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Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room

Arterial oxygen saturation (SaO(2)) and partial arterial pressure of carbon dioxide (PaCO(2)) are important respiratory parameters in critically ill neonates. A sensor combining a pulse oximeter with the Stow-Severinghaus electrode, required for the measurement of peripheral oxygen saturation (SpO(2...

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Autores principales: Rubortone, Serena Antonia, De Carolis, Maria Pia, Lacerenza, Serafina, Bersani, Iliana, Occhipinti, Federica, Romagnoli, Costantino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Molecular Diversity Preservation International (MDPI) 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3472870/
https://www.ncbi.nlm.nih.gov/pubmed/23112642
http://dx.doi.org/10.3390/s120810980
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author Rubortone, Serena Antonia
De Carolis, Maria Pia
Lacerenza, Serafina
Bersani, Iliana
Occhipinti, Federica
Romagnoli, Costantino
author_facet Rubortone, Serena Antonia
De Carolis, Maria Pia
Lacerenza, Serafina
Bersani, Iliana
Occhipinti, Federica
Romagnoli, Costantino
author_sort Rubortone, Serena Antonia
collection PubMed
description Arterial oxygen saturation (SaO(2)) and partial arterial pressure of carbon dioxide (PaCO(2)) are important respiratory parameters in critically ill neonates. A sensor combining a pulse oximeter with the Stow-Severinghaus electrode, required for the measurement of peripheral oxygen saturation (SpO(2)) and transcutaneous partial pressure of carbon dioxide (PtcCO(2)), respectively, has been recently used in neonatal clinical practice (TOSCA(500Ò)Radiometer). We evaluated TOSCA usability and reliability in the delivery room (DR), throughout three different periods, on term, late-preterm, and preterm neonates. During the first period (period A), 30 healthy term neonates were simultaneously monitored with both TOSCA and a MASIMO pulse oximeter. During the second period (period B), 10 healthy late-preterm neonates were monitored with both TOSCA and a transcutaneous device measuring PtcCO(2) (TINA(Ò) TCM3, Radiometer). During the third period (period C), 15 preterm neonates were monitored with TOSCA and MASIMO after birth, during stabilization, and during transport to the neonatal intensive care unit (NICU). Blood gas analyses were performed to compare transcutaneous and blood gas values. TOSCA resulted easily and safely usable in the DR, allowing reliable noninvasive SaO(2) estimation. Since PtcCO(2) measurements with TOSCA required at least 10 min to be stable and reliable, this parameter was not useful during the early resuscitation immediately after birth. Moreover, PtcCO(2) levels were less precise if compared to the conventional transcutaneous monitoring. However, PtcCO(2) measurement by TOSCA was useful as trend-monitoring after stabilization and during transport to NICU.
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spelling pubmed-34728702012-10-30 Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room Rubortone, Serena Antonia De Carolis, Maria Pia Lacerenza, Serafina Bersani, Iliana Occhipinti, Federica Romagnoli, Costantino Sensors (Basel) Article Arterial oxygen saturation (SaO(2)) and partial arterial pressure of carbon dioxide (PaCO(2)) are important respiratory parameters in critically ill neonates. A sensor combining a pulse oximeter with the Stow-Severinghaus electrode, required for the measurement of peripheral oxygen saturation (SpO(2)) and transcutaneous partial pressure of carbon dioxide (PtcCO(2)), respectively, has been recently used in neonatal clinical practice (TOSCA(500Ò)Radiometer). We evaluated TOSCA usability and reliability in the delivery room (DR), throughout three different periods, on term, late-preterm, and preterm neonates. During the first period (period A), 30 healthy term neonates were simultaneously monitored with both TOSCA and a MASIMO pulse oximeter. During the second period (period B), 10 healthy late-preterm neonates were monitored with both TOSCA and a transcutaneous device measuring PtcCO(2) (TINA(Ò) TCM3, Radiometer). During the third period (period C), 15 preterm neonates were monitored with TOSCA and MASIMO after birth, during stabilization, and during transport to the neonatal intensive care unit (NICU). Blood gas analyses were performed to compare transcutaneous and blood gas values. TOSCA resulted easily and safely usable in the DR, allowing reliable noninvasive SaO(2) estimation. Since PtcCO(2) measurements with TOSCA required at least 10 min to be stable and reliable, this parameter was not useful during the early resuscitation immediately after birth. Moreover, PtcCO(2) levels were less precise if compared to the conventional transcutaneous monitoring. However, PtcCO(2) measurement by TOSCA was useful as trend-monitoring after stabilization and during transport to NICU. Molecular Diversity Preservation International (MDPI) 2012-08-08 /pmc/articles/PMC3472870/ /pubmed/23112642 http://dx.doi.org/10.3390/s120810980 Text en © 2012 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Article
Rubortone, Serena Antonia
De Carolis, Maria Pia
Lacerenza, Serafina
Bersani, Iliana
Occhipinti, Federica
Romagnoli, Costantino
Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room
title Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room
title_full Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room
title_fullStr Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room
title_full_unstemmed Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room
title_short Use of a Combined SpO(2)/PtcCO(2) Sensor in the Delivery Room
title_sort use of a combined spo(2)/ptcco(2) sensor in the delivery room
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3472870/
https://www.ncbi.nlm.nih.gov/pubmed/23112642
http://dx.doi.org/10.3390/s120810980
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