Clinical practices in neonatal oxygenation: where have we failed? What can we do?

Sola, Augusto; Saldeño, Y P; Favareto, Verónica

doi:10.1038/jp.2008.47

Cited by 56 publications

(64 citation statements)

References 63 publications

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“…4,5 While over the last decades, the main focus of concern regarding possible causes of impaired neurological outcome was on insufficient oxygenation during the perinatal period, there is, based on the work of Ola Saugstad, Maximo Vento and other researchers, increasing concern regarding shortand long-term damage to newborns exposed to high oxygen concentrations in the delivery room. [6][7][8][9][10][11][12][13] It is only recently that the noxious potential of excess oxygen exposure during the resuscitation of near-term or term infants immediately after birth has been recognized. 14,15 It has therefore been proposed to start neonatal resuscitation in the delivery room by administering a lower FiO 2 , a proposal which has been echoed by several international recommendations on neonatal resuscitation.…”

Section: Introductionmentioning

confidence: 99%

Near-Infrared Spectroscopy Measurements of Cerebral Oxygenation in Newborns during Immediate Postnatal Adaptation

Fauchère

Schulz

Haensse

et al. 2010

The Journal of Pediatrics

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Section: Introductionmentioning

confidence: 99%

Near-Infrared Spectroscopy Measurements of Cerebral Oxygenation in Newborns during Immediate Postnatal Adaptation

Fauchère

Schulz

Haensse

et al. 2010

The Journal of Pediatrics

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“…Some therapies such as surfactants and oxygen supplementation as adjutant and alternative therapy are used for lung development in preterm infants. Oxygen is the most commonly administered drug for infants with pathological conditions leading to tissue hypoxia (5). Oxygen delivery is adopted depending on the infant's needs and the type of disease.…”

Section: Introductionmentioning

confidence: 99%

“…Although oxygen therapy is the most common therapy used for infants, inappropriate control of administered oxygen could lead to irrevocable damage to many of the newborns, particularly preterm infants (5). As oxygen is considered as a drug, then required cautions with reference to pharmacotherapy principles should be used in its administration (7) and, as with any other drugs, its indications and complications, care practices in administration, and monitoring should receive much attention (8).…”

Section: Introductionmentioning

confidence: 99%

Nurse’ Performance in Oxygen Therapy for Infants Hospitalized at the Neonate Intensive Care Unit

Hemati¹,

Mohammadi²,

Boroumand³

et al. 2016

Crit Care Nurs J

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Background: The main problem of preterm infants is lung function disorder and disordered oxygenation due to an immature respiratory tract, therefore, appropriate performance of nurses in oxygen therapy is very important. Objectives: The aim of this study was to investigate nurses' performance during oxygen therapy for hospitalized infants at the neonatal intensive care unit (NICU). Patients and Methods:In this descriptive, cross-sectional study, 110 nurses working at the NICU of teaching hospitals affiliated with the Isfahan University of Medical Sciences were enrolled by the census. Data were gathered from a questionnaire on demographic characteristics and a checklist for observational assessment of nurses' performance. Data analysis was done with the SPSS 20 software. Results: Of the nurses, 39.1% had favorable performance. Furthermore, Spearman's correlation coefficient indicated that age and nurse's performance were directly and significantly correlated, yet education level and work shift types were not correlated with performance. Conclusions: Since oxygen is frequently administered at the NICU, holding in-service training courses for improving nurse's performance and preventing long-term complications due to oxygen administration seem necessary.

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“…Such practices may be harmful. 35 Instead, oxygen saturation values should be monitored closely, with measures to increase oxygenation used only as needed to maintain SpO 2 within the target range.…”

Section: Stability Of the Saturation Signal In Clinical Settingsmentioning

confidence: 99%

Oxygen Targeting in Extremely Low Birth Weight Infants

Cummings¹,

Polin²,

Newborn³

2016

Pediatrics

112

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The use of supplemental oxygen plays a vital role in the care of the critically ill preterm infant, but the unrestricted use of oxygen can lead to unintended harms, such as chronic lung disease and retinopathy of prematurity. An overly restricted use of supplemental oxygen may have adverse effects as well. Ideally, continuous monitoring of tissue and cellular oxygen delivery would allow clinicians to better titrate the use of supplemental oxygen, but such monitoring is not currently feasible in the clinical setting. The introduction of pulse oximetry has greatly aided the clinician by providing a relatively easy and continuous estimate of arterial oxygen saturation, but pulse oximetry has several practical, technical, and physiologic limitations. Recent randomized clinical trials comparing different pulse oximetry targets have been conducted to better inform the practice of supplemental oxygen use. This clinical report discusses the benefits and limitations of pulse oximetry for assessing oxygenation, summarizes randomized clinical trials of oxygen saturation targeting, and addresses implications for practice.

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Clinical practices in neonatal oxygenation: where have we failed? What can we do?

Cited by 56 publications

References 63 publications

Near-Infrared Spectroscopy Measurements of Cerebral Oxygenation in Newborns during Immediate Postnatal Adaptation

Near-Infrared Spectroscopy Measurements of Cerebral Oxygenation in Newborns during Immediate Postnatal Adaptation

Nurse’ Performance in Oxygen Therapy for Infants Hospitalized at the Neonate Intensive Care Unit

Oxygen Targeting in Extremely Low Birth Weight Infants

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