SavedAdd your journal

Journals / The Journal of Pediatric Research / 2022 / Cilt: 9 - Sayı: 1

Alterations of Oximetry-Derived Perfusion Index in Neonatal Brachial Plexus Injury

Emre DİNÇER
Sevilay TOPÇUOĞLU
Güner KARATEKİN
Adil Umut ZÜBARİOĞLU
Pages
1–4
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In the future, PI may be evaluated as a prognostic factor for neurologic dysfunction in NBPP and be used as a predictor for early surgical intervention.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: As we know, the perfusion index (PI) increases in nerve blocked areas in regional anesthesia and this is used to predict successful intervention, we hypothesized that, in neonatal brachial plexus palsy (NBPP), PI may alter in the affected arm.
📊
Key Findings & Data:Materials and Methods: Prospectively, 11 patients with defective Moro reflex diagnosed as NBPP were included in this study.
💡
Conclusion & Impact:Conclusion: In the future, PI may be evaluated as a prognostic factor for neurologic dysfunction in NBPP and be used as a predictor for early surgical intervention.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: As we know, the perfusion index (PI) increases in nerve blocked areas in regional anesthesia and this is used to predict successful intervention, we hypothesized that, in neonatal brachial plexus palsy (NBPP), PI may alter in the affected arm. Materials and Methods: Prospectively, 11 patients with defective Moro reflex diagnosed as NBPP were included in this study. Their demographic data were collected and perfusion indices were measured from both the affected and non-affected limbs in the 24th hour of postnatal life. These measurements were statistically compared. The increased rate of PI was also calculated and the increment of PI in patients with and without clavicle fracture was compared. Results: PI values were statistically higher in affected extremities compared to not-affected extremities (mean ± standard deviation, 2.47±0.74, 1.83±0.66 respectively, p=0.0003). There was no difference in patients with or without clavicle fracture. Conclusion: In the future, PI may be evaluated as a prognostic factor for neurologic dysfunction in NBPP and be used as a predictor for early surgical intervention.

🔖

Cite This Article

DİNÇER, E., TOPÇUOĞLU, S., KARATEKİN, G., ZÜBARİOĞLU, A. U. (2022). Alterations of Oximetry-Derived Perfusion Index in Neonatal Brachial Plexus Injury. The Journal of Pediatric Research, Cilt: 9 - Sayı: 1, 1–4. https://ajindex.com/articles/597855

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Smith BW, Daunter AK, Yang LJ, Wilson TJ. An Update on the Management of Neonatal Brachial Plexus Palsy-Replacing Old Paradigms: A Review. JAMA Pediatr 2018; 172:585-91. https:// doi.org/10.1001/jamapediatrics.2018.0124 2. Yang LJ. Neonatal brachial plexus palsy--management and prognostic factors Semin Perinatol 2014; 38:222-34. 3. Selcen D. Neonatal brachial plexus palsy. UpToDate, Inc. https:// www.uptodate.com/contents/neonatal-brachial-plexus-palsy. Access date, December, 2020. 4. Piasek CZ, Van Bel F, Sola A. Perfusion index in newborn infants: a noninvasive tool for neonatal monitoring. Acta Paediatr 2014; 103:468-73. 5. Granelli AD, Ostman-Smith I. Noninvasive peripheral perfusion index as a possible tool for screening for critical left heart obstruction. Acta Paediatr 2007; 96:1455-9. 6. De Felice C, Latini G, Vacca P, Kopotic RJ. The pulse oximeter perfusion index as a predictor for high illness severity in neonates. Eur J Pediatr 2002; 161:561-2. 7. Siefkes H, Kair L, Tancredi DJ, et al. Oxygen Saturation and Perfusion Index-Based Enhanced Critical Congenital Heart Disease Screening. Am J Perinatol 2020; 37:158-65. 8. Nitzan I, Hammerman C, Fink D, Nitzan M, Koppel R, Bromiker R. The effect of patent ductus arteriosus on pre-ductal and post-ductal perfusion index in preterm neonates. Physiol Meas 2018; 20;39:075006. 9. Ibonia KT, Bada HS, Westgate PM, et al. Blood transfusions in preterm infants: changes on perfusion index and intermittent hypoxemia. Transfusion 2018; 58:2538-44. 10. Abdelhamid B, Emam M, Mostafa M, et al. The ability of perfusion index to detect segmental ulnar nerve sparing after supraclavicular nerve block. J Clin Monit Comput 2020; 34:1185-91. 11. inosar Y, Weiniger CF, Meroz Y, et al. Pulse oximeter perfusion index as an early indicator of sympathectomy after epidural anesthesia. Acta Anaesthesiol Scand 2009; 53:1018-26. 12. Abdelnasser A, Abdelhamid B, Elsonbaty A, Hasanin A, Rady A. Predicting successful supraclavicular brachial plexus block using pulse oximeter perfusion index. Br J Anaesth 2017; 119:276-80. 13. Kus A, Gurkan Y, Gormus SK, Solak M, Toker K. Usefulness of perfusion index to detect the effect of brachial plexus block. J Clin Monit Comput 2013; 27:325-8. 14. Takahashi S, Kakiuchi S, Nanba Y, Tsukamoto K, Nakamura T, Ito Y. The perfusion index derived from a pulse oximeter for predicting low superior vena cava flow in very low birth weight infants. J Perinatol 2010; 30:265-9. 15. Janaillac M, Beausoleil TP