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Titolo:
CLOSED VERSUS OPEN ENDOTRACHEAL SUCTIONING IN PRETERM INFANTS - EFFECTS ON CEREBRAL OXYGENATION AND BLOOD-VOLUME
Autore:
MOSCA FA; COLNAGHI M; LATTANZIO M; BRAY M; PUGLIESE S; FUMAGALLI M;
Indirizzi:
UNIV MILAN,CLIN MANGIAGALLI,VIA COMMENDA 12 I-20122 MILAN ITALY UNIV MILAN,DEPT PEDIAT 1,DIV NEONATOL MILAN ITALY
Titolo Testata:
Biology of the neonate
fascicolo: 1, volume: 72, anno: 1997,
pagine: 9 - 14
SICI:
0006-3126(1997)72:1<9:CVOESI>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEAR-INFRARED SPECTROSCOPY; NEWBORN-INFANTS; OXIDASE; FLOW;
Keywords:
ENDOTRACHEAL SUCTIONING; CEREBRAL HEMODYNAMICS; CEREBRAL OXYGENATION; PRETERM INFANTS; NEAR-INFRARED SPECTROSCOPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
22
Recensione:
Indirizzi per estratti:
Citazione:
F.A. Mosca et al., "CLOSED VERSUS OPEN ENDOTRACHEAL SUCTIONING IN PRETERM INFANTS - EFFECTS ON CEREBRAL OXYGENATION AND BLOOD-VOLUME", Biology of the neonate, 72(1), 1997, pp. 9-14

Abstract

The aim of our study was to compare, using near-infrared spectroscopy(NIRS), the effects on cerebral intracellular oxygenation and cerebral blood volume (CBV) of closed endotracheal suctioning (CS), which permits continuous ventilation of the patient, with open endotracheal suctioning (OS), which requires disconnection from the ventilator. Elevenpreterm infants were studied. Each patient underwent one CS, followed, after 60 min, by one OS, or vice versa, three times during the same day. Modifications in CBV and oxidized cytochrome oxidase (CytO(2)) were continuously detected by NIRS; arterial oxygen saturation (SaO(2)) heart rate (HR), transcutaneous carbon dioxide tension and mean arterial blood pressure were simultaneously recorded. Significant reductionsin HR and SaO(2) were observed following OS; the magnitude and duration of these negative effects of suctioning were significantly reduced with CS. In addition, the decrease in CBV was more pronounced than following CS. No changes in CytO(2) concentration were seen.

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Documento generato il 14/07/20 alle ore 05:28:22