Oxygen for the Newborn: Friend or Foe?

Oxygen supplementation is widely used in neonatal care, however, it can also cause toxic effects if not used properly. Therefore, it appears crucial to find a balance in oxygen administration to avoid damage as a consequence of its insufficient or excessive use. Oxygen toxicity is mainly due to the...

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Main Authors: Serafina Perrone (Author), Sara Manti (Author), Chiara Petrolini (Author), Valentina Giovanna Dell'Orto (Author), Giovanni Boscarino (Author), Chiara Ceccotti (Author), Mattia Bertini (Author), Giuseppe Buonocore (Author), Susanna Maria Roberta Esposito (Author), Eloisa Gitto (Author)
Format: Book
Published: MDPI AG, 2023-03-01T00:00:00Z.
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Summary:Oxygen supplementation is widely used in neonatal care, however, it can also cause toxic effects if not used properly. Therefore, it appears crucial to find a balance in oxygen administration to avoid damage as a consequence of its insufficient or excessive use. Oxygen toxicity is mainly due to the production of oxygen radicals, molecules normally produced in humans and involved in a myriad of physiological reactions. In the neonatal period, an imbalance between oxidants and antioxidant defenses, the so-called oxidative stress, might occur, causing severe pathological consequences. In this review, we focus on the mechanisms of the production of oxygen radicals and their physiological functions in determining a set of diseases grouped together as "free radical diseases in the neonate". In addition, we describe the evolution of the oxygenation target recommendations during neonatal resuscitation and post-stabilization phases with the aim to define the best oxygen administration according to the newest evidence.
Item Description:10.3390/children10030579
2227-9067