medigraphic.com
SPANISH

NCT Neumología y Cirugía de Tórax

ISSN 2594-1526 (Electronic)
Antes Revista del Instituto Nacional de Enfermedades Respiratorias

Ver anteriores al 2010

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • Policies
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2015, Number 4

<< Back Next >>

Neumol Cir Torax 2015; 74 (4)

Apnea, hypoxemia, and night sleep architecture in newborn preterm sample at Mexico City

Domínguez-Sandoval G, Haro-Valencia R, Drucker-Colín R
Full text How to cite this article 10.35366/63373

DOI

DOI: 10.35366/63373
URL: https://dx.doi.org/10.35366/63373

Language: Spanish
References: 47
Page: 247-255
PDF size: 226.10 Kb.


Key words:

Apnea, development, intermittent hypoxemia, preterm, overnight polysomnography, dream active, dream still.

ABSTRACT

Introduction: There are few studies in preterm newborn nocturnal sleep. Our goal was to describe the nocturnal sleep architecture and respiratory events associated, like apnea and oxygen saturation in newborn less than 3 months postnatal life. Material and method: 30 newborn ≤ 37 gestation weeks, post-conceptional age ≤ 3 months, not hospitalized, were selected. Through 8 hours nocturnal sleep polisomnographic study they were rated. Results: The gestation weeks median was 34 ± 1.5, the age was 43.5 ± 25.5 at the time of study. The quiet sleep total time was greater than the active sleep total time (Wilcoxon p = 0.411). The central apnea index in active sleep total time (76.2 ± 53.4) was greater than quiet sleep total time (33.6 ± 31.7) Wilcoxon p = 0.026. SaO2 average median was 93.5%. The 27% of sleep total time we registered intermittent hypoxemia. Conclusions: The presence of intermittent hypoxemia in preterm newborn is a risk condition to cognitive and physical development. Sleeping intermittent hypoxemia early diagnosis and treatment is very important.


REFERENCES

  1. Sheldon SH, Ferber R, Kryger M, Gozal D. ed. Principles and practice of pediatric sleep medicine. China: Elsevier; 2014. p. 17-23, 221-230.

  2. Ellingson RJ, Peters JF. Development of EEG and daytime sleep patterns in normal full-term Infants during the first 3 months of life: longitudinal observations. Electroencephalogr Clin Neurophysiol 1980;49(1-2):112-124.

  3. Curzi-Dascalova L, Lebrun F, Korn G. Respiratory frequency according to sleep states and age in normal premature infants: a comparison with full term infants. Pediatr Res 1983;17(2):152-156.

  4. Curzi-Dascalova L, Christova-Guéorguiéva E. Respiratory pauses in normal prematurely born infants. A comparison with full-term newborns. Biol Neonate 1983;44(6):325-332.

  5. Curzi-Dascalova L, Gaudebout C, Dreyfus-Brisac C. Respiratory frequencies of sleeping infants during the first months of life: Correlations between values in different sleep states. Early Hum Dev 1981;5(1):39-54.

  6. Curzi-Dascalova L, Peirano P, Christova E. Respiratory characteristics during sleep in healthy small-for-gestational age newborns. Pediatrics 1996;97(4):554-559.

  7. Holditch-Davis D, Scher M, Schwartz T, Hudson–Barr D. Sleeping and waking state development in preterm infants. Early Hum Dev 2004;80(1):43-64.

  8. Scher MS, Johnson MW, Holditch-Davis D. Cyclicity of neonatal sleep behaviors at 25 to 30 weeks’ postconceptional age. Pediatr Res 2005;57(6):879-882.

  9. Brandon DH, Holditch-Davis D, Winchester DM. Factors affecting early neurobehavioral and sleep outcomes in preterm infants. Infant Behav Dev 2005;28(2):206-219.

  10. Arditi-Babchuk H, Feldman R, Eidelman AI. Rapid eye movement (REM) in premature neonates and developmental outcome at 6 months. Infant Behav Dev 2009;32(1):27-32. doi: 10.1016/j.infbeh.2008.09.001.

  11. Weisman O, Magori-Cohen R, Louzoun Y, Eidelman AI, Felman R. Sleep-wake transitions in premature neonates predict early development. Pediatrics 2011;128(4):706-714. doi: 10.1542/peds.2011-0047.

  12. Navelet Y, Benoit O, Bouard G. Nocturnal sleep organization during the first months of life. Electroenceph Clin Neurophysiol 1982;54:71-78.

  13. Ferri R, Curzi-Dascalova L, Arzimanoglou A, Bourgeois M, Beaud, Ch, Lahorgue M, et al. Heart rate variability during sleep in children with partial epilepsy. J Sleep Res 2002;11:153-60.

  14. Hayes M, Akilesh M, Fukumizu M, Gilles A, Sallinen B, Troese M, Paul J. Apneic preterms and methylxanthines: arousal deficits, sleep fragmentation and suppressed spontaneous movements. J Perinatol 2007;27:782-9.

  15. Hernández CJ, de León RJ, Olmos GAG. Utilidad clínica de la poligrafía en los neonatos. Rev Mex Pediatr 2004;71(1):28-32.

  16. Anders T, Emde R, Parmelee A. A manual of standardized terminology, techniques and criteria for scoring of states of sleep and wakefulness in newborn infants. Los Angeles, California: UCLA brain information service/ BRI publications office; 1971.

  17. Ficca G, Fagioli I, Salzarulo P. Sleep organization in the first year of life: Developmental trends in the quiet sleep-paradoxical sleep cycle. J Sleep Res 2000;9(1):1-4.

  18. Curzi-Dascalova L, Figueroa JM, Eiselt M, et al. Sleep state organization in premature infants of less than 35 weeks´ gestational age. Pediatr Res 1993;34(5):624-628.

  19. Coons S, Guilleminault C. Development of sleep-wake patterns and non-rapid eye movement sleep stages during the first six months of life in normal infants. Pediatrics 1982;69(6):793-798.

  20. Richardson HL, Parslow PM, Walker AM, Harding R, Horne RS. Maturation of the initial ventilator response to hypoxia in sleeping infants. J Sleep Res 2007;16(1):117-127.

  21. Dickman SJ. Dimensions of arousal: wakefulness ad vigor. Human Factors 2002;44(3):429-442.

  22. Orenstein SR. The prone alternative. Pediatrics 1994;94(1):104-105.

  23. Goto K, Mirmiran M, Adams M, et al. More awakenings and heart rate variability during supine sleep in preterm infants. Pediatrics 1999;103(3):603-609.

  24. Curzi-Dascalova L, Kauffmann F, Gaultier C, Caldas de Amorim RH. Heart rate modifications related to spontaneous body movements in sleeping premature and full-term newborns. Pediatr Res 1999;45(4 Pt 1):515-518.

  25. Yiallourou SR, Witcombe NB, Sands SA, Walker AM, Horne RS. The development of autonomic cardiovascular control is altered by preterm birth. Early Hum Dev 2013;89(3):145-152. doi: 10.1016/j.earlhumdev.2012.09.009.

  26. Bauer J, Maier K, Linderkamp O, Hentschel R. Effects of caffeine on oxygen consumption and metabolic rate in very low birth weight infants with idiopathic apnea. Pediatrics 2001;107(4):660-663.

  27. Arimany J, Camarasa F, Cardesa J, et al. Síndrome de la muerte súbita del lactante (SMSL). Libro Blanco. 2da ed. España: Grupo de Trabajo para el Estudio y Prevención de la Muerte Súbita Infantil de la Asociación Española de Pediatría (GEMPSI de la AEP); 2003. p.46-54.

  28. Fernández-López T, Ares Mateos G, Carabaño Aguado I, Sopeña Corviños J. El prematuro tardío: el gran olvidado. Rev Pediatr Aten Primaria 2012;14(55):e23-e28.

  29. Valero RWR, Hanco ZI, Coronel BM, Dueñas CJR. Características del período de adaptación del recién nacido en la altura. Acta Med Per 2009;26(3):151-155.

  30. Niermeyer S, Shaffer EM, Thilo E, Corbin C. Moore LG. Arterial oxygenation and pulmonary arterial pressure in healthy neonates and infants at high altitude. J Pediatr 1993;123(5):767-772.

  31. Kamlin CO, O`Donnell CP, Davis PG, Morley CJ. Oxygen saturation in healthy infants immediately after birth. J Pediatr 2006;148(5):585-589.

  32. Dueñas E, Bazurto MA, Durán-Cantolla J, Gonzáles-García M, Torres-Duque CA. Patrón del sueño y saturación de oxígeno en niños sanos menores de 18 meses a 2.640 metros de altitud. Iatreia Revista Médica Universidad de Antioquia 2013;27(4-S).

  33. Eichenwald EC, Aina A, Stark AR. Apnea frequently persists beyond term gestation in infants delivered at 24 to 28 weeks. Pediatrics 1997;100(3 Pt 1):354-359.

  34. Finer NN, Barrington KJ, Hayes BJ, Hugh A. Obstructive, mixed, and central apnea in the neonate: physiologic correlates. J Pediatr 1992;121(6):943-950.

  35. Katz ES, Mitchell RB, D’Ambrosio CM. Obstructive sleep apnea in infants. Am J Respir Crit Care Med 2012;185(8):805-816. doi: 10.1164/rccm.201108-1455CI.

  36. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. Darien, IL: American Academy of Sleep Medicine; 2012.

  37. Kanaan A, Farahani R, Douglas RM, Lamanna JC, Haddad GG. Effect of chronic continuous or intermittent hypoxia and reoxygenation on cerebral capillary density and myelination. Am J Physiol Regul Integr Comp Physiol 2006;290(4) R1105-R1114.

  38. Morell M, Twigg G. Neural consequences of sleep disordered breathing: the role of intermittent hypoxia. In: Roarch R, Wagner P, Hackett P, editors. Hypoxia and exercise. USA: Springer; 2007.p.75-88.

  39. Zhang SX, Wang Y, Gozal D. Pathological consequences of intermittent hypoxia in the central nervous system. Compr Physiol 2012;2(3):1767-1777. doi: 10.1002/cphy.c100060.

  40. Gozal D, Kheirandish L. Oxidant stress and inflammation in the snoring child: confluent pathways to upper airway pathogenesis and end-organ morbidity. Sleep Med Rev 2006;10(2):83-96.

  41. Faharani R, Kanaan A, Gavrialov O, et al. Differential effects of chronic intermittent and chronic constant hypoxia on postnatal growth and development. Pediatr Pulmonol 2008;43(1):20-28.

  42. Raman L, Georgieff MK, Rao R. The role of chronic hypoxia in the development of neurocognitive abnormalities in preterm infants with bronchopulmonary dysplasia. Dev Sci 2006;9(4):359-367.

  43. Sans-Capdevila O, Gozal D. Consecuencias neurobiológicas del síndrome de apnea del sueño infantil. Rev Neurol 2008;47(12):659-664.

  44. Douglas RM, Miyasaka N, Takahashi K, Latuszek-Barrantes A, Haddad GG, Hetherington HP. Chronic intermittent but not constant hypoxia decreases NAA/Cr ratios in neonatal mouse hippocampus and thalamus. Am J Physiol Regul Integr Comp Physiol 2007;292(3):R1254-R1259.

  45. Henderson JM, France KG, Owens JL, Blampied NM. Sleeping through the night: the consolidation of self-regulated sleep across the first year of life. Pediatrics 2010;126(5):e1081-e1087. doi: 10.1542/peds.2010-0976.

  46. Russell ChK, Robinson L, Ball H. Infant sleep development: Location, feeding and expectations in the postnatal period. Open Sleep J 2013;6(Suppl 1:M9):68-76.

  47. Waggener TB, Frantz ID 3rd, Cohlan BA, Stark AR. Mixed and obstructive apneas are related to ventilatory oscillations in premature infants. J Appl Physiol 1989;66(6):2818-2826.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Neumol Cir Torax. 2015;74