Résumé
Transitional hemodynamic is a period with a high risk of complications in preterm neonates. Monitoring during the first hours of life is essential to quickly manage hemodynamic failures. The use of cerebral NIRS is expanding in neonatology. Method: this is a retrospective observational study. We compared a group of extremely preterm neonates who benefited a cerebral NIRS monitoring during the first 72 hours of life with those who benefited a traditional monitoring. Children born before 26 weeks and cared at the Nîmes University Hospital were eligible. The primary outcome was the incidence of hemodynamic interventions, and the secondary outcome were mortality and morbidity. Results: a total of 62 newborns were included in our study. We did not find any significant difference regarding hemodynamic interventions: use of amine and/or filling with physiological saline or albumin and/or treatment after hydrocortisone (p=0.97). However, the morbidity linked to the occurrence of necrotizing enterocolitis was statistically significant in favor of NIRS monitoring (p=0.05). Conclusion: monitoring transition hemodynamic by cerebral NIRS in our study population has no impact on hemodynamic intervention. However, this study allowed us to carry out a treatment protocol based on the use of cerebral NIRS.