Prediction of early tolerance to enteral feeding by measurement of superior mesenteric artery blood flow velocity: appropriate- versus small-for-gestational-age preterm infants

Acta Paediatrica
M PezzatiF F Rubaltelli

Abstract

To evaluate whether serial Doppler measurements of superior mesenteric artery blood flow velocity could predict early tolerance to enteral feeding in preterm infants. In a prospective study, 54 healthy preterm neonates were assigned to one of the following groups: neonates with birthweight appropriate for gestational age (group 1), neonates small for gestational age without (group 2) and with prenatal haemodynamic disturbances (group 3). We studied Doppler blood flow velocity and resistance index before and after the first feed. Contrary to patients of group 3, infants in groups 1 and 2 showed a significant increase in blood flow velocity and a significant decrease in resistance index from the preprandial values after the first feed. At each postprandial time, we found significant differences in all velocity and resistance measurements between patients of group 3 and patients of both groups 1 and 2. In all patients, we found that the value of mean velocity measured 30 min after the first feed was the most predictive of early feed tolerance, with 95% sensitivity and 94% specificity when mean velocity >0.38 m/s. Small-for-gestational-age preterm infants with prenatal haemodynamic disturbances have an unusual intestinal haemodynam...Continue Reading

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Citations

Jul 31, 2013·Early Human Development·Carlo DaniJacopo Barp
Apr 30, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Deepak LouisPraveen Kumar
Nov 11, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·R BoraA Narang
Aug 18, 2005·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sanjay Patole
Jul 3, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Selim SancakFahri Ovalı
Jul 24, 2012·Seminars in Perinatology·Hala Chaaban, Barbara S Stonestreet
Mar 30, 2007·Acta Paediatrica·E-L FunkquistK H Nyqvist
Aug 23, 2008·Journal of Paediatrics and Child Health·Jörg ErschHans Ulrich Bucher
Apr 18, 2017·Journal of Clinical Nursing·Hee-Young Kim, Kyung-Sook Bang
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May 9, 2012·Neonatal Network : NN·Luann R Jones
Mar 20, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nidhi JainPradeep Sharma
Feb 19, 2020·American Journal of Perinatology·Ozkan Ilhan, Meltem Bor
Aug 28, 2021·Nutrients·Kandeepan KarthigesuRobert J Brown

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