CBF velocity in newborns 23-24 weeks' gestation during the first week of life

Jeffrey R. Kaiser, C. Heath Gauss, D. Keith Williams

Research output: Contribution to journalArticle

Abstract

Objective: The aim of this prospective observational trial was to generate reference values of middle cerebral artery cerebral blood flow velocity (CBFv) in normotensive, ventilated newborn survivors born at 23-24 weeks' gestation during the first week (with normal cranial ultrasounds during the hospitalization), and to analyze how reference values may be affected by PCO2. Methods: Baseline systolic, diastolic, and mean CBFv were determined for 12 infants born at 23-24 weeks' gestation (birth weight 643 ± 68 g) using transcranial Doppler ultrasound during several monitoring sessions during the first week, prior to intensive care procedures. Mean and 95% CI reference curves were generated using a locally weighted regression technique. Results: Mean CBFv increased from ~10 to 21 cm/sec, and when baseline PCO2 was adjusted to 40, 50, and 60 mmHg, increased from ~8.5 to 9, ~12.5 to 16, and ~16.5 to 23 cm/sec during the first week, respectively. Conclusion: Reference curves for middle cerebral artery CBFv for normotensive ventilated newborns born at 23-24 weeks' gestation (with normal cranial ultrasounds) are presented for the first time. Since PCO2 is a potent regulator of CBF, when reporting cerebral hemodynamic values in the future, investigators must also report PCO2.

Original languageEnglish (US)
Pages (from-to)127-132
Number of pages6
JournalJournal of Neonatal-Perinatal Medicine
Volume4
Issue number2
DOIs
StatePublished - Jun 22 2011

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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