Hypotension Clinical Trial
Official title:
Avoiding Hypotension in Preterm Neonates (AHIP) - A Randomised Controlled Study on Near Infrared Spectroscopy Monitoring of Peripheral-muscle and Cerebral Oxygenation With Defined Interventions Versus Routine Monitoring and Treatment in Preterm Neonates
Objectives Firstly to examine in preterm neonates, whether it is possible to reduce number
of hypotensive episodes and use of catecholamines by applying cerebral/peripheral near
infrared spectroscopy in combination with predefined interventions and secondly to explore
the potential impact on cerebral injury and mortality.
Hypothesis By using predefined interventions for changes in cerebral/peripheral oxygenation
ratio investigators will reduce hypotensive episodes and use of catecholamines which will
reduce cerebral injury and mortality.
Methods Cerebral (cTOI) and peripheral-muscle (pTOI) tissue-oxygenation-index (NIRO 300)
will be measured for 24h starting <6 hours postpartum. When cTOI/pTOI ratio increases >5%
within a 6h period, predefined interventions will be performed.
Primary outcome parameter will be duration of hypotensive episodes and use of catecholamines
during the first 48h after birth. Secondary outcome parameters will be cerebral injury and
mortality.
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