Feasibility of the Use of Point-of-Care Technology to Measure Ketone and Lactate Levels in the Newborn at Risk for Hypoglycemia

K. Crawford, E. Sotiridou, K. Beardsall
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引用次数: 1

Abstract

H ypoglycemia (blood glucose [BG], <2.6 mmol/L) is common in neonates during the first week of life. Although this may be physiologically normal, hypoglycemia can be pathological leading to neurological impairment. All infants therefore considered at risk for hypoglycemia undergo BG monitoring after birth. However, identifying those actually at risk from lowBG levels due to impaired counter regulation is challenging. Medical interventions need to balance the risks from hypoglycemia with the potential harm from medical interventions and the need to separate mother and baby. Development of point-of-care (POC) technology that measures alternative fuels (ketones and lactate) could provide the means to identify those infants at significant risk, while avoiding unnecessary separation.
使用即时护理技术测量低血糖新生儿酮和乳酸水平的可行性
低血糖症(血糖[BG], <2.6 mmol/L)在新生儿出生后的第一周很常见。虽然这可能是生理上正常的,但低血糖可能是病理性的,导致神经损伤。因此,所有被认为有低血糖风险的婴儿在出生后都要进行BG监测。然而,识别那些由于反监管受损而导致的低血糖水平的实际风险是具有挑战性的。医疗干预需要平衡低血糖的风险与医疗干预的潜在危害以及母婴分离的需要。检测替代燃料(酮类和乳酸)的即时护理(POC)技术的发展可以提供识别那些有重大风险的婴儿的手段,同时避免不必要的分离。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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