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Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis

Background: European guidelines recommend the use of pulse oximetry (PO) during newborn resuscitation, especially when there is a need for positive pressure ventilation or supplemental oxygen. The objective was to evaluate (i) to what extent PO was used, (ii) the time and resources spent on the appl...

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Autores principales: Kolstad, Vilde, Pike, Hanne, Eilevstjønn, Joar, Buskov, Frederikke, Ersdal, Hege, Rettedal, Siren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10377843/
https://www.ncbi.nlm.nih.gov/pubmed/37508621
http://dx.doi.org/10.3390/children10071124
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author Kolstad, Vilde
Pike, Hanne
Eilevstjønn, Joar
Buskov, Frederikke
Ersdal, Hege
Rettedal, Siren
author_facet Kolstad, Vilde
Pike, Hanne
Eilevstjønn, Joar
Buskov, Frederikke
Ersdal, Hege
Rettedal, Siren
author_sort Kolstad, Vilde
collection PubMed
description Background: European guidelines recommend the use of pulse oximetry (PO) during newborn resuscitation, especially when there is a need for positive pressure ventilation or supplemental oxygen. The objective was to evaluate (i) to what extent PO was used, (ii) the time and resources spent on the application of PO, and (iii) the proportion of time with a useful PO signal during newborn resuscitation. Methods: A prospective observational study was conducted at Stavanger University Hospital, Norway, between 6 June 2019 and 16 November 2021. Newborn resuscitations were video recorded, and the use of PO during the first ten minutes of resuscitation was recorded and analysed. Results: Of 7466 enrolled newborns, 289 (3.9%) received ventilation at birth. The resuscitation was captured on video in 230 cases, and these newborns were included in the analysis. PO was applied in 222 of 230 (97%) newborns, median (quartiles) 60 (24, 58) seconds after placement on the resuscitation table. The proportion of time used on application and adjustments of PO during ongoing ventilation and during the first ten minutes on the resuscitation table was 30% and 17%, respectively. Median two healthcare providers were involved in the PO application. Video of the PO monitor signal was available in 118 (53%) of the 222 newborns. The proportion of time with a useful PO signal during ventilation and during the first ten minutes on the resuscitation table was 5% and 35%, respectively. Conclusion: In total, 97% of resuscitated newborns had PO applied, in line with resuscitation guidelines. However, the application of PO was time-consuming, and a PO signal was only obtained 5% of the time during positive pressure ventilation.
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spelling pubmed-103778432023-07-29 Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis Kolstad, Vilde Pike, Hanne Eilevstjønn, Joar Buskov, Frederikke Ersdal, Hege Rettedal, Siren Children (Basel) Article Background: European guidelines recommend the use of pulse oximetry (PO) during newborn resuscitation, especially when there is a need for positive pressure ventilation or supplemental oxygen. The objective was to evaluate (i) to what extent PO was used, (ii) the time and resources spent on the application of PO, and (iii) the proportion of time with a useful PO signal during newborn resuscitation. Methods: A prospective observational study was conducted at Stavanger University Hospital, Norway, between 6 June 2019 and 16 November 2021. Newborn resuscitations were video recorded, and the use of PO during the first ten minutes of resuscitation was recorded and analysed. Results: Of 7466 enrolled newborns, 289 (3.9%) received ventilation at birth. The resuscitation was captured on video in 230 cases, and these newborns were included in the analysis. PO was applied in 222 of 230 (97%) newborns, median (quartiles) 60 (24, 58) seconds after placement on the resuscitation table. The proportion of time used on application and adjustments of PO during ongoing ventilation and during the first ten minutes on the resuscitation table was 30% and 17%, respectively. Median two healthcare providers were involved in the PO application. Video of the PO monitor signal was available in 118 (53%) of the 222 newborns. The proportion of time with a useful PO signal during ventilation and during the first ten minutes on the resuscitation table was 5% and 35%, respectively. Conclusion: In total, 97% of resuscitated newborns had PO applied, in line with resuscitation guidelines. However, the application of PO was time-consuming, and a PO signal was only obtained 5% of the time during positive pressure ventilation. MDPI 2023-06-28 /pmc/articles/PMC10377843/ /pubmed/37508621 http://dx.doi.org/10.3390/children10071124 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kolstad, Vilde
Pike, Hanne
Eilevstjønn, Joar
Buskov, Frederikke
Ersdal, Hege
Rettedal, Siren
Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis
title Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis
title_full Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis
title_fullStr Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis
title_full_unstemmed Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis
title_short Use of Pulse Oximetry during Resuscitation of 230 Newborns—A Video Analysis
title_sort use of pulse oximetry during resuscitation of 230 newborns—a video analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10377843/
https://www.ncbi.nlm.nih.gov/pubmed/37508621
http://dx.doi.org/10.3390/children10071124
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