Surfactant Administration and the Cerebral Circulation
- 1 January 1992
- journal article
- clinical trial
- Published by S. Karger AG in Neonatology
- Vol. 61 (Suppl. 1) , 31-36
- https://doi.org/10.1159/000243841
Abstract
We have used two main techniques to investigate the effect of surfactant therapy on the cerebral circulation in 34 babies. Twenty-one babies were studied using near infrared spectroscopy and 13 had cerebral blood flow measured using a xenon clearance technique. Other measures recorded included amplitude integrated EEG, mean arterial blood pressure and central venous or oesophageal pressure. There was a marked depression in EEG activity lasting for 10–20 min after surfactant administration. Cerebral blood volume and cerebral blood flow were maintained in most infants in spite of a fall in mean arterial blood pressure. We conclude that factors other than cerebral ischaemia cause the transient disturbance in electrophysiologic activity.Keywords
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