Perfusion monitoring and intraventricular hemorrhage in preterm infants

Pediatr Int. 2017 Jul;59(7):759-763. doi: 10.1111/ped.13317.

Abstract

Cardiovascular instability in preterm infants during the early postnatal period correlates with the development of intraventricular hemorrhage (IVH). Due to the correlation between hypotension and fluctuation of blood pressure, treatment was targeted specifically at hypotension to prevent IVH, but this was not successful. Recently, several novel perfusion markers have been found to be correlated with the development of IVH, and they are of current interest in cardiovascular management. In this review, the correlation between IVH and conventional, as well as novel, perfusion markers is examined.

Keywords: intraventricular hemorrhage; microcirculation; preterm infant; regional blood flow; reperfusion.

Publication types

  • Review

MeSH terms

  • Biomarkers / blood
  • Brain / blood supply
  • Cerebral Intraventricular Hemorrhage / diagnosis*
  • Cerebral Intraventricular Hemorrhage / physiopathology
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Infant, Premature, Diseases / diagnosis*
  • Infant, Premature, Diseases / physiopathology
  • Laser-Doppler Flowmetry
  • Microcirculation*
  • Monitoring, Physiologic
  • Oximetry
  • Regional Blood Flow*
  • Spectroscopy, Near-Infrared
  • Ultrasonography

Substances

  • Biomarkers