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Near Infrared Spectroscopy Measurements of Splanchnic Tissue Oxygenation During Continuous Versus Intermittent Feeding Method in Preterm Infants.
MedLine Citation:
PMID:  23343937     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES:: To compare the effects of continuous and intermittent bolus milk feeding on splanchnic oxygenation (rSO2S) in small for gestational age (SGA) and appropriate for gestational age (AGA) preterm infants. METHODS:: Infants with gestational age < 32 weeks were prospectively studied by near infrared spectroscopy (NIRS). Each infant were given a milk bolus in ∼10 minutes (intermittent feeding) followed after 3 hours by a 3-hour continuous feeding. rO2S and splanchnic fractional oxygen extraction ratio (FOES) were recorded 30 minutes before (T0) and 30 minutes after the beginning of bolus feeding (T1), 30 minutes before (T2), at the end (T3), and 30 minutes after the continuous feeding period (T4). RESULTS:: rSO2S increased at T1 in both AGA and SGA groups, while FOES did not vary during the study period. Moreover, we found that rSO2S was higher and FOES was lower at T1 and T3 in the AGA than in the SGA group. CONCLUSIONS:: Bolus milk feeding increases splanchnic oxygenation in both AGA and SGA infants, while continuous feeding does not. Splanchnic oxygenation is higher in AGA than in SGA infants both during bolus and continuous feeding. Continuous enteral feeding could help to limit the risk of hypoxic-ischemic gut damage in preterm infants in critical condition, especially in AGA infants.
Authors:
Carlo Dani; Simone Pratesi; Jacopo Barp; Giovanna Bertini; Elena Gozzini; Laura Mele; Letizia Parrini
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-21
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  -     ISSN:  1536-4801     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Surgical and Medical Critical Care, Section of Neonatology, Careggi University Hospital of Florence, Viale Morgagni, 85, 50134 Florence, Italy.
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