Clinical and Laboratory ObservationFeasibility of and Delay in Obtaining Pulse Oximetry during Neonatal Resuscitation
Section snippets
Methods
When available, 1 of 2 investigators attended deliveries and made detailed recordings. A digital video camera was mounted above the resuscitation cot to acquire a clear view of the infant. An L-NOP Neo-L sensor of a Masimo Radical (Masimo Corporation, Irvine, Calif) pulse oximeter was placed on the infant's right hand or wrist as soon as practicable after delivery and secured with Coban wrap (3M Healthcare, St. Paul, Minn). The oximeter was set to acquire data with maximal sensitivity and to
Results
Pulse oximetry was used in 115 of the 122 videos obtained. The mean (standard deviation, range) gestational age and birth weight of these infants were 32 (6, 23 to 42) weeks and 1830 (1064, 495 to 4930) g, respectively. Of the 115 infants, 60 (52%) were VLBW. The maximal respiratory support given to these infants was as follows: none in 29, supplemental oxygen in 9, mask continuous positive airway pressure (CPAP) or positive-pressure ventilation (PPV) in 19, nasal CPAP in 28, and endotracheal
Discussion
The findings of the present study demonstrate that it is possible to obtain pulse oximetry data during neonatal resuscitation. When an oximeter is switched on with a sensor connected, it immediately attempts to generate data. If the sensor is not applied to an infant, then it will interpret environmental “noise” and generate an artifactual signal. When the sensor is then applied, the oximeter averages this artifactual signal with the true signal detected from the infant, leading to a delay in
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Cited by (110)
Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study
2020, Journal of PediatricsEnhanced monitoring during neonatal resuscitation
2019, Seminars in PerinatologyMonitoring heart rate in the delivery room
2018, Seminars in Fetal and Neonatal MedicineThe Goldilocks principle. Oxygen in the delivery room: When is it too little, too much, and just right?
2018, Seminars in Fetal and Neonatal Medicine
Supported by a RWH Postgraduate Degree Scholarship (CPFO) and a NHMRC Practitioner Fellowship (PGD).