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Changes in Oxygenation Levels Precede Changes in Amplitude of the EEG in Premature Infants

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Oxygen Transport to Tissue XXXVIII

Abstract

Brain function is supported by an appropriate balance between the metabolic demand and the supply of nutrients and oxygen. However, the physiological principles behind the regulation of brain metabolism and demand in premature infants are unknown. Some studies found that changes in hemodynamic variables in this population precede changes in EEG activity; however, these studies only used descriptive statistics. This paper describes the relationship between changes in cerebral oxygenation, assessed by means of near-infrared spectroscopy (NIRS), and changes in EEG, using mathematical methods taken from information dynamics. In a cohort of 35 neonates subjected to sedation by propofol, we quantified the direction of information transfer between brain oxygenation and EEG. The results obtained indicate that, as reported in other studies, changes in NIRS are likely to precede changes in EEG activity.

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Acknowledgments

Alexander Caicedo is a postdoctoral fellow of the research foundation Flanders (FWO). Bijzonder Onderzoeksfonds KU Leuven (BOF). This research was also supported by: Center of Excellence (CoE) #: PFV/10/002 (OPTEC). Fonds voor Wetenschappelijk Onderzoek-Vlaanderen (FWO), project #: G.0427.10N (Integrated EEG-fMRI), G.0108.11 (Compressed Sensing), G.0869.12N (Tumor imaging), G.0A5513N (Deep brain stimulation). Agentschap voor Innovatie door Wetenschap en Technologie (IWT), project #: TBM 080658-MRI (EEG-fMRI), TBM 110697-NeoGuard. iMinds Medical Information Technologies.. Dotatie-Strategisch basis onderzoek (SBO- 2015). ICON: NXT_Sleep. Belgian Federal Science Policy Office. IUAP #P7/19/ (DYSCO, ‘Dynamical systems, control and optimization’, 2012–2017). Belgian Foreign Affairs-Development Cooperation. VLIR UOS programs (2013–2019). EU: European Union’s Seventh Framework Programme (FP7/2007–2013): EU MC ITN TRANSACT 2012, #316679, ERASMUS EQR: Community service engineer, #539642-LLP-1-2013. Other EU: INTERREG IVB NWE programme #RECAP 209G. European Research Council: ERC Advanced Grant, #339804 BIOTENSORS. This paper reflects only the authors’ views and the Union is not liable for any use that may be made of the contained information.

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© 2016 Springer International Publishing Switzerland

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Caicedo, A., Thewissen, L., Smits, A., Naulaers, G., Allegaert, K., Van Huffel, S. (2016). Changes in Oxygenation Levels Precede Changes in Amplitude of the EEG in Premature Infants. In: Luo, Q., Li, L., Harrison, D., Shi, H., Bruley, D. (eds) Oxygen Transport to Tissue XXXVIII. Advances in Experimental Medicine and Biology, vol 923. Springer, Cham. https://doi.org/10.1007/978-3-319-38810-6_19

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