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Association between Regional Tissue Oxygenation and Body Temperature in Term and Preterm Infants Born by Caesarean Section

Bibliographic Data

ID15719736
AuthorsMarlies Bruckner (0000-0003-3429-7597, Medical University of Graz), Lukas P Mileder (0000-0003-3932-665X, Medical University of Graz, corresponding author), Alisa Richter (Medical University of Graz), Nariae Baik‐Schneditz (0000-0003-1879-6652, Medical University of Graz), Nariae Baik-Schneditz (Medical University of Graz), Bernhard Schwaberger (0000-0001-5499-3712, Medical University of Graz), Corinna Binder‐Heschl (0000-0002-8450-1536, Medical University of Graz), Corinna Binder-Heschl (Medical University of Graz), Berndt Urlesberger (0000-0003-0648-5785, Medical University of Graz), Gerhard Pichler (0000-0001-5771-6753, Medical University of Graz)
Year2020
Volume7
Issue11
Pages205-205
Publication date2020-10-29
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children7110205
PMID33138154
OpenAlexW3096730542
LanguageEN
References cited36

Body temperature (BT) management remains a challenge in neonatal intensive care, especially during resuscitation after birth. Our aim is to analyze whether there is an association between the BT and cerebral and peripheral tissue oxygen saturation (crSO 2 /cTOI and prSO 2 ), arterial oxygen saturation (SpO 2 ), and heart rate (HR). The secondary outcome parameters of five prospective observational studies are analyzed. We include preterm and term neonates born by Caesarean section who received continuous pulse oximetry and near-infrared spectroscopy monitoring during the first 15 min, and a rectal BT measurement once in minute 15 after birth. Four-hundred seventeen term and 169 preterm neonates are included. The BT did not correlate with crSO 2 /cTOI and SpO 2 . The BT correlated with the HR in all neonates (ρ = 0.210, p 2 only in preterm neonates (ρ = -0.285, p = 0.020). The BT was lower in preterm compared to term infants (36.7 [36.4-37.0] vs. 36.8 [36.6-37.0], p = 0.001) and prevalence of hypothermia was higher in preterm neonates (29.5% vs. 12.0%, p 2 and crSO 2 /cTOI, however, there was a weak positive correlation between the BT and the HR in the whole cohort and a weak correlation between the BT and prSO 2 only in preterm infants. Preterm neonates had a statistically lower BT and suffered significantly more often from hypothermia during postnatal transition

Anesthesia · Caesarean section · Gestation · Hypothermia · Intensive care · Obstetrics · Oxygen · Oxygen saturation · Pregnancy · Prospective cohort study · Pulse oximetry · Resuscitation · Medicine · Neonatal Respiratory Health Research · Non-Invasive Vital Sign Monitoring · Respiratory Support and Mechanisms · Internal Medicine · Pediatrics

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