Monitoring oxygen saturation and heart rate during neonatal transition. comparison between two different pulse oximeters and electrocardiography

OBJECTIVE: To compare the efficacy and reliability of two pulse-oximeters (POx) (Masimo Radical-7 and Nellcor™ Oxymax Bedside) and evaluate the feasibility of routine ECG monitoring during delivery room transition.

STUDY DESIGN: Prospective observational comparative study. Sixty newborns were connected simultaneously to both POxs and ECG monitor (as a gold standard for HR). Times to achieve a stable signal were compared. Heart rates were compared to simultaneous ECG.

RESULTS: A significant difference in times to stable signal was found: Mean, Median (Interquartile range) for Nellcor and Masimo, were 15, 8.5 (6-18) and 27, 12 (9-34) seconds, respectively. Compared to ECG, false bradycardia was displayed in 18 of 55 (35%) newborns by the Masimo POx and in no newborns by the Nellcor POx. Attaching the ECG monitor was feasible but consumed additional resources.

CONCLUSIONS: The time for achievement of a stable saturation reading in an uncomplicated resuscitation setting differed significantly between POxs.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Journal of perinatology : official journal of the California Perinatal Association - 41(2021), 4 vom: 30. Apr., Seite 885-890

Sprache:

Englisch

Beteiligte Personen:

Khoury, Rasha [VerfasserIn]
Klinger, Gil [VerfasserIn]
Shir, Yakir [VerfasserIn]
Osovsky, Michael [VerfasserIn]
Bromiker, Ruben [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Observational Study
Oxygen
S88TT14065

Anmerkungen:

Date Completed 31.08.2021

Date Revised 01.09.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41372-020-00881-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318169088