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Cerebral tissue oxygenation during cranial osteopathic CV4 procedure in newborns.
- Source :
-
Advances in clinical and experimental medicine : official organ Wroclaw Medical University [Adv Clin Exp Med] 2020 Oct; Vol. 29 (10), pp. 1187-1191. - Publication Year :
- 2020
-
Abstract
- Background: The cranial osteopathic manipulative medicine has been shown to alter regional cerebral tissue oxygenation (cStO2) in adult patients; however, there are no reports regarding the neonatal population.<br />Objectives: To assess the influence of compression of the 4th ventricle (CV4) osteopathic procedure on cStO2 in neonates.<br />Material and Methods: Thirty-one patients born between 25 and 39 weeks of gestation were screened for inclusion in the neonatal unit. Twenty-two infants presenting with hyperstimulation of autonomous nervous system (ANS) according to the Neonatal Behavioral Assessment Scale were enrolled in the study. Near-infrared spectroscopy was used for continuous cStO2 monitoring; pulse oximeter oxygen saturation (SpO2) and heart rate (HR) measured with pulse oximetry were simultaneously monitored 10 min before CV4, during the therapy and 10 min after it was stopped.<br />Results: Patients' condition remained stable throughout the study. There were no significant differences in the mean cStO2 values recorded before (69 ±8%), during (69 ±8%) and after CV4 (70 ±8%; p > 0.05). Mean SpO2 was almost constant during the study (96 ±4% before, 95 ±3% during and 95 ±4% after the intervention). Heart rate was also stable pre-, during and post-therapy (153 ±21 min, 151 ±18 min and 151 ±20/min, respectively).<br />Conclusions: Compression of the 4th ventricle osteopathic procedure does not influence the cStO2 in newborns. This method seems to be well-tolerated but its clinical efficacy needs to be further investigated in this group of patients.
Details
- Language :
- English
- ISSN :
- 1899-5276
- Volume :
- 29
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Advances in clinical and experimental medicine : official organ Wroclaw Medical University
- Publication Type :
- Academic Journal
- Accession number :
- 33030316
- Full Text :
- https://doi.org/10.17219/acem/126048