brain, but this difference was not statistically significant. Conclusion Use of the CCFM device allows for monitoring of three basic physiologic functions, namely aEEG, SaO2, and pulse, and increases the safety of massage in preterm infants. |
| Databáze: | OpenAIRE |
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