Histogram analysis for bedside respiratory monitoring in not critically ill preterm neonates: a proposal for a new way to look at the monitoring data

Sur, Amitava; Paria, Anshuman

doi:10.1007/s00431-020-03732-2

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Sur and Paria proposed a Nasal Intermittent Positive Pressure Ventilation (NIPPV) which improves ventilator rates [ 21 ] when compared to power effectively. In contrast, it enhances coordination in the treatment of respiratory assistance by sensing diaphragmatic brain impulses and may give prospective advantages in newborn ventilation.…”

Section: Literature Surveymentioning

confidence: 99%

Pulmonary Magnetic Resonance Imaging Replaces Bedside Imaging in Diagnosing Pneumonia in Infants

Zhang

2022

BioMed Research International

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Neonatal Bronchopulmonary Bedside Photography (NBBP) evaluates the consumption of lung magnetic resonance imaging as a replacement for bedside imaging in diagnosing infant pneumonia. In premature baby respiratory support, Neonatal Bronchopulmonary (NB) is one of the most dangerous consequences of accurate diagnosis that impact health alternatives once steroids are administered. Infants may experience eating issues and vomit if their condition is bad enough; lower birth weight, younger gestational age, and extensive breathing tube damage are the most frequently established risk factors as a component of a neonatal habitat. This paper introduces the Intelligent Medical Care (IMC) for Neonatal Bronchopulmonary Bedside Photography (NBBP), which enhances various preventive efforts such as prenatal steroid therapy. Because of many prenatal and postnatal variables, growth hormone and diet nutrients influence alveolar and vascular development. For the future prevention of NB, it is more likely that a combination of different therapies working on diverse causal pathways would be beneficial. This research in NBBP-IMC technology that enhances prenatal care medicines are the most excellent and effective treatments for all these neonates throughout the decades. As a result, premature babies at risk for NB may benefit from the findings of this research, which experts anticipate can inspire further studies in the area. The purpose of this paper is to emphasize the work performed to improve respiratory outcomes for babies at risk of NB and to place this work in perspective with relevant research currently being conducted simultaneously.

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Section: Literature Surveymentioning

confidence: 99%

Pulmonary Magnetic Resonance Imaging Replaces Bedside Imaging in Diagnosing Pneumonia in Infants

Zhang

2022

BioMed Research International

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“…A learning curve is also expected over time. Reference values based on historical data from a comparable population and more objective scores, for example a histogram classification score [ 25 , 26 ], could support data interpretation. SpO 2 histograms were included in our prototype as these are not presented by the standard bedside monitoring software of the unit, in contrast to some other centers.…”

Section: Discussionmentioning

confidence: 99%

Development of a Web-Based Oxygenation Dashboard for Preterm Neonates: A Quality Improvement Initiative

Poppe,

Smorenburg,

Goos

et al. 2024

J Med Syst

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Background: Preterm neonates are extensively monitored to require strict oxygen target attainment for optimal outcomes. In daily practice, detailed oxygenation data are hardly used and crucial patterns may be missed due to the snapshot presentations and subjective observations. This study aimed to develop a web-based dashboard with both detailed and summarized oxygenation data in real-time and to test its feasibility to support clinical decision making. Methods: Data from pulse oximeters and ventilators were synchronized and stored to enable real-time and retrospective trend visualizations in a web-based viewer. The dashboard was designed based on interviews with clinicians. A preliminary version was evaluated during daily clinical rounds. The routine evaluation of the respiratory condition of neonates (gestational age < 32 weeks) with respiratory support at the NICU was compared to an assessment with the assistance of the dashboard. Results: The web-based dashboard included data on the oxygen saturation (SpO2), fraction of inspired oxygen (FiO2), SpO2/FiO2 ratio, and area < 80% and > 95% SpO2 curve during time intervals that could be varied. The distribution of SpO2 values was visualized as histograms. In 65% of the patient evaluations (n = 86) the level of hypoxia was assessed differently with the use of the dashboard. In 75% of the patients the dashboard was judged to provide added value for the clinicians in supporting clinical decisions. Conclusions: A web-based customized oxygenation dashboard for preterm neonates at the NICU was developed and found feasible during evaluation. More clear and objective information was found supportive for clinicians during the daily rounds in tailoring treatment strategies.

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“…Oxygen profiles are commonly used to make management decisions on respiratory support and oxygen supplementation in preterm infants. [1][2][3][4] Term infants admitted to the NICU with nonrespiratory or cardiac concerns, such as hypoglycemia and jaundice, are also typically monitored with continuous pulse oximetry. However, healthy term infants are known to have variability in oxygen saturations in early postnatal life, 5 and there is limited evidence on normal oxygen saturation profiles in otherwise healthy full-term infants.…”

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confidence: 99%

“…Oxygen profiles are commonly used to make management decisions on respiratory support and oxygen supplementation in preterm infants. 1 2 3 4…”

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confidence: 99%

Oxygen Saturation Profiles in Healthy Term Infants in Early Postnatal Life

et al. 2022

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Objective Oxygen saturation profiles generated by pulse oximetry are used as a clinical tool in the neonatal intensive care unit (NICU). There is limited evidence on normal oxygen saturation profile values in term infants. This study aimed to determine oxygen saturation profiles over an 8-hour monitoring period among healthy term neonates between 24 and 48 hours after birth. Study Design A prospective cohort study of healthy term neonates born at 37 to 41 weeks of gestation. Preductal oxygen saturations were continuously monitored for an 8-hour period between 24 and 48 hours of life using pulse oximetry. Oxygen profile histograms were recorded for analysis. The average percent oxygen saturation (SpO2) was measured over the entire study duration for each neonate and was characterized as the fraction of time of their SpO2 reading was in each of five intervals: ≤80, 81 to 84, 85 to 89, 90 to 94, and 95 to 100%. Results Seventy-five neonates were included in the study. Median SpO2 was 95.4%. Percentage time spent in each of the five SpO2 intervals was as follows: 0.07 (≤80), 0.15 (81–84), 0.88 (85–89), 26.9 (90–94), and 67.3% (95–100%). Eighteen infants (24%) spent the highest percentage of time in SpO2 of 90 to 94%. Conclusion This study provides reference ranges for oxygen profiles in healthy term neonates during 24 to 48 hours of life. Nearly one-quarter of newborns spent the highest percentage of time in SpO2 of 90 to 94%. This data is important when interpreting oxygen saturation profiles of term neonates admitted to the NICU. Key Points

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Histogram analysis for bedside respiratory monitoring in not critically ill preterm neonates: a proposal for a new way to look at the monitoring data

Cited by 5 publications

References 16 publications

Pulmonary Magnetic Resonance Imaging Replaces Bedside Imaging in Diagnosing Pneumonia in Infants

Pulmonary Magnetic Resonance Imaging Replaces Bedside Imaging in Diagnosing Pneumonia in Infants

Development of a Web-Based Oxygenation Dashboard for Preterm Neonates: A Quality Improvement Initiative

Oxygen Saturation Profiles in Healthy Term Infants in Early Postnatal Life

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