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

Dimich, Ivan; Singh, Prabhjot; Adell, A.; Hendler, Michele; Sonnenklar, Norman; Jhaveri, Mennakshi

doi:10.1007/bf03008616

Cited by 80 publications

(76 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Heart rate is frequently used for the assessment of the response against resuscitation, however, it is not recognized as a determinative indicator of the oxygenation . Uncertainty of the criteria employed for assessment of the required oxygen in neonates may lead to exposure to excessive oxygen and its potential risks (Porter et al 1988;Dimich et al 1991;Saugstad et al 1998;Vento et al 2003Vento et al , 2005. Therefore, in order to protect the neonates from hyperoxia and its side effects, SpO 2 level should be monitored by pulse oximetry and the concentration of oxygen delivery should be based on the data associated with the course of the SpO 2 level (House et al 1987;Vento et al 2003;ILCOR 2005).…”

Section: Discussionmentioning

confidence: 99%

Oxygen Saturation Levels during the First Minutes of Life in Healthy Term Neonates

Zubarioglu

Uslu

Can

et al. 2011

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

The oxygen support during neonatal resuscitation is not completely defined by evidence-based science. We, therefore, aimed to determine the oxygen saturation (SpO 2 ) levels within the first 15 minutes of life and to evaluate the effect of delivery routes, gender and measurement sites on the mean time to reach preductal and postductal SpO 2 levels of 90% among healthy term neonates. The sensors were placed at the right hand for preductally and the left hand for postductally SpO 2 measurements. In this prospective observational study, 141 healthy term neonates were included. Seventy-one (50.3%) of the babies were female, and 77 (54.6%) were delivered by caesarean section. Mean gestational age was 38.8 ± 1.1 weeks and mean birth weight was 3,082 ± 425.7 g. Overall, it took 7.5 ± 2.8 and 9.5 ± 3.2 min to reach oxygen saturation levels ≥ 90% preductally and postductally, respectively. The lengths of time to reach ≥ 90% preductal and postductal SpO 2 levels were 6.9 ± 2.8 and 8.4 ± 3.2 min for vaginal delivery and 8.0 ± 2.8 and 10.4 ± 2.9 min for caesarean section, respectively. Thus, the time to reach SpO 2 levels ≥ 90% was prolonged in the postductal measurements and in the neonates born by caesarean section. Gender was found to have no effect on duration to reach 90% SpO 2 levels at both preductal and postductal measurements. The measurement site and the type of delivery must be taken into consideration when oxygen saturation was measured in term healthy newborn in delivery room immediately after birth.

show abstract

Section: Discussionmentioning

confidence: 99%

Oxygen Saturation Levels during the First Minutes of Life in Healthy Term Neonates

Zubarioglu

Uslu

Can

et al. 2011

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

show abstract

“…Oxygen saturation was <30% in 12 neonates and <50% in 26 neonates at some time during the 15-min monitoring period. In term infants, preductal SpO 2 values have been reported to be B5 to 10% higher than postductal values in the first 5 min of life 47,48 . Mariani et al 49 confirmed the presence of such gradients for the first 15 min of life.…”

Section: Pulse Oximetersmentioning

confidence: 98%

Neonatal resuscitation for the preterm infant: evidence versus practice

Finer

Rich

2010

J Perinatol

View full text Add to dashboard Cite

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.

show abstract

“…12 On the other hand, there are also some studies which support the fact that the mode of delivery does not affect the SpO 2 progression. 13,14 The present study was conducted with a new generation pulse oximeter with a neonatal probe keeping in mind the guidelines provided by the American Academy of Paediatrics to reduce the motion artefacts and other pitfalls. All the readings of colour and SpO 2 were taken by a single observer to minimize inter-observer variations.…”

Section: Discussionmentioning

confidence: 99%

Comparison of pulse oximetry and colour: a better index of oxygenation in neonatal resuscitation

Bansal

Das

Ambey

2016

Int J Contemp Pediatr

View full text Add to dashboard Cite

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

Cited by 80 publications

References 9 publications

Oxygen Saturation Levels during the First Minutes of Life in Healthy Term Neonates

Oxygen Saturation Levels during the First Minutes of Life in Healthy Term Neonates

Neonatal resuscitation for the preterm infant: evidence versus practice

Comparison of pulse oximetry and colour: a better index of oxygenation in neonatal resuscitation

Contact Info

Product

Resources

About