Neurological morbidities such as peri/intraventricular hemorrhage and periventricular leukomalacia largely determine the neurodevelopmental outcome of vulnerable preterm infants and our aim should be to minimize their occurrence or severity. Bed-side neuromonitoring could provide valuable pieces of information about possible hemodynamic disturbances that are significantly associated with neurological morbidities and increased mortality. Near-infrared spectroscopy offers evaluation of regional cerebral oxygenation, which in conjunction with other non-invasive methods may give us a more complete picture about end-organ perfusion. This monitoring tool could help us fully understand the pathophysiology of severe neurological morbidities and guide our management in order to reduce their incidence.
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The work was supported by EU FP7/2007–2013 under grant agreement no. 260777 (The HIP Trial).
PK, ZS and JS: substantial contributions to design, acquisition, analysis, and interpretation of the data. GN: drafted and reviewed the article for important intellectual content.
The authors declare no conflict of interest.
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Korček, P., Straňák, Z., Širc, J. et al. The role of near-infrared spectroscopy monitoring in preterm infants. J Perinatol 37, 1070–1077 (2017). https://doi.org/10.1038/jp.2017.60
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