TY - JOUR
T1 - Monitoring oxygen saturation and heart rate during neonatal transition. comparison between two different pulse oximeters and electrocardiography
AU - Khoury, Rasha
AU - Klinger, Gil
AU - Shir, Yakir
AU - Osovsky, Michael
AU - Bromiker, Ruben
N1 - Publisher Copyright:
© 2020, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2021/4
Y1 - 2021/4
N2 - Objective: To compare the efficacy and reliability of two pulse-oximeters (POx) (Masimo Radical-7 and Nellcor™ Oxymax Bedside) and evaluate the feasibility of routine ECG monitoring during delivery room transition. Study design: Prospective observational comparative study. Sixty newborns were connected simultaneously to both POxs and ECG monitor (as a gold standard for HR). Times to achieve a stable signal were compared. Heart rates were compared to simultaneous ECG. Results: A significant difference in times to stable signal was found: Mean, Median (Interquartile range) for Nellcor and Masimo, were 15, 8.5 (6–18) and 27, 12 (9–34) seconds, respectively. Compared to ECG, false bradycardia was displayed in 18 of 55 (35%) newborns by the Masimo POx and in no newborns by the Nellcor POx. Attaching the ECG monitor was feasible but consumed additional resources. Conclusions: The time for achievement of a stable saturation reading in an uncomplicated resuscitation setting differed significantly between POxs.
AB - Objective: To compare the efficacy and reliability of two pulse-oximeters (POx) (Masimo Radical-7 and Nellcor™ Oxymax Bedside) and evaluate the feasibility of routine ECG monitoring during delivery room transition. Study design: Prospective observational comparative study. Sixty newborns were connected simultaneously to both POxs and ECG monitor (as a gold standard for HR). Times to achieve a stable signal were compared. Heart rates were compared to simultaneous ECG. Results: A significant difference in times to stable signal was found: Mean, Median (Interquartile range) for Nellcor and Masimo, were 15, 8.5 (6–18) and 27, 12 (9–34) seconds, respectively. Compared to ECG, false bradycardia was displayed in 18 of 55 (35%) newborns by the Masimo POx and in no newborns by the Nellcor POx. Attaching the ECG monitor was feasible but consumed additional resources. Conclusions: The time for achievement of a stable saturation reading in an uncomplicated resuscitation setting differed significantly between POxs.
UR - http://www.scopus.com/inward/record.url?scp=85096877902&partnerID=8YFLogxK
U2 - 10.1038/s41372-020-00881-y
DO - 10.1038/s41372-020-00881-y
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C2 - 33250516
AN - SCOPUS:85096877902
SN - 0743-8346
VL - 41
SP - 885
EP - 890
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 4
ER -