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Reference values for pulse oximetry recordings in healthy term neonates during their first 5 days of life.
MedLine Citation:
PMID:  21242243     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective To determine reference values for pulse oximeter saturation (SpO(2)) variables and desaturation event indices in healthy term neonates during their first 5 days of life, and to compare two definitions for the identification of desaturation events. Design Observational study (case series). Setting Maternity ward, Department of Neonatology, University Children's Hospital, Tuebingen, Germany. Patients 209 healthy term neonates (50% boys), median (minimum-maximum) age 2 (0-5) days. Main outcome measures SpO(2) variables (eg, median SpO(2)) and desaturation events obtained by motion-resistant pulse oximetry (VitaGuard 310; Getemed, incorporating Masimo SET). Desaturation events were identified based either on a good signal quality (SIQ) provided by the device or on the combination of a good SIQ and an undisturbed pulse waveform (SIQ+PW). Desaturation event indices were calculated as desaturation events divided by hour of artefact-free recording time. Results The mean (SD) of the obtained median SpO(2) was 97.3% (1.4%). There were 36 (17%) subjects with desaturation events to <80% SpO(2) based on SIQ, and 26 (12%) based on SIQ+PW. Median desaturation event rate to <80% SpO(2)/h (75th centile; 95th centile; maximum) was 0 (0; 0.6; 2.3) based on SIQ, and 0 (0; 0.4; 1.7) based on SIQ+PW. Conclusions Desaturation events to <80% SpO(2) were rare in our sample of healthy term neonates during their first 5 days of life. Analysis of SIQ alone could be a quick and simple alternative to traditional analysis of PW. The presented reference values may be used for clinical decision making.
Authors:
Pablo E Brockmann; Anette Poets; Michael S Urschitz; Christiane Sokollik; Christian F Poets
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-17
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  -     ISSN:  1468-2052     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Neonatology, University Children's Hospital, Tuebingen, Germany.
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