TY - JOUR
T1 - Cerebral hypoxia immediately following delivery of very low birth weight infants
AU - Goos, T.G.
AU - Dudink, J
AU - Reiss, Irwin K.M.
PY - 2014
Y1 - 2014
N2 - Reference ranges for regional cerebral tissue oxygen saturation (crSO 2) reported by Pichler et al are an important step towards implementation of crSO2 monitoring during resuscitations. 1 At the Erasmus Medical Centre, Rotterdam, we found a surprising crSO2 observation in the first 10 infants (26 4/ 7 weeks [26 3/ 7-27 1/ 4], birth weight 910 g [705-960g]) that we evaluated. They had very low initial crSO 2 (15% [15-15%] [median {IQR}]). Because there is so little variation at the start of the resuscitation there is no variance in the IQR, as can be seen in the Figure. The Figure shows the observed values in relation to the percentiles published by Pichler et al. 1 Infants were resuscitated according to local guidelines, based upon European Resuscitation Council guidelines. 2 Arterial oxygen saturation was measured with a Nellcor N600-x pulseoximeter, and crSO 2 was measured with an Invos 5100C (Covidien, Dublin, Ireland). During resuscitation, SpO 2 and Apgar scores were similar to prior observations at our institution. 2 Infants left the resuscitation area with crSO 2 of 59% (47%-64%).
AB - Reference ranges for regional cerebral tissue oxygen saturation (crSO 2) reported by Pichler et al are an important step towards implementation of crSO2 monitoring during resuscitations. 1 At the Erasmus Medical Centre, Rotterdam, we found a surprising crSO2 observation in the first 10 infants (26 4/ 7 weeks [26 3/ 7-27 1/ 4], birth weight 910 g [705-960g]) that we evaluated. They had very low initial crSO 2 (15% [15-15%] [median {IQR}]). Because there is so little variation at the start of the resuscitation there is no variance in the IQR, as can be seen in the Figure. The Figure shows the observed values in relation to the percentiles published by Pichler et al. 1 Infants were resuscitated according to local guidelines, based upon European Resuscitation Council guidelines. 2 Arterial oxygen saturation was measured with a Nellcor N600-x pulseoximeter, and crSO 2 was measured with an Invos 5100C (Covidien, Dublin, Ireland). During resuscitation, SpO 2 and Apgar scores were similar to prior observations at our institution. 2 Infants left the resuscitation area with crSO 2 of 59% (47%-64%).
U2 - 10.1016/j.jpeds.2013.11.059
DO - 10.1016/j.jpeds.2013.11.059
M3 - Comment/Letter to the editor
SN - 0022-3476
VL - 164
SP - 677
EP - 678
JO - The Journal of Pediatrics
JF - The Journal of Pediatrics
IS - 3
ER -