The Parameters of the Oxygen Status in the Assessment of Prognosis of a Hemodynamically Significant Patent Ductus Arteriosus Preterm Neonatal Infants

Abstract

Цель -оценка значимости кислородных показателей капиллярной крови для прогноза длительно сохраняющегося ге модинамически значимого открытого артериального протока (ГЗОАП) у новорожденных с экстремально низкой массой тела (ЭНМТ).

Analysis of blood gas composition indicators in premature babies with neonatal sepsis

“…Changes in BE values coincide with the data of Turkish scientists Arayici S., Şimşek G. K., Canpo-lat F. E., [7] and indicate that the BE value <-5 mmol/l indicates a deterioration in patients and may be the first diagnostic indicator of the implementation of the septic process.…”

“…Despite the constant pO 2 values during the three days of observation, the statistical difference in HCO 3 , on the one hand, may indicate a deterioration in the general condition of infants, which is associated with the manifestation and increase in clinical signs of generalized infectious-inflammatory process with a simultaneous increase in partially compensated metabolic acidosis [6,7]. These indicators were also influenced by the fact that the oxygen status of capillary blood was determined in only 10 infants who needed an oxygen subsidy due to the severity of the condition.…”

“…One of the key tasks is to obtain a sample of whole arterial blood of infants, which requires systematic monitoring of the dynamics. However, the risk of complications in arterial blood collection in this category of patients exceeds the feasibility of its use [7][8][9]. A review of the literature [9,10] confirms that capillary blood pa-rameters can be used to assess the oxygen status of premature infants.…”