{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T04:36:58Z","timestamp":1785213418157,"version":"3.55.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Hypoglycemia is a significant risk factor for perinatal brain injury and adverse outcomes, particularly in infants requiring resuscitation following hypoxic ischemic (HI) insult. We aimed to study blood glucose (BG) levels in physiologically stressed infants in the presence or absence of epinephrine (Epi) administration at resuscitation in the first 24\u2009hours after birth.<\/jats:p><jats:p>\n          Study Design\u2003A retrospective chart review of all infants with heart rate (HR)\u2009&lt;\u2009100\/min at 1\u2009minute requiring positive pressure ventilation (PPV) at birth was performed. Infants were classified into two groups as follows: (1) PPV group: infants' HR improved with PPV only at resuscitation, and Epi group: infants received Epi at resuscitation for persistent bradycardia. Serial measurements of BG levels collected and glucose infusion rate (GIR) calculated at 24\u2009hours.<\/jats:p><jats:p>\n          Results\u2003By design, infants in the Epi group had lower cord pH and higher base deficit. BG was significantly lower overtime in premature infants \u226432 weeks of gestation in the Epi group. The BG was markedly higher in near-term and term infants in the Epi group compared with the PPV group. Hypoglycemia was more common despite administration of higher GIR in premature infants \u226432 weeks of gestation.<\/jats:p><jats:p>\n          Conclusion\u2003In the presence of physiological stress, premature infants are more at risk for hypoglycemia than term infants.<\/jats:p>","DOI":"10.1055\/s-0039-1698834","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:05:20Z","timestamp":1572912320000},"page":"490-496","source":"Crossref","is-referenced-by-count":9,"title":["Glucose Levels during the First 24 Hours following Perinatal Hypoxia"],"prefix":"10.1055","volume":"38","author":[{"given":"Mahdi","family":"Alsaleem","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Mercy Hospital, University of Missouri-Kansas City School of Medicine, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lida I.","family":"Zeinali","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, The State University of New York, Buffalo, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bobby","family":"Mathew","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, The State University of New York, Buffalo, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0950-2608","authenticated-orcid":false,"given":"Vasantha H.S.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University at Buffalo, The State University of New York, Buffalo, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,11,4]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"e1400","DOI":"10.1542\/peds.2010-2972E","article-title":"Neonatal resuscitation: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care","volume":"126","author":"J Kattwinkel","year":"2010","journal-title":"Pediatrics"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1046\/j.1440-1754.1998.00292.x","article-title":"Mortality and neurodevelopmental outcome for infants receiving adrenaline in neonatal resuscitation","volume":"34","author":"A I O'Donnell","year":"1998","journal-title":"J Paediatr Child Health"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1001\/archneur.1977.00500140019003","article-title":"Nervous system effects of cardiac arrest in monkeys. 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