在分娩室接受复苏的晚期早产婴儿中,立即发生心率变化
Yafa Davydova1, Dina Elachi1, Rebecca Miller1
1Department of Pediatrics, Division of Neonatology Weill Cornell Medicine, NewYork-Presbyterian Hospital New York, New York, NY, USA.
概括
晚期早产婴儿自发呼吸后的心率 (HR) 比需要呼吸干预的婴儿高. 诸如正压通风等干预措施有时会导致显著的,意想不到的胸肌梗塞.
科学领域:
- 新生儿生理学 新生儿生理学
- 进行心血管监测.
背景情况:
- 晚期早产婴儿 (34-36 6/7 周) 可能会经历延迟过渡.
- 监测心率 (HR) 对于评估新生儿福祉至关重要.
研究的目的:
- 评估出生后立即晚期早产婴儿的HR趋势.
- 为了比较自发呼吸的婴儿和需要呼吸干预的婴儿的HR.
- 评估干预措施对人力资源变化的影响.
主要方法:
- 对20名晚期早产婴儿进行前性观察性研究.
- 使用NeoBeat,使用干电极技术进行盲人HR监控.
- 对比自发呼吸的婴儿和需要正压通风,CPAP或吸气的婴儿的HR.
主要成果:
- 与需要干预的婴儿相比,自发呼吸的婴儿最初的HR更高.
- 这种HR差异在分娩后至少持续了五分钟.
- 这些干预措施在42%的婴儿中诱导了阳性胸心 (每分钟65-90次).
结论:
- 在自发呼吸的晚期早产婴儿中,更高的初始HR表明更好的即时适应.
- 呼吸干预可以导致显著的,意想不到的胸肌梗塞.
- 在这个人群中,在呼吸辅助期间和之后,密切监测HR是必不可少的.
相关概念视频
Assessment of Ventilation I: Respiratory Rate
987
Assessment of Ventilation
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
987
Special considerations while measuring oxygen saturation
529
Assessing respiratory rate concurrently with pulse measurement is fundamental to patient care, providing valuable insights into the patient's respiratory function. The normal breathing rate for an adult usually falls within a normal range of 12 to 20 breaths per minute. Abnormal respiratory rates can signal underlying health conditions or the need for immediate intervention.
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
Ensuring accuracy in vital sign recordings while prioritizing patient comfort and minimizing anxiety is...
529
Factors Influencing Heart Rate
2.3K
The heart rate, or pulse rate, is a vital indicator of cardiovascular health. It reflects the number of times the heart beats per minute. Various physiological and environmental factors influence heart rate, increasing or decreasing cardiac output. Understanding these factors is crucial for assessing heart function and identifying potential health issues.
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
2.3K


