Procedural pain and brain development in premature newborns

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Procedural pain and brain development in premature newborns.

OBJECTIVE Preterm infants are exposed to multiple painful procedures in the neonatal intensive care unit (NICU) during a period of rapid brain development. Our aim was to examine relationships between procedural pain in the NICU and early brain development in very preterm infants. METHODS Infants born very preterm (N=86; 24-32 weeks gestational age) were followed prospectively from birth, and...

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Procedural pain and oxidative stress in premature neonates.

UNLABELLED Preterm neonates exposed to painful procedures in the neonatal intensive care unit exhibit increased pain scores and alterations in oxygenation and heart rate. It is unclear whether these physiological responses increase the risk of oxidative stress. Using a prospective study design, we examined the relationship between a tissue-damaging procedure (TDP; tape removal during discontinu...

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Serial quantitative diffusion tensor MRI of the premature brain: development in newborns with and without injury.

PURPOSE To determine the change over time of the apparent diffusion coefficient (ADC) and relative anisotropy of cerebral water in a cohort of premature newborns serially studied near birth and again near term. MATERIALS AND METHODS Newborns were classified as normal (N = 11), minimal white matter injury (N = 7), or moderate white matter injury (N = 5). RESULTS ADC decreased significantly w...

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Effect of chorioamnionitis on brain development and injury in premature newborns.

OBJECTIVE The association of chorioamnionitis and noncystic white matter injury, a common brain injury in premature newborns, remains controversial. Our objectives were to determine the association of chorioamnionitis and postnatal risk factors with white matter injury, and the effects of chorioamnionitis on early brain development, using advanced magnetic resonance imaging. METHODS Ninety-tw...

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Quantitative magnetic resonance imaging of brain development in premature and mature newborns.

Definition in the living premature infant of the anatomical and temporal characteristics of development of critical brain structures is crucial for insight into the time of greatest vulnerability of such brain structures. We used three-dimensional magnetic resonance imaging (3D MRI) and image-processing algorithms to quantitate total brain volume and total volumes of cerebral gray matter (GM), ...

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ژورنال

عنوان ژورنال: Annals of Neurology

سال: 2012

ISSN: 0364-5134

DOI: 10.1002/ana.22267