Near-infrared spectroscopy monitoring during immediate transition after birth: time to obtain cerebral tissue oxygenation.
Near-infrared spectroscopy monitoring during immediate transition after birth: time to obtain cerebral tissue oxygenation.
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DOI：
10.1007/s10877-017-0052-9
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发表时间：
2018-06
影响因子：
2.2
通讯作者：
Pichler G
中科院分区：
文献类型：
--
作者：
Ziehenberger E;Urlesberger B;Binder-Heschl C;Schwaberger B;Baik-Schneditz N;Pichler G
出生后立即进行脑组织氧合测量的可行性已经从出生后2分钟的第一个值开始发表。本研究的目的是评估从出生到到达复苏台的时间段，以使用两种不同的近红外光谱（NIRS）设备获得第一个脑组织氧合作用值。本研究分析了两项前瞻性观察性研究的探索性参数。通过NIRO 200 NX测量“脑组织氧合指数”（cTOI）或INVOS 5100 C测量“脑局部氧饱和度”（crSO 2）测量脑组织氧饱和度。定义了4个时间段（T）：T1出生至到达复苏床，T2到达应用NIRS传感器，T3应用至首次显示cTOI或crSO 2值，T4从到达复苏床至首次显示值。此外，我们比较了cTOI和crSO 2的首次显示值。纳入30例新生儿。24例为足月新生儿，6例为晚期早产儿。将NIRO测量的15例新生儿与INVOS测量的15例新生儿进行了比较。NIRO的T1为49（6-163）s，INVOS为59（15-87）s，T2为14（4-20）s，INVOS为12（15-18）s，T3为33（13-138）s，INVOS为17（6-290）s，T4为46（20-153）s和34（14-300）s。cTOI [54%（18-80）]的第一个显示值往往高于crSO 2 [35%（15-87）]。器械之间在时间段和显示的第一个值方面没有显著差异。足月新生儿和早产新生儿出生后到达复苏床后1分钟内可测量脑组织氧合，器械之间无差异。
Feasibility of cerebral tissue oxygenation measurements immediately after birth has been published starting with first values 2 min after birth. Aim of this study was to evaluate, the time periods from birth and from arrival at the resuscitation table to obtain the first cerebral tissue oxygenation values with two different near infrared spectroscopy (NIRS) devices. The present study is an analysis of exploratory parameters of two prospective observational studies. Cerebral tissue oxygen saturation was measured by the NIRO 200NX measuring “cerebral-tissue-oxygenation-index” (cTOI) or the INVOS5100C measuring “cerebral-regional-oxygen-saturation” (crSO2). Four time periods (T) were defined: T1 birth to arrival at resuscitation table, T2 arrival to application of NIRS sensor, T3 application to first displayed cTOI or crSO2 value, and T4 from arrival at resuscitation table to first displayed values. Additionally, we compared first displayed values of cTOI and crSO2. Thirty neonates were included. Twenty-four were term and six late-preterm neonates. Fifteen neonates measured with NIRO were compared to 15 measured with INVOS. T1 was 49 (6–163) s with NIRO versus 59 (15–87) s with INVOS, T2 14 (4–20) s versus 12 (15–18) s, T3 33 (13–138) s versus 17 (6–290) s and T4 46 (20–153) s and 34 (14–300) s. The first displayed value tended to be higher for cTOI [54% (18–80)] compared to crSO2 [35% (15–87)]. There were no significant differences between devices in time periods and first values displayed. Cerebral tissue oxygenation can be measured within 1 min after arriving at the resuscitation table in term and preterm neonates after birth without difference between devices.
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