Recording of Amplitude-Integrated Electroencephalography, Oxygen Saturation, Pulse Rate, and Cerebral Blood Flow during Massage of Premature Infants

Jacek Rudnicki; Marek Boberski; Ewa Butrymowicz; Paweł Niedbalski; Paweł Ogniewski; Marek Niedbalski; Zbigniew Niedbalski; Wojciech Podraza; Hanna Podraza

doi:10.1055/s-0032-1310529

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 2012; 29(07): 561-566
DOI: 10.1055/s-0032-1310529

Original Article

Recording of Amplitude-Integrated Electroencephalography, Oxygen Saturation, Pulse Rate, and Cerebral Blood Flow during Massage of Premature Infants

Jacek Rudnicki

¹Clinic of Newborn Diseases, Pomeranian Medical University, Szczecin, Poland

,

Marek Boberski

¹Clinic of Newborn Diseases, Pomeranian Medical University, Szczecin, Poland

,

Ewa Butrymowicz

¹Clinic of Newborn Diseases, Pomeranian Medical University, Szczecin, Poland

,

Paweł Niedbalski

²Elmiko, Warsaw, Poland

,

Paweł Ogniewski

²Elmiko, Warsaw, Poland

,

Marek Niedbalski

²Elmiko, Warsaw, Poland

,

Zbigniew Niedbalski

²Elmiko, Warsaw, Poland

,

Wojciech Podraza

³Department of Medical Physics, Pomeranian Medical University, Szczecin, Poland

,

Hanna Podraza

³Department of Medical Physics, Pomeranian Medical University, Szczecin, Poland

› Institutsangaben

Abstract

Objective Stimulation of the nervous system plays an important role in brain function and psychomotor development of children. Massage can benefit premature infants, but has limitations.

Study Design The authors conducted a study to verify the direct effects of massage on amplitude-integrated electroencephalography (aEEG), oxygen saturation (SaO₂), and pulse analyzed by color cerebral function monitor (CCFM) and cerebral blood flow assessed by the Doppler technique.

Results The amplitude of the aEEG trend during massage significantly increased. Massage also impacted the dominant frequency δ waves. Frequency significantly increased during the massage and return to baseline after treatment. SaO₂ significantly decreased during massage. In four premature infants, massage was discontinued due to desaturation below 85%. Pulse frequency during the massage decreased but remained within physiological limits of greater than 100 beats per minute in all infants. Doppler flow values in the anterior cerebral artery measured before and after massage did not show statistically significant changes. Resistance index after massage decreased, which might provide greater perfusion of the brain, but this difference was not statistically significant.

Conclusion Use of the CCFM device allows for monitoring of three basic physiologic functions, namely aEEG, SaO₂, and pulse, and increases the safety of massage in preterm infants.

Keywords

premature infants - massage - color cerebral function monitor

Volltext

Referenzen

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