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Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture
BACKGROUND: Although many studies emphasize the importance of using oxygen saturation (SpO(2)) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the It...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091159/ https://www.ncbi.nlm.nih.gov/pubmed/33941225 http://dx.doi.org/10.1186/s13052-021-01050-3 |
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author | Perrone, Serafina Giordano, Maurizio De Bernardo, Giuseppe Lugani, Paola Sarnacchiaro, Pasquale Stazzoni, Gemma Buonocore, Giuseppe Esposito, Susanna Tataranno, Maria Luisa |
author_facet | Perrone, Serafina Giordano, Maurizio De Bernardo, Giuseppe Lugani, Paola Sarnacchiaro, Pasquale Stazzoni, Gemma Buonocore, Giuseppe Esposito, Susanna Tataranno, Maria Luisa |
author_sort | Perrone, Serafina |
collection | PubMed |
description | BACKGROUND: Although many studies emphasize the importance of using oxygen saturation (SpO(2)) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population. METHODS: Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO(2) was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed. RESULTS: Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO(2) ranges were observed. Centers using written standard operating procedures on oxygen management and SpO(2) monitoring maintained a correct average range of SpO(2) 90–95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status. CONCLUSIONS: There is considerable variation in SpO(2) targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms. |
format | Online Article Text |
id | pubmed-8091159 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80911592021-05-03 Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture Perrone, Serafina Giordano, Maurizio De Bernardo, Giuseppe Lugani, Paola Sarnacchiaro, Pasquale Stazzoni, Gemma Buonocore, Giuseppe Esposito, Susanna Tataranno, Maria Luisa Ital J Pediatr Research BACKGROUND: Although many studies emphasize the importance of using oxygen saturation (SpO(2)) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population. METHODS: Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO(2) was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed. RESULTS: Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO(2) ranges were observed. Centers using written standard operating procedures on oxygen management and SpO(2) monitoring maintained a correct average range of SpO(2) 90–95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status. CONCLUSIONS: There is considerable variation in SpO(2) targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms. BioMed Central 2021-05-03 /pmc/articles/PMC8091159/ /pubmed/33941225 http://dx.doi.org/10.1186/s13052-021-01050-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Perrone, Serafina Giordano, Maurizio De Bernardo, Giuseppe Lugani, Paola Sarnacchiaro, Pasquale Stazzoni, Gemma Buonocore, Giuseppe Esposito, Susanna Tataranno, Maria Luisa Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture |
title | Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture |
title_full | Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture |
title_fullStr | Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture |
title_full_unstemmed | Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture |
title_short | Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture |
title_sort | management of oxygen saturation monitoring in preterm newborns in the nicu: the italian picture |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091159/ https://www.ncbi.nlm.nih.gov/pubmed/33941225 http://dx.doi.org/10.1186/s13052-021-01050-3 |
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