Pellicer, A,Greisen, G,Benders, M,Claris, O,Dempsey, E,Fumagalli, M,Gluud, C,Hagmann, C,Hellstrom-Westas, L,Hyttel-Sorensen, S,Lemmers, P,Naulaers, G,Pichler, G,Roll, C,van Bel, F,van Oeveren, W,Skoog, M,Wolf, M,Austin, T,SafeBoosC Trial Grp

2013

April

Neonatology

The SafeBoosC Phase II Randomised Clinical Trial: A Treatment Guideline for Targeted Near-Infrared-Derived Cerebral Tissue Oxygenation versus Standard Treatment in Extremely Preterm Infants

Validated

Altmetric: 1 ()

Near-infrared spectroscopy Newborn Practice guideline Cardiovascular agents Hypotension Oxygen consumption Carbon dioxide Hyperoxia PATENT DUCTUS-ARTERIOSUS BIRTH-WEIGHT INFANTS LEFT-VENTRICULAR OUTPUT SERVICES-TASK-FORCE BLOOD-FLOW PREMATURE-INFANTS SURGICAL CLOSURE CARDIAC-OUTPUT INTENSIVE-CARE INTRAVENTRICULAR HEMORRHAGE

104

171

178

Near-infrared spectroscopy-derived regional tissue oxygen saturation of haemoglobin (rSto(2)) reflects venous oxygen saturation. If cerebral metabolism is stable, rSto(2) can be used as an estimate of cerebral oxygen delivery. The SafeBoosC phase II randomised clinical trial hypothesises that the burden of hypo- and hyperoxia can be reduced by the combined use of close monitoring of the cerebral rSto(2) and a treatment guideline to correct deviations in rSto(2) outside a predefined target range. Aims: To describe the rationale for and content of this treatment guideline. Methods: Review of the literature and assessment of the quality of evidence and the grade of recommendation for each of the interventions. Results and Conclusions: A clinical intervention algorithm based on the main determinants of cerebral perfusion-oxygenation changes during the first hours after birth was generated. The treatment guideline is presented to assist neonatologists in making decisions in relation to cerebral oximetry readings in preterm infants within the SafeBoosC phase II randomised clinical trial. The evidence grades were relatively low and the guideline cannot be recommended outside a research setting. (C) 2013 S. Karger AG, Basel

10.1159/000351346