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Blutgasanalyse und Sauerstofftherapie

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Neugeborenenintensivmedizin

Zusammenfassung

Sauerstoff und Bikarbonat gehören zu den unnötig und unkritisch eingesetzten Medikamenten beim Frühgeborenen. Die Angst vor Sauerstoffmangelschäden ist weitverbreitet. Diese entstehen jedoch meist vor der Geburt. Insbesondere beim Frühgeborenen verdichten sich Hinweise, dass nicht nur die Retinopathie, sondern auch die periventrikuläre Leukomalazie eher durch zu viel als durch zu wenig Sauerstoff begünstigt wird.

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Literatur

  1. Andersen CC, Phelps DL (2000) Peripheral retinal ablation for threshold retinopathy of prematurity in preterm infants. Cochrane Database Syst Rev (2):CD001693

    PubMed  Google Scholar 

  2. Anderson CG, Benitz WE, Madan A (2004) Retinopathy of prematurity and pulse oximetry: a national survey of recent practices. J Perinatol 24(3):164–8

    Article  PubMed  Google Scholar 

  3. Arlettaz R, Bauschatz AS, Monkhoff M, Essers B, Bauersfeld U (2006) The contribution of pulse oximetry to the early detection of congenital heart disease in newborns. Eur J Pediatr 165(2):94–8

    Article  PubMed  Google Scholar 

  4. Askie LM, Henderson-Smart DJ, Ko H (2009) Restricted versus liberal oxygen exposure for preventing morbidity and mortality in preterm or low birth weight infants. Cochrane Database Syst Rev (1):CD001077

    PubMed  Google Scholar 

  5. Barrington KJ (2000) Umbilical artery catheters in the newborn: effects of catheter design (end vs side hole). Cochrane Database Syst Rev (2):CD000508

    PubMed  Google Scholar 

  6. Barrington KJ (2000) Umbilical artery catheters in the newborn: effects of heparin. Cochrane Database Syst Rev (2):CD000507

    PubMed  Google Scholar 

  7. Barrington KJ (2000) Umbilical artery catheters in the newborn: effects of position of the catheter tip. Cochrane Database Syst Rev (2):CD000505

    PubMed  Google Scholar 

  8. Brooks SE, Johnson M, Wallace DK, Paysse EA, Coats DK, Marcus DM (1999) Treatment outcome in fellow eyes after laser photocoagulation for retinopathy of prematurity. Am J Ophthalmol 127(1):56–61

    Article  PubMed  CAS  Google Scholar 

  9. Carlo WA, Finer NN, Walsh MC et al. (2010) Target ranges of oxygen saturation in extremely preterm infants. N Engl J Med 362(21):1959–69

    Article  PubMed  CAS  Google Scholar 

  10. Chang GY, Lueder FL, DiMichele DM, Radkowski MA, McWilliams LJ, Jansen RD (1997) Heparin and the risk of intraventricular hemorrhage in premature infants. J Pediatr 131(3):362–6

    Article  PubMed  CAS  Google Scholar 

  11. Choi MY, Park IK, Yu YS (2000) Long term refractive outcome in eyes of preterm infants with and without retinopathy of prematurity: comparison of keratometric value, axial length, anterior chamber depth, and lens thickness. Br J Ophthalmol 84(2):138–43

    Article  PubMed  CAS  Google Scholar 

  12. Chow LC, Wright KW, Sola A (2003) Can changes in clinical practice decrease the incidence of severe retinopathy of prematurity in very low birth weight infants? Pediatrics 111(2):339–45

    Article  PubMed  Google Scholar 

  13. Collins MP, Lorenz JM, Jetton JR, Paneth N (2001) Hypocapnia and other ventilation-related risk factors for cerebral palsy in low birth weight infants. Pediatr Res 50(6):712–9

    Article  PubMed  CAS  Google Scholar 

  14. Darlow BA, Graham PJ (2007) Vitamin A supplementation to prevent mortality and short and long-term morbidity in very low birthweight infants. Cochrane Database Syst Rev (4):CD000501

    PubMed  Google Scholar 

  15. Gesellschaft für Neonatologie und Pädiatrische Intensivmedizin (2007) Augenärztliche Screening-Untersuchungen von Frühgeborenen. AWMF-Leitlinie 024/010

    Google Scholar 

  16. Hardy RJ, Palmer EA, Dobson V et al. (2003) Risk analysis of prethreshold retinopathy of prematurity. Arch Ophthalmol 121(12):1697–701

    Article  PubMed  Google Scholar 

  17. International Committee for the Classification of Retinopathy of Prematurity (2005) The International Classification of Retinopathy of Prematurity revisited. Arch Ophthalmol 123(7):991–9

    Article  Google Scholar 

  18. Kecskes ZB, Davies MW (2002) Rapid correction of early metabolic acidaemia in comparison with placebo, no intervention or slow correction in LBW infants. Cochrane Database Syst Rev (1):CD002976

    PubMed  Google Scholar 

  19. Lawn CJ, Weir FJ, McGuire W (2005) Base administration or fluid bolus for preventing morbidity and mortality in preterm infants with metabolic acidosis. Cochrane Database Syst Rev (2):CD003215

    PubMed  Google Scholar 

  20. Lloyd J, Askie L, Smith J, Tarnow-Mordi W (2003) Supplemental oxygen for the treatment of prethreshold retinopathy of prematurity. Cochrane Database Syst Rev (2):CD003482

    PubMed  Google Scholar 

  21. Malloy MH, Cutter GR (1995) The association of heparin exposure with intraventricular hemorrhage among very low birth weight infants. J Perinatol 15(3):185–91

    PubMed  CAS  Google Scholar 

  22. Mariani G, Cifuentes J, Carlo WA (1999) Randomized trial of permissive hypercapnia in preterm infants. Pediatrics 104(5 Pt 1):1082–8

    Article  PubMed  CAS  Google Scholar 

  23. Mizuno K, Aizawa M (1999) Effects of body position on blood gases and lung mechanics of infants with chronic lung disease during tube feeding. Pediatr Int 41(6):609–14

    Article  PubMed  CAS  Google Scholar 

  24. Peyron F, Wallon M, Liou C, Garner P (2000) Treatments for toxoplasmosis in pregnancy. Cochrane Database Syst Rev (2):CD001684

    PubMed  Google Scholar 

  25. Phelps DL, Watts JL (2001) Early light reduction for preventing retinopathy of prematurity in very low birth weight infants. Cochrane Database Syst Rev (1):CD000122

    PubMed  Google Scholar 

  26. Phelps DL, Lakatos L, Watts JL (2001) D-Penicillamine for preventing retinopathy of prematurity in preterm infants. Cochrane Database Syst Rev (1):CD001073

    PubMed  Google Scholar 

  27. Shah PS, Raju NV, Beyene J, Perlman M (2003) Recovery of metabolic acidosis in term infants with postasphyxial hypoxic-ischemic encephalopathy. Acta Paediatr 92(8):941–7

    Article  PubMed  CAS  Google Scholar 

  28. Subhani M, Combs A, Weber P, Gerontis C, DeCristofaro JD (2001) Screening guidelines for retinopathy of prematurity: the need for revision in extremely low birth weight infants. Pediatrics 107(4):656–9

    Article  PubMed  CAS  Google Scholar 

  29. Tin W (2004) Optimal oxygen saturation for preterm babies. Do we really know? Biol Neonate 85(4):319–25

    Article  Google Scholar 

  30. Tingay DG, Stewart MJ, Morley CJ (2005) Monitoring of end tidal carbon dioxide and transcutaneous carbon dioxide during neonatal transport. Arch Dis Child Fetal Neonatal Ed 90(6):F523–6

    Article  PubMed  CAS  Google Scholar 

  31. Vander JF, Handa J, McNamara JA et al. (1997) Early treatment of posterior retinopathy of prematurity: a controlled trial. Ophthalmology 104(11):1731–5; discussion 1735–6

    PubMed  CAS  Google Scholar 

  32. Watts P, Adams GG, Thomas RM, Bunce C (2000) Intraventricular haemorrhage and stage 3 retinopathy of prematurity. Br J Ophthalmol 84(6):596–9

    Article  PubMed  CAS  Google Scholar 

  33. Dunn P (1966) Localization of the umbilical catheter by post-mortem measurement. Arch Dis Child 41:69

    Article  PubMed  CAS  Google Scholar 

  34. Hafferl A (1957) Lehrbuch der topographischen Anatomie. Springer, Berlin

    Google Scholar 

  35. Mintz-Hittner HA, Kennedy KA, Chuang AZ for the BEAT -ROP Cooperative Group (2011) Efficacy of intravitreal bevacizumab for stage 3 + retinopathy of prematurity. N Engl J Med 364(7):603–615

    Article  PubMed  CAS  Google Scholar 

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Obladen, M. (2011). Blutgasanalyse und Sauerstofftherapie. In: Maier, R.F., Obladen, M. (eds) Neugeborenenintensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01069-9_3

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  • DOI: https://doi.org/10.1007/978-3-642-01069-9_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-01068-2

  • Online ISBN: 978-3-642-01069-9

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