Changes in Arterial Oxygen Saturation Immediately After Birth in the Human Neonate

Harris, Andrew P.; Sendak, M. J.; Donham, Robert T.

doi:10.1097/00132582-198707000-00020

Cited by 22 publications

(33 citation statements)

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“…6.7 Pulse oximetry is a simple and non-invasive method for the continuous evaluation of SpO2. Its ability to respond rapidly to changes in SpO2 makes it extremely useful in the evaluation of neonates in the delivery room, Harris et al 3 used pulse oximetry in the immediate postpartum period to evaluate continuous changes in the neonate's SaO2. They reported a low value for SpO2 at one minute of 61 • 5%, followed by an increase to 82 ---2% at seven minutes.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of oxygen saturation monitoring by pulse oximetry in neonates in the delivery system

et al. 1991

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Section: Discussionmentioning

confidence: 99%

“…3 used the pulse oximeter in the delivery room to measure SpO2 in neonates by applying a sensor over the Achilles tendon and found that the neonates remained relatively desaturated in the immediate postpartum period. It was concluded that careful monitoring of neonatal oxygenation in the delivery room, even after normal delivery, may be warranted.…”

mentioning

confidence: 99%

Evaluation of oxygen saturation monitoring by pulse oximetry in neonates in the delivery system

et al. 1991

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“…Pulse oximetry has been shown to provide useful information during the neonatal transition from fetal life, [32][33][34][35][36] and has become the standard for preterm deliveries. Once operational, a pulse oximeter provides a continuous heart rate, which is more helpful in assessing the benefit of any intervention than the currently recommended infrequent checking of heart rate.…”

Section: Pulse Oximetersmentioning

confidence: 99%

Neonatal resuscitation for the preterm infant: evidence versus practice

Finer

Rich

2010

J Perinatol

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In an effort to determine the actual conduct of neonatal resuscitation and the errors that may be occurring during this process, we developed a method of video recording neonatal resuscitations as an ongoing quality assurance project. We initiated video recordings of resuscitations using simple video recorders attached to an overhead warmer and reviewed the resultant tapes during biweekly quality improvement meetings. We also added the continuous recording of analog information such as heart rate, oximeter values, fraction of inspired oxygen and airway pressure. We subsequently developed a checklist that includes a preresuscitation briefing and a postresuscitation debriefing, all of which are reviewed at the same time as the video recording. We have examined the use of oxygen in the very preterm infant, the effectiveness of bag and mask ventilation, including the detection of airway obstruction during such ventilation, intubation in the delivery area and environment. In addition, we have trained our teams and leaders using Crew Resource Management and focused on improved communication. The availability of a dedicated room for resuscitation allows an increased ambient environment and the ability to provide a userfriendly setting similar to the neonatal intensive care unit to optimize performance. There are numerous opportunities for improving team and leader performance and outcomes following neonatal resuscitation. Further prospective studies are required to evaluate specific interventions.

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“…Transcutaneous oximetry, which is the only practical way of looking at oxygen sufficiency in the delivery room, currently has wide variations reported in few studies. [7][8][9][10] Much more information is needed to determine the practicability of use and the establishment of norms of saturations in the timeline of the minutes after birth.…”

Section: Use Of Oxygenmentioning

confidence: 99%

Moving from experience to evidence: changes in US Neonatal Resuscitation Program based on International Liaison Committee on Resuscitation Review

Escobedo

2008

J Perinatol

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The Neonatal Workgroup of the International Liaison Committee on Resuscitation recently made available their rigorous review of the scientific evidence base for selected neonatal resuscitation issues. The Neonatal Resuscitation Program guidelines have been recently revised based on that review and published as the Textbook of Neonatal Resuscitation, 5th edn. This review article highlights pertinent changes in recommendations, including revisions in: oxygen use; CO 2 detectors for confirmation of intubation; management of the infant born through meconium-stained amniotic fluid; initial ventilation devices and strategies; thermal protection of very small preterm infants; medications, including doses and routes of delivery; postresuscitation therapies for consideration and ethical issues in initiation and discontinuation of resuscitation.

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Changes in Arterial Oxygen Saturation Immediately After Birth in the Human Neonate

Cited by 22 publications

References 0 publications

Evaluation of oxygen saturation monitoring by pulse oximetry in neonates in the delivery system

Evaluation of oxygen saturation monitoring by pulse oximetry in neonates in the delivery system

Neonatal resuscitation for the preterm infant: evidence versus practice

Moving from experience to evidence: changes in US Neonatal Resuscitation Program based on International Liaison Committee on Resuscitation Review

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