This study evaluates the usefulness of liver perfusion and oxygenation status using regional oxygen saturation (RSO2) values obtained via near-infrared spectroscopy in assessing the hemodynamical significance of patent ductus arteriosus in preterm infants.
The usefulness of cerebral and renal regional oxygen saturation (RSO2) values for assessing hemodynamically significant patent ductus arteriosus (hsPDA) has been described previously. Meanwhile, autoregulation of the splanchnic organs' perfusion is less developed compared to the cerebral and renal system, which makes the splanchnic bed more prone to perfusion decrease and ischemia in cases of volume depletion or poor circulation. If RSO2 is measure in the liver, the solid organ reflecting the splanchnic bed perfusion status, hsPDA may be more readily identified than when only cerebral and/or renal RSO2 is monitored. This study aims to evaluate the usefulness of liver RSO2 measurement in assessing the hemodynamical significance of patent ductus arteriosus in preterm infants, in comparison to cerebral and renal RSO2.
Study Type
OBSERVATIONAL
Enrollment
40
regional oxygen saturation measurement
Seoul St. Mary's Hospital
Seoul, Seocho-Gu, South Korea
Day 2 liver regional oxygen saturation
regional oxygen saturation of liver obtained from near-infrared spectroscopy (%)
Time frame: 48 to 72 hours of birth
Day 7 liver regional oxygen saturation
regional oxygen saturation of liver obtained from near-infrared spectroscopy (%)
Time frame: 7 (±2) days after birth
Day 14 liver regional oxygen saturation
regional oxygen saturation of liver obtained from near-infrared spectroscopy (%)
Time frame: 14 (±3) days after birth
PDA liver regional oxygen saturation
regional oxygen saturation of liver obtained from near-infrared spectroscopy (%)
Time frame: When hemodynamically significant patent ductus arteriosus is clinically suspected by the attending physician, up to 28th day of life
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