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Article
Broadband NIRS cerebral cytochrome-C-oxidase response to anoxia before and after hypoxic-ischaemic injury in piglets
Advances in Experimental Medicine and Biology
  • Gemma Bale, UCL
  • Ajay Rajaram, Lawson Health Research Institute
  • Matthew Kewin, Lawson Health Research Institute
  • Laura Morrison, Lawson Health Research Institute
  • Alan Bainbridge, University College London Hospitals NHS Foundation Trust
  • Mamadou Diop, Lawson Health Research Institute
  • Keith St Lawrence, Lawson Health Research Institute
  • Ilias Tachtsidis, UCL
Publication Date
1-1-2018
URL with Digital Object Identifier
10.1007/978-3-319-91287-5_24
Abstract

© 2018, The Author(s). Perinatal hypoxic ischaemic (HI) encephalopathy is associated with severe neurodevelopment problems and mortality. This study uses broadband continuous-wave near-infrared spectroscopy (NIRS) to assess the early changes in cerebral oxygenation and metabolism after HI injury in an animal model using controlled anoxia events. Anoxia was induced before and 1 h after various levels of HI injury to assess the metabolic response via the changes in the oxidation state of cytochrome-c-oxidase (oxCCO), a marker of oxidative metabolism. The oxCCO responses to anoxia were classified into five categories: increase, no change, decrease, biphasic and triphasic responses. The most common response (54%) was a biphasic decrease in oxCCO. A change in the classification of the metabolic response to anoxia after HI injury indicated a severe injury, as determined by proton magnetic resonance spectroscopy, with 86% sensitivity. This shows that broadband NIRS can identify disturbances to cerebral metabolism in the first hours after severe HI injury.

Citation Information
Gemma Bale, Ajay Rajaram, Matthew Kewin, Laura Morrison, et al.. "Broadband NIRS cerebral cytochrome-C-oxidase response to anoxia before and after hypoxic-ischaemic injury in piglets" Advances in Experimental Medicine and Biology (2018) p. 151 - 156
Available at: http://works.bepress.com/keith-stlawrence/21/