Continuous Neonatal Evaluation in the Delivery Room by Pulse Oximetry

House, Jeffrey; Schultetus, Raymond R.; Gravenstein, N.

doi:10.1097/00132582-198707000-00021

Cited by 25 publications

(36 citation statements)

References 0 publications

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“…Rabi et al (2006) did not find any difference between the preductal measurements, as well. Contrary to those results, other studies in the literature did not find any difference between the infants born by caesarean section and vaginal delivery with regard to SpO 2 values (House et al 1987;Saugstad et al 1998). In our study, we demonstrated that infants born by cesarean delivery had lower oxygen saturation (especially postductally) and required longer to reach oxygen saturation ≥ 90% compared with infants born vaginally.…”

Section: Saugstad Et Al 1998) New Generation Pulse Oximeterscontrasting

confidence: 99%

“…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%

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

Zubarioglu

Uslu

Can

et al. 2011

Tohoku J. Exp. Med.

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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.

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Section: Saugstad Et Al 1998) New Generation Pulse Oximeterscontrasting

confidence: 99%

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.

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“…40 The rate of change from fetal to neonatal values after birth has been demonstrated by multiple investigators to be more gradual than previously believed, with actual SpO 2 values reaching the expected neonatal levels after 5 to 15 min of life. [41][42][43][44][45] House et al 46 reported that average oxygen saturation was 59% at 1 min, 68% at 2 min, 82% at 5 min and 90% at 15 min. Oxygen saturation was <30% in 12 neonates and <50% in 26 neonates at some time during the 15-min monitoring period.…”

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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Continuous Neonatal Evaluation in the Delivery Room by Pulse Oximetry

Cited by 25 publications

References 0 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

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

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