Position Effect on Cerebral Oxygenation in Neonates During Transition After Birth
Küçük Resim Yok
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Publ House
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: According to delivery room guidelines, an optimal position is not specified for the stabilization of the baby. This study aimed to define the positions effects on postnatal adaptation parameters and cerebral oxygenation in non-resuscitated neonates. Materials and Methods: A total of 60 neonates delivered by cesarean section stabilized randomly in the supine, right-side, left-side, or prone positions were enrolled. Apgar scores, heart rates (HR), arterial oxygen saturations via pulse oximetry, and perfusion indexes (PI) at the 2 nd , 5 th and 10 th minutes were recorded. Cerebral regional oxygen saturation (SpO 2 ) of the patients was monitored by near-infrared spectroscopy. Results: In the prone position, the 1 st minute Apgar score was significantly lower than other groups, but no difference was observed at the 5 th minute Apgar scores (1 st min Apgarprone, p=0.05). Although there was no statistically significant difference, the prone position had the lowest HR at the 2 nd minute, while the supine posture had the greatest HR at the 5 th and 10 th minutes. While the groups' SpO 2 values were similar, the left-side group's perfusion rates increased at the 5 th and 10 th minute marks (5 th and 10 th min PIleft-side, p=0.67, p=0.21, respectively). Regional cerebral oxygen saturation (rScO 2 ) and cerebral fractional oxygen extraction did not differ significantly between groups at the 5 th and 10 th minute time intervals. Although right and left rScO 2 were found to be higher in the first 5 minutes in the prone position, this elevation did not lead to a statistically significant difference, and right and left rScO 2 values were found to be similar in all groups at the 10 th minute. Conclusion: Adaptation parameters were not affected by position, except for lower 1 st minute Apgar scores in the prone group and higher perfusion indices in the left lateral position. Cerebral perfusion was similar in all groups. The left-side position, which results in a higher PI, may be a good alternative. Studies with larger case series may provide further information.
Açıklama
Anahtar Kelimeler
Apgar, Cerebral Oxygenation, Delivery Room, Neonate, Position
Kaynak
Journal of Pediatric Research
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
11
Sayı
2
