INTRAVENTRICULAR HEMORRHAGE IN PREMATURE INFANTS: CLINIC, RISK FACTORS AND PECULIARITIES OF PERINATAL PREVENTION

DOI: https://doi.org/10.29296/25877305-2021-02-02
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Issue: 
2
Year: 
2021

O. Zavyalov(1, 2); Professor I. Pasechnik(2), MD; Professor I. Ignatko(1, 3), Corresponding
Member of RAS, MD; A. Dementyev(1, 4), Candidate of Medical Sciences; Zh. Chabaidze(1, 4), Candidate of
Medical Sciences; D. Smirnov(1, 4), Candidate of Medical Sciences (1)S.S. Yudin City Clinical Hospital,
Moscow (2)Central State Medical Academy, Presidential Administration of the Russian Federation, Moscow
(3)Sechenov First Moscow State Medical University (Sechenov University) (4)Russian Medical Academy of
Continuing Professional Education, Moscow

The lecture presents modern ideas about the etiology, pathogenesis and risk factors for the development of intraventricular hemorrhage (IVH) in deeply premature infants in the early neonatal period. The classification and epidemiology of IVH are presented. From the clinical and pathogenetic point of view, a comparative analysis of the scientific literature on the versatile effect on the increased risk of IVH realization during mechanical ventilation and non-invasive artificial ventilation in premature nfants in the intensive care unit and intensive care of newborns in the early neonatal period was carried out.

Keywords: 
neonatology
premature newborns
brain
intraventricular hemorrahage
artificial lung ventilation
intensive care unit and neonatal intensive care unit



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References: 
  1. Volodin N.N., Chernyshov V.N., Degtjarev D.N. i dr.Neonatologija. Ucheb posobie dlja studentov vysshih ucheb zavedenij. Pod red. N.N. Volodina, V.N. Chernyshova, D.N. Degtjareva. M.: Izdatel'skij tsentr «Akademija», 2005; 448 s. [Volodin N.N., Chernyshov V.N., Degtyarev D.N. et al. Neonatology. Textbook for students of higner education institutions. Ed. N.N. Volodina, V.N. Chernyshova, D.N. Detyareva. M.: Publishing Center «Academy», 2005; 448 p. (in Russ).].
  2. Rukovodstvo uchastkovogo i semejnogo vracha-pediatra. V 4 t. Pod. red. A.G. Rumjantseva, A.V.Kartelishvili. T.1. M.: Izdatel'skij dom «ABV-press», 2020; 1200 s. [Guidelines of the distrit and family doctor-pediatrician. In 4 vol. Ed. A.G. Rumyantseva, A.V. Kartelishvili. Vol. 1. M. Publishing house «ABV-press», 2020; 1200 s. (in Russ).].
  3. Dudenhauzen J.V. Prakticheskoe akusherstvo. Rukovodstvo dlja vrachej. Per s angl. Pod red. A.D. Makatsarija. 21 izd. M.: OOO «Izdatel'stvo «Meditsinskoe informatsionnoe agenstvo», 2019; XVI + 592 s. [Dudenhausen J.W. Practical obstetrics. Aquide for physicians. Transl. From English. Ed. A.D. Macatsaria. 21st ed. M.: LLS Publishing House Medical Information Agency, 2019; XVI + 592 pp. (in Russ.)].
  4. Volpes neurology of the newborn. 6th ed. Elsevier, 2018; 1224 p.
  5. Merenstein Gardner’s Handbook of neonatal intensive care nursing: an interprofessional approach. 9th ed. Elsevier, 2021.
  6. Perlman D. Nevrologija. Pod red. R. Polina. Per s angl. pod red. N.A. Ermolenko. M.: Logosfera, 2015; 392 s. [Perlman J.M. Neurology: Neonatology Quesstions and Controversies. Transl. from English ed. N.A. Ermolenko. M.: Lodosfera, 2015; 392 p. (in Russ).].
  7. Osnovy perinatologii. Uchebnik. 3-e izd. Pod red. N.P. Shabalova, Ju.V. Tsveleva. M.: MEDpress-inform, 2004; 640 s. [Fundamentals of Perinatology. Textbook. 3rd ed. Ed. N.P. Shabalova, Yu.V. Tsveleva. M.: MEDpress-inform, 2004; 640 p. (in Russ).].
  8. Pykov M.I., Vatolin K.V., Bykova Ju.K. i dr. Detskaja ul'trazvukovaja diagnostika. Uchebnik. T.3. Nevrologija. Sosudy golovy i shei. Pod red M.I. Pykova. M.: Vidar-M, 2015; 368 s. [Pykov M.I., Vatolin K.V., Bykova Yu.K. et al. Pediatric ultrasound diagnostics. Textbook. Vol.3. Nevrology. Vessels of the head and neck. Ed. M.I. Pycov. M.: Vidar-M, 2015; 368 p. (in Russ).].
  9. Burkova A.S., Volodin N.N., Zhurba L.T. i dr. Klassifikatsija perinatal'nyh porazhenij nervnoj sistemy i ih posledstvij u detej pervogo goda zhizni (Metodicheskie rekmendatsii Rossijskoj Assotsiatsii spetsialistov perinatal'noj meditsiny). Voprosy prakticheskoj pediatrii. 2006; 1 (5): 38–70 [Burkova A.S., Volodin N.N., Zhurba L.T. et al. Classification of perinatal damages to the nervous system and their outcomes in first-year infants (Manual of the russian association perinatologiests). Voprosy prakticheskoi pediatrii. 2006; 1 (5): 38–70 (in Russ).].
  10. Vlasjuk V.V. Patologija golovnogo mozga u novorozhdennyh i detej rannego vozrasta. M.: Logosfera, 2014; 288 s. [Vlasyuk V.V. Brain pathology in newborns and young children. M.: Logosfera, 2014; 218 p. (in Russ).].
  11. Neonatologija: natsional'noe rukovodstvo. Kratkoe izdanie. Pod red. N.N. Volodina. M.: GEOTAR-Media, 2014; 896 s. [Neonatology: national guidelines. Short edition. Ed. N.N. Volodin. M.: GEOTAR-Media, 2014; 896 p. (in Russ).].
  12. Shabalov N.P. i dr. Neonatologija. Uchebnoe posobie. V 2 t. 7 izd., pererab.i dop. T.1. M.: GEOTAR-Media, 2020; 720 s. [Shabalov N.P. et al. Neotalogy: tutorial in 2 volumes. 7th ed. T.1. M.: GEOTAR-Media, 2020; 720 p. (in Russ.)].
  13. Aleksandrovich Ju.S., Aleksandrovich I.V., Pshenisnov K.V. i dr. Intensivnaja terapija gipoksicheskih porazhenij TsNS u novorozhdennyh. Posobie dlja vrachej. 2-e izd., pererab. SPb: OOO «Admiral», 2016; 55 s. [Alexandrovich Yu.S., Alexandrovich I.V., Pshenisnov K.V. et al. Intensive therapy of hypoxic lesions of the central nervous system in newborns. A guide for doctors. 2nd ed., revised. St. Petersburg: OOO «Admiral», 2016; 55 p. (in Russ).].
  14. Ratner A.Ju. Nevrologija novorozhdennyh. 7-e izd. M.: Laboratorija znanij, 2020; 368 s. [Ratner A.Yu. Neurology of newborns. 7th ed. M.: Laboratoriya znanii, 2020; 368 p. (in Russ).].
  15. Pal'chik A.B. Lektsii po nevrologii razvitija. 5-e izd, dop. i pererab. M.: MEDpress-inform, 2021; 472 s. [Palchik A.B. Lectures on developmental neurology. 5th ed., additional andrevised. M.: MEDpress-inform, 2021; 472 p. (in Russ.)].
  16. Evsjukova I.I., Koval'chuk-Kovalevskaja O.V., Zvereva N.A. i dr. Tserebral'naja oksimetrija kak metod diagnostiki perinatal'nogo porazhenija mozga u novorozhdennyh s zaderzhkoj vnutriutrobnogo razvitija. Neonatologija: novosti, mnenija, obuchenie. 2020; 8 (1): 9–14 [Evsyukova I.I., Kovalchuk-Kovalevskaya O.V., Zvereva N.A. et al. Cerebral oximetry as method of diagnostics of perinatal brain pathology in newborns with intrauterine growth retardation. Neonatologiya: novosti, mneniya, obuchenie = Neonatology: News, Opinions, Training. 2020; 8 (1): 9–14 (in Russ.)]. DOI: 10.33029/2308-2402-2020-8-1-9-14
  17. Il'enko L.I. i dr. Nedonoshennye deti. Uchebnoe posobie. M.: RNIMU im. N. I. Pirogova, 2020; 136 s. [Ilyenko L.I. et al. Premature baies: textbook. M.: Pirogov National Research Medical University, 2020; 136 p. (in Russ.)].
  18. Akusherstvo: natsional'noe rukovodstvo. Pod red. G.M. Savel'evoj, G.T. Suhih, V.N. Serova, V.E. Radzinskogo. 2-e izd., pererab i dop. M.: GEOTAR-Media, 2019; 1080 s. [Obstetrics: national guidance. Ed. G.M. Savelieva, G.T. Sukhikh, V.N. Serov, V.E. Radzinsky. 2nd ed., Revised and enlarged. M.: GEOTAR-Media, 2019; 1080 s. (in Russ.)].
  19. Shabalov N.P., Shmidt A.A., Gajvoronskih D.I. i dr. Perinatologija. Uchebnik. SPb: SpetsLit, 2020; 206 s. [Shabalov N.P., Schmidt A.A., Gaivoronovskikh D.I. et al. Perinatology: a textbook for students of medical universities. St. Petersburg: SpetsLit, 2020; 206 p. (in Russ.)].
  20. Neonatologija: v 2 t. T.2. Pod red. T.L. Gomelly, M.D. Kaningama i F.G. Ejalja. Per. s angl. pod red. D.N. Degtjareva. M.: BINOM, Laboratorija znanij, 2015; 864 s. [Neonatology: in 2 v. Vol. 2. Ed. T.L.Gomella, M.D. Kaningam and F.G. Eyal; Transl. from English. Ed. D.N. Degtyareva. M.: BINOM, Laboratoriya znanii, 2015; 864 p. (in Russ.)].
  21. Korobkov N.A., Vasil'ev V.V., Lobzin Ju.V. i dr. Infektsii v akusherstve. Rukovodstvo dlja vrachej. SPb: SpetsLit, 2019; 397 s. [Korobkov N.A., Vasiliev V.V., Lobzin Yu.V. et al. Infections in obstetrics: a guide for doctors. St. Petersburg: SpetsLit, 2019; 397 p. (in Russ.)].
  22. Kassil' V.L., Eremenko A.A., Sapicheva Ju.Ju. i dr. Printsipy mehanicheskoj ventiljatsii legkih v intensivnoj terapii. M: MEDpress-inform, 2017; 488 s. [Kassil V.L., Eremenko A.A., Sapicheva Yu.Yu. et al. The principles of mechanical ventilation in intensive care. M.: MEDpress-inform, 2017; 488 pp. (in Russ.)].
  23. Kassil' V.L. i dr. Ventiljatsija legkih v anesteziologii i intensivnoj terapii. M.: GEOTAR-Media, 2016; 720 s. [Kassil V.L. et al. Lung ventilation in anesthesiology and intensive care. M.: GEOTAR-Media, 2016; 720 p. (in Russ.)].
  24. Gomella T.L., Eyal F.G., Fayez B.-M. Neonatology. Management, Procedures, On-Call Problems, Diseses, and Druds. 8th ed. McGraw Hill Lange,
  25. Vedenie novorozhdennyh s respiratornym distress-sindromom 2015. Klinicheskie rekomendatsii (protokoly) po neonatologii. Red. D.O. Ivanov. SPb: Inform–Navigator, 2016; 464 s. [Management of newborns witn respiratory distress syndrome 2015. Clinical recommendations (Protocols) on neonatology. Ed. D.O. Ivanov. SPb: Inform–Nawigator, 2016; 464 p. (in Russ.)].
  26. Zav'jalov O.V., Chabaidze Zh.L., Dement'ev A.A. i dr. Respiratornyj distress-sindrom novorozhdennyh u glubokonedonoshennyh detej: epidemiologija, patogenez,klinika i perinatal'nye faktory riska. Vrach. 2020; 31 (8): 24–31 [Zavyalov O., Chabaidze Zh., Dementyev A. et al. Neonatal respiratory distress syndrome in extremely premature infants: epidemiology, pathogenesis, clinical presentations, and perinatal risk factors. Vrach. 2020; 31 (8): 24–31 (in Russ.)]. https://doi.org/10.29296/25877305-2020-08-04
  27. Federal'noe rukovodstvo po detskoj nevrologii. Pod red. V.I. Guzevoj. M.: OOO «MK», 2016; 656 s. [Federal Guide to Pediatrics Neurolody. Ed. V.I. Guzeva. M. : LLC «MK», 2016; 656 p. (in Russ.)].
  28. Petruhin A.S. Detskaja nevrologija. Uchebnik v 2 t. T.2. M.: GEOTAR-Media, 2018; 560 s. [Petrukhin A.S. Peditric neurology. Textbook in 2 vol. Vol. 2. M.: GEOTAR-Media, 2018; 560 p. (in Russ.)].
  29. Guzeva V.I., Ivanov D.O., Aleksandrovich Ju.S. i dr. Neotlozhnaja nevrologija novorozhdennyh i detej rannego vozrasta. SPb: SpetsLit, 2017; 2015 s. [Guzeva V.I., Ivanov D.O., Aleksandrovich Yu.S. et al. Emergency neurology of newborns and young children. St. Petersburg: SpetsLit, 2017; 2015 p. (in Russ.)].
  30. Neonatal'naja nevrologija (kollektivnaja monografija). Pod red. V.M. Studenikina, Sh.Sh. Shamansurova. M.: Medforum, 2014; 480 s. [Neonatal neurology (collective monograph). Ed. V.M. Studenikin, Sh.Sh. Shamansurova. M.: Medforum, 2014; 480 p. (in Russ.)].
  31. Rukovodstvo po perinatologii: v 2 t. Red. D.O. Ivanov. T.2. 2-e izd., ispr. i dop. SPb.: Inform–Navigator, 2019; 1592 s. [Guide to perinatology in 2 vol. Ed. D.O. Ivanov. T.2. 2nd ed., rev. and add. SPb: Inform–Navigator, 2019; 1592 p. (in Russ.)].
  32. Bek E., van Rejn R.R. Ul'trazvukovaja diagnostika u detej. Per. s angl. pod red. M.I. Pykova. M.: MEDpress-inform, 2020; 728 s. [Beck E., van Rijn R.R. Diagnostic Pediatric Ultrasound. Transl. from English. Ed. M.I. Pykov. M.: MEDpress-inform, 2020; 728 p. (in Russ.)].
  33. Ul'trazvukovaja anatomija zdorovogo rebenka. Pod red. I.V. Dvorjakovskogo. 1-e izd. M.: OOO «Firma STROM», 2009; 384 s. [Ultrasound anatomy of a healthy child. Ed. I.V. Dvoryakovsky. 1st ed. M.: OOO «Firma STROM», 2009; 384 p. (in Russ.)].
  34. Ol'hova E.B. Ul'trazvukovaja diagnostika v neotlozhnoj neonatologii. I t. Rukovodstvo dlja vrachej. M.: OOO «Firma STROM», 2016; 360 s. [Olkhova E.B. Ultrasound diagnostics in emergency. I vol. A duide for doctors. M.: OOO «Firma STROM», 2016; 360 p. (in Russ.)].
  35. Volodin N.N., Popov V.E., Livshits M.I. i dr. Kompleksnyj podhod v lechenii vnutrizheludochkovyh krovoizlijanij i postgemorragicheskoj gidrotsefalii u nedonoshennyh detej. Voprosy prakticheskoj pediatrii. 2013; 8 (6): 40–5 [Volodin N.N., Popov V.E., Livshits M.I. et al. A complex approach to treatment of intraventricular haemorrhages and posthaemorrhagic hydrocephalus in premature children. Voprosy prakticheskoi pediatrii. 2013; 8 (6): 40–5 (in Russ).].
  36. Majer R.F., Obladen M. Intensivnaja terapija novorozhdennyh. Dokazatel'stvo i opyt. Per. s nem. M.: MEDpress-inform, 2021; 768 s. [Maier R.F., Obladen M. Neugeborenen – intensivmedizin. Evidenz und Erfahrung. Transl. From German. M.: MEDpress-inform, 2021; 768 s. (in Russ.)].
  37. Aleksandrovich Ju.S., Pshenisnov K.V. Respiratornaja podderzhka pri kriticheskih sostojanijah v pediatrii i neonatologii: rukovodstvo dlja vrachej. M.: GEOTAR-Media, 2020; 272 s. [Aleksandrovich Yu.S., Pshenisnov K.V. Respiratory support for critical conditions in pediatrics and neonatology: a quide for doctors. M.: GEOTAR-Media, 2020; 272 pp. (in Russ.)]. DOI: 10.33029/9704-5418-3-IVL-2020-1-272
  38. Shurygin I.A. Iskusstvennaja ventiljatsija legkih kak meditsinskaja tehnologija. M.: BINOM, 2020; 630 s. [Shurygin I.A. Artificial ventilation as a medical technology. M.: BINOM, 2020; 630 p. (in Russ.)].
  39. Zav'jalov O.V. Otsenka roli differentsirovannogo podhoda pri provedenii respiratornoj terapii u detej s ekstremal'no nizkoj massoj tela v rannem neonatal'nom periode. V kn.: Vorontsovskie chtenija. Sb. mat-lov XIII Vseross.j nauchno-prakt. konf. s mezhdunar. uchastiem. SPb, 2020; s. 15–20 [Zavyalov O.V. Assessing the role of a differentiated approach in respiratory therapy in children with extremely low body weight in the early neonatal period. In the book: Vorontsovskie readings. Collection of materials of the XIII th All-Russian scientific-practical conference with international participation. St. Petersburg, 2020; p. 15–20. (in Russ.)].
  40. Anesteziologija, reanimatologija i intensivnaja terapija v pediatrii: ucheb posobie. Pod red. V.V. Lazareva, V.A. Grebennikova. M.: Aksiom grafiks junion, 2020; 400 s. [Anestesiology, reanimatology and intensive care in pediatrics: textbook. Ed. V.V. Lazarev, V.A. Grebennicov. M.: Axiom Grifix Union, 2020; 400 pp. (in Russ.)].
  41. Detskaja anesteziologija. Pod red. A.D. Keja, Ch.Dzh. Foksa, Dzh.H. Diasa. Per. s angl. pod red. S.M. Stepanenko. M.: GEOTAR-Media, 2018; 648 s. [Essentials of Pediatric Anesthesiology. Edited by A.D. Kaye, Ch.J. Fox, J.H. Diaz. Transl. from English ed. S.M. Stepanenko. M.: GEOTAR-Media, 2018; 648 p. (in Russ.)].
  42. Lucky J., Gautham K.S. Clinical Guidelines in Neonatology. New York: Mc Graw Hill, 2019; 648 p.
  43. Zav'jalov O.V., Marenkov V.V., Dement'ev A.A. i dr. Lechenie respiratornogo distress-sindroma novorozhdennyh u nedonoshennyh detej s ekstremal'no nizkoj massoj tela: vybor respiratornoj podderzhki. Vrach. 2020; 31 (8): 58–64 [Zavyalov O., Marenkov V., Dementyev A. et al. Treatment for neonatal respiratory distress syndrome in extremely low-birth weight premature infants: selection of respiratory support. Vrach. 2020; 31 (8): 58–64 (in Russ.)]. https://doi.org/10.29296/25877305-2020-08-09