Brain-stem auditory evoked responses to hypercarbia in preterm infants

Helena E. Friss, Dorothy Wavrek, William H. Martin, Marla R. Wolfson

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

To determine the effect of acute hypercarbia on brain-stem function in preterm neonates, we compared brain-stem auditory evoked responses (BAERs) during 8% CO2 breathing to those elicited during room air breathing in 12 healthy preterm infants during the first week of life. End-tidal CO2 (ETpCO2), respiratory rate and depth were monitored throughout the protocol. Absolute wave latencies and interpeak intervals of the BAERs were ana;yzed from duplicate trials. During 8% CO2 breathing, ETpCO2, respiratory rate depth of respiration increased significantly (p < 0.05). The absolute latency of wave V was prolonged (P < 0.025). Values of absolute peak latencies I and III were unaffected by the hypercarbic state. These data demonstrate that elevations in pCO2 which elicit ventilatory responses also effect the BAER. The specific effects on ventilatory pattern, peak V latency and interpeak interval III-V indicate brain-stem responsiveness and alterations in the more central components of the auditory pathway. These findings raise important considerations regarding the influence of hypercarbia on brain-stem function preterm infants and the clinical management of such infants with abnormalities of gas exchange.

Original languageEnglish (US)
Pages (from-to)331-336
Number of pages6
JournalElectroencephalography and Clinical Neurophysiology
Volume90
Issue number5
DOIs
StatePublished - May 1994
Externally publishedYes

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Keywords

  • Brain-stem auditory evoked response (BAER)
  • Hypercarbia
  • Preterm infant

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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