Effect of the arterial oxygenation level on cardiac output, oxygen extraction, and oxygen consumption in low birth weight infants receiving mechanical ventilation

1995 ◽  
Vol 126 (5) ◽  
pp. 777-784 ◽  
Author(s):  
Andreas Schulze ◽  
Robin K. Whyte ◽  
R.Clifton Way ◽  
John C. Sinclair
PEDIATRICS ◽  
2001 ◽  
Vol 107 (4) ◽  
pp. 660-663 ◽  
Author(s):  
Jacqueline Bauer ◽  
Kathrin Maier ◽  
Otwin Linderkamp ◽  
Roland Hentschel

PEDIATRICS ◽  
1984 ◽  
Vol 74 (6) ◽  
pp. 1022-1028
Author(s):  
Stephen Baumgart

Eight very low-birth-weight premature infants (mean birth weight 1.11 ± 0.05 [SEM] kg, mean gestation 30 ± 1 weeks, and mean age 9 ± 2 days) were studied under servocontrolled radiant warmers with and without a loosely fitted, transparent, and flexible Saran plastic blanket. Metabolic rate was significantly less in all infants when covered by the blanket (oxygen consumption was 7.99 ± 1.13 mL/kg/min v 9.00 ± 1.10 mL/kg/min uncovered, P < .001). There were also significant reductions in insensible water loss (1.86 ± 0.18 v 1.25 ± 0.20 mL/kg/h, P < .01) and in heat demand from the radiant warmer (14.3 ± 1.3 v 9.9 ± 1.4 mW/cm2, P < .001) when infants were nursed under the blanket compared with the control condition, respectively. Covering the critically ill, very low-birth-weight infant nursed under a radiant heater with a thin, transparent layer of Saran is beneficial in reducing oxygen consumption, insensible water loss, and the need for exposure to high levels of radiant heat. Further investigation to confirm the benefits and possible complications of plastic blankets should be conducted before routine use can be recommended.


2016 ◽  
Vol 36 (4) ◽  
pp. 311-316 ◽  
Author(s):  
M El-Dib ◽  
R Govindan ◽  
S Aly ◽  
M Mohamed ◽  
A du Plessis ◽  
...  

Author(s):  
Igor I. Dyumin ◽  
Elena A. Balakireva ◽  
Elena A. Yaroshevich ◽  
Aleksey I. Sevostyanov ◽  
Igor V. Nikolaenko

The number of premature babies, including those with extremely low birth weight (ELBW), is steadily growing every year. In surviving ELBW infants, retinopathy of prematurity (ROP) more often develops, which has a more severe course, depending not only on the degree of immaturity and somatic burden of premature babies but also on the quality of nursing. The aim of this work is to determine the risk factors for ROP progression in profoundly premature ELBW infants to optimize the tactics of their treatment. Materials and methods. We studied the case histories of 155 surviving premature ELBW infants with ROP of various stages treated in perinatal centres of the Belgorod region in 2014-2019. Results. In premature ELBW infants, ROP of varying severity was found to be diagnosed in 90% of cases. The anamnesis of the mothers of the examined patients with moderate and severe ROP was dominated by unfavorable preceding pregnancies (miscarriages, silent miscarriage and ectopic pregnancies, medical abortions).The need for preterm infants in mechanical ventilation was established to depend on the severity of ROP and the duration of mechanical ventilation (p < 0.05). Frequent, not always justified red blood transfusions leading to the replacement of fetal haemoglobin with adult haemoglobin are also essential factors in ROP progression.


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