Cargando…

Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?

Oxygen is a neonatal health hazard that should be avoided in clinical practice. In this review, an international team of neonatologists and nurses assessed oxygen saturation (SpO(2)) targeting in preterm infants and evaluated the potential weaknesses of randomised clinical trials. CONCLUSION: SpO(2)...

Descripción completa

Detalles Bibliográficos
Autores principales: Sola, Augusto, Golombek, Sergio G, Montes Bueno, María Teresa, Lemus-Varela, Lourdes, Zuluaga, Claudia, Domínguez, Fernando, Baquero, Hernando, Young Sarmiento, Alejandro E, Natta, Diego, Rodriguez Perez, Jose M, Deulofeut, Richard, Quiroga, Ana, Flores, Gabriel Lara, Morgues, Mónica, Pérez, Alfredo García-Alix, Van Overmeire, Bart, van Bel, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4225465/
https://www.ncbi.nlm.nih.gov/pubmed/24838096
http://dx.doi.org/10.1111/apa.12692
_version_ 1782343513462013952
author Sola, Augusto
Golombek, Sergio G
Montes Bueno, María Teresa
Lemus-Varela, Lourdes
Zuluaga, Claudia
Domínguez, Fernando
Baquero, Hernando
Young Sarmiento, Alejandro E
Natta, Diego
Rodriguez Perez, Jose M
Deulofeut, Richard
Quiroga, Ana
Flores, Gabriel Lara
Morgues, Mónica
Pérez, Alfredo García-Alix
Van Overmeire, Bart
van Bel, Frank
author_facet Sola, Augusto
Golombek, Sergio G
Montes Bueno, María Teresa
Lemus-Varela, Lourdes
Zuluaga, Claudia
Domínguez, Fernando
Baquero, Hernando
Young Sarmiento, Alejandro E
Natta, Diego
Rodriguez Perez, Jose M
Deulofeut, Richard
Quiroga, Ana
Flores, Gabriel Lara
Morgues, Mónica
Pérez, Alfredo García-Alix
Van Overmeire, Bart
van Bel, Frank
author_sort Sola, Augusto
collection PubMed
description Oxygen is a neonatal health hazard that should be avoided in clinical practice. In this review, an international team of neonatologists and nurses assessed oxygen saturation (SpO(2)) targeting in preterm infants and evaluated the potential weaknesses of randomised clinical trials. CONCLUSION: SpO(2) of 85–89% can increase mortality and 91–95% can cause hyperoxia and ill effects. Neither of these ranges can be recommended, and wider intermediate targets, such as 87–94% or 88–94%, may be safer.
format Online
Article
Text
id pubmed-4225465
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Blackwell Publishing Ltd
record_format MEDLINE/PubMed
spelling pubmed-42254652014-12-15 Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia? Sola, Augusto Golombek, Sergio G Montes Bueno, María Teresa Lemus-Varela, Lourdes Zuluaga, Claudia Domínguez, Fernando Baquero, Hernando Young Sarmiento, Alejandro E Natta, Diego Rodriguez Perez, Jose M Deulofeut, Richard Quiroga, Ana Flores, Gabriel Lara Morgues, Mónica Pérez, Alfredo García-Alix Van Overmeire, Bart van Bel, Frank Acta Paediatr Review Articles Oxygen is a neonatal health hazard that should be avoided in clinical practice. In this review, an international team of neonatologists and nurses assessed oxygen saturation (SpO(2)) targeting in preterm infants and evaluated the potential weaknesses of randomised clinical trials. CONCLUSION: SpO(2) of 85–89% can increase mortality and 91–95% can cause hyperoxia and ill effects. Neither of these ranges can be recommended, and wider intermediate targets, such as 87–94% or 88–94%, may be safer. Blackwell Publishing Ltd 2014-10 2014-07-28 /pmc/articles/PMC4225465/ /pubmed/24838096 http://dx.doi.org/10.1111/apa.12692 Text en © 2014 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Review Articles
Sola, Augusto
Golombek, Sergio G
Montes Bueno, María Teresa
Lemus-Varela, Lourdes
Zuluaga, Claudia
Domínguez, Fernando
Baquero, Hernando
Young Sarmiento, Alejandro E
Natta, Diego
Rodriguez Perez, Jose M
Deulofeut, Richard
Quiroga, Ana
Flores, Gabriel Lara
Morgues, Mónica
Pérez, Alfredo García-Alix
Van Overmeire, Bart
van Bel, Frank
Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
title Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
title_full Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
title_fullStr Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
title_full_unstemmed Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
title_short Safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
title_sort safe oxygen saturation targeting and monitoring in preterm infants: can we avoid hypoxia and hyperoxia?
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4225465/
https://www.ncbi.nlm.nih.gov/pubmed/24838096
http://dx.doi.org/10.1111/apa.12692
work_keys_str_mv AT solaaugusto safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT golombeksergiog safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT montesbuenomariateresa safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT lemusvarelalourdes safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT zuluagaclaudia safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT dominguezfernando safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT baquerohernando safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT youngsarmientoalejandroe safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT nattadiego safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT rodriguezperezjosem safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT deulofeutrichard safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT quirogaana safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT floresgabriellara safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT morguesmonica safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT perezalfredogarciaalix safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT vanovermeirebart safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia
AT vanbelfrank safeoxygensaturationtargetingandmonitoringinpreterminfantscanweavoidhypoxiaandhyperoxia