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Hypocarbia and cystic periventricular leukomalacia in premature infants
Open accessAbstract
One hundred sixty seven survivors among very low birthweight infants with a gestational age of less than 35 weeks have been studied prospectively. The purpose of this study was to clarify the relationship of severe prenatal and perinatal complications and hypocarbic alkalosis, defined as a carbon dioxide tension (Pa co 2) of less than or equal to 2.67 kPa and a pH of 7.50 or greater during the first 24 hours of life, to cystic periventricular leukomalacia (PVL) depicted by serial cranial ultrasonographic examinations. Complications occurred in 16 infants, five of whom presented with PVL, while eight of 151 infants without complications had PVL. Twenty six of the infants had hypocarbic alkalosis, six with evidence of PVL, and seven of the 136 infants without hypocarbic alkalosis had PVL. These results suggest a significant relationship of complications and hypocarbic alkalosis to PVL. Mechanical ventilation should be managed carefully in premature infants to avoid Pa co 2 of lower than 2.67 kPa.
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Citations
Cited by
Hamrick, S. E. G., Miller, S. P., Leonard, C., Glidden, D. V., Goldstein, R., Ramaswamy, V., Piecuch, R., & Ferriero, D. M. (2004) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2004.05.042 · Cited by 329
Mechanisms of perinatal brain injury
Inder, T. E., & Volpe, J. J. (2000) · Seminars in Neonatology · doi:10.1053/siny.1999.0112 · Cited by 284
Hypocapnia and the injured brain: More harm than benefit
Curley, G., Kavanagh, B. P., & Laffey, J. G. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181d8cf2b · Cited by 257
Congenital heart disease and brain development
McQuillen, P. S., & Miller, S. P. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.05116.x · Cited by 164
; on behalf of the CoolCap Study Group, Lingappan, K., Kaiser, J. R., Srinivasan, C., & Gunn, A. J. (2016) · Pediatric Research · doi:10.1038/pr.2016.62 · Cited by 55
Metadata
- Authors
- Fujimoto, S., Togari, H., Yamaguchi, N., Mizutani, F., Suzuki, S., & Sobajima, H.
- Venue
- Archives of Disease in Childhood - Fetal and Neonatal Edition
- Publisher
- BMJ
- Published
- 1994-09
- Volume
- 71
- Issue
- 2
- Pages
- F107-F110
- ISSN
- 1359-2998 (ISSN-L)
- 1468-2052
- OpenAlex
- W2052253411
- Cited by
- 168
- References
- 0
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Fujimoto, S., Togari, H., Yamaguchi, N., Mizutani, F., Suzuki, S., & Sobajima, H. (1994). Hypocarbia and cystic periventricular leukomalacia in premature infants. Archives of Disease in Childhood - Fetal and Neonatal Edition. https://doi.org/10.1136/fn.71.2.f107
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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