Elsevier

The Journal of Pediatrics

Volume 147, Issue 5, November 2005, Pages 698-699
The Journal of Pediatrics

Clinical and Laboratory Observation
Feasibility of and Delay in Obtaining Pulse Oximetry during Neonatal Resuscitation

https://doi.org/10.1016/j.jpeds.2005.07.025Get rights and content

Application of the sensor to newly born infants before connection to a pulse oximeter increases the reliability and speed with which data are displayed. Data are available in most infants within 90 seconds of birth. Oximetry may be useful in guiding interventions during 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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Supported by a RWH Postgraduate Degree Scholarship (CPFO) and a NHMRC Practitioner Fellowship (PGD).

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