出生后区域大脑氧和量最大O3的参考范围以及与其他设备的差异
Luis Bachiller Carnicero1, Sonia Caserío Carbonero1
1Division of Neonatology, Department of Pediatrics, Rio Hortega Hospital, Valladolid, Spain.
American journal of perinatology
|January 25, 2024
概括
新生儿大脑氧和 (crSO2) 的新参考范围是使用Masimo O3氧计建立的. 这些特定于设备的数据对于指导复苏和评估新生儿的大脑氧化量至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 生物医学工程 生物医学工程
- 医疗器械 医疗器械
背景情况:
- 使用近红外光谱 (NIRS) 的脑氧度测量是新生儿学中至关重要的非侵入性工具.
- 现有的NIRS设备已经为大脑组织氧和 (crSO2) 建立了参考范围.
- 一个新的四波长NIRS设备,Masimo O3氧计,需要自己的参考范围.
研究的目的:
- 通过使用Masimo O3氧计来定义大脑组织氧和 (crSO2) 的参考范围.
- 用Masimo O3设备获得的crSO2值与以前设备 (NIRO 200NX) 获得的crSO2值进行比较.
- 在即时新生儿过渡期间评估区域大脑部分组织氧气提取 (cFTOE).
主要方法:
- 通过剖腹产产产生的健康新生儿的前性观察性研究.
- 马西莫O3氧计用于测量crSO2和cFTOE在绳紧后的前15分钟.
- 排除需要医疗支持的新生儿;NIRS传感器放置在右额头上.
主要成果:
- 这项研究包括了44名健康的新生儿.
- 在2,5分钟和7分钟的中位数crSO2值分别为54%,71%和79%.
- 与NIRO-200NX相比,使用Masimo O3的crSO2测量值明显高.
结论:
- 在新生儿过渡期间,为Masimo O3氧计建立了crSO2和cFTOE的参考范围.
- 对crSO2的Masimo O3氧计值不同于其他新生儿氧计.
- 了解Masimo O3特定的参考范围对于指导新生儿复苏和临床评估至关重要.
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