Skin blood flow changes during apneic spells in preterm infants

Changes in skin blood flow during apneic spells were determined in 18 preterm infants using a diode laser Doppler flow meter without light conducting fibres. Heart rate, nasal air flow, impedance pneumography, skin and incubator temperature and laser Doppler skin blood flow were recorded simultaneously in each infant. During 212 apneic spells with a duration of 11.6 ± 7.5 s (mean ± S.D.) (range 6.0–48.0 s), the laser Doppler skin blood flow was measured. In all children except one, the majority of the apneic spells was associated with a decrease in skin blood flow. During 155 apneic spells (73%) skin blood flow decreased significantly P < 0.025), the maximum decrease being 16.7 ± 14.8%, 28.5 ± 23.9% and 18.9 ± 16.1% (mean ± S.D.) for central, obstructive and mixed apneic spells, respectively. The decrease in skin blood flow started immediately after the beginning of apneic spells in 71%, the rest started with a mean delay of 3.4 s (range 0.1–7.0 s). No relation was found between the decrease in skin blood flow and the duration of the apneic spells. Thirty-four percent of the apneic spells were accompanied by bradycardia. In apneic spells accompanied by bradycardia the decrease in skin blood flow was not related to the fall in heart rate

A compact differential laser Doppler velocimeter using a semiconductor laser

A small differential laser Doppler velocimeter which uses a semiconductor laser and a small number of optical components is described. In this device the light from the laser diode is split into coherent beams by means of a diffraction grating. The two first-order beams are crossed in a probe volume with a lens. In a test experiment the velocity of water containing 0.9 mu m polystyrene spheres was determined from the fluctuation of the scattered light. This velocity agreed with the velocity calculated from flux measurements

Laser doppler flowmetry in newborn infants

In dit proefschrift worden de medische toepassingen van de laser Doppler methode voor het meten van de huiddoorbloeding (LDF) beschreven, LDF is een niet invasieve, optische meettechniek, die gebruikt kan worden om kontinu, kwalitatief, veranderingen in de microcirculatoire doorbloeding in een klein stukje weefsel te meten. ln diverse medische vakgebieden is informatie over de microcirculatie, die hoofdzakelijk de weefseldoorstroming bepaalt, van belang. Een overzicht wordt gegeven van de laser Doppler methode, de daarbij behorende methodologische problemen en het ontwerp van de gebruikte LDF sensor. ... Zie: Samenvatting en toekomstige ontwikkelinge

ARA290, a non-erythropoietic EPO derivative, attenuates renal ischemia/reperfusion injury

BACKGROUND: In contrast with various pre-clinical studies, recent clinical trials suggest that high dose erythropoietin (EPO) treatment following kidney transplantation does not improve short-term outcome and that it even increases the risk of thrombotic events. ARA290 is a non-erythropoietic EPO derivative and does not increase the risk of cardiovascular events, but potentially has cytoprotective capacities in prevention of renal ischemia/reperfusion injury. METHODS: Eight female Dutch Landrace pigs were exposed to unilateral renal ischemia for 45 minutes with simultaneous cannulation of the ureter of the ischemic kidney. ARA290 or saline was administered by an intravenous injection at 0, 2, 4 and 6 hours post-reperfusion. The animals were sacrificed seven days post-reperfusion. RESULTS: ARA290 increased glomerular filtration rate during the observation period of seven days. Furthermore, ARA290 tended to reduce MCP-1 and IL-6 expression 15 minutes post-reperfusion. Seven days post-reperfusion ARA290 reduced interstitial fibrosis. CONCLUSIONS: The improvement in renal function following renal ischemia/reperfusion and reduced structural damage observed in this study by ARA290 warrants further investigation towards clinical application