Pulse Oximeter Sensor Application During Neonatal Resuscitation: A Randomized Controlled Trial
Pulse Oximeter Sensor Application During Neonatal Resuscitation: A Randomized Controlled Trial
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DOI:
10.1542/peds.2013-2175
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发表时间:
2014-03-01
期刊:
影响因子:
8
通讯作者:
Kumar, Praveen
中科院分区:
文献类型:
--
作者:
Louis, Deepak;Sundaram, Venkataseshan;Kumar, Praveen
OBJECTIVE:This study was done to compare 2 techniques of pulse oximeter sensor application during neonatal resuscitation for faster signal detection.METHODS:Sensor to infant first (STIF) and then to oximeter was compared with sensor to oximeter first (STOF) and then to infant in 28 weeks gestations. The primary outcome was time from completion of sensor application to reliable signal, defined as stable display of heart rate and saturation. Time from birth to sensor application, time taken for sensor application, time from birth to reliable signal, and need to reapply sensor were secondary outcomes. An intention-to-treat analysis was done, and subgroup analysis was done for gestation and need for resuscitation.RESULTS:One hundred fifty neonates were randomized with 75 to each technique. The median (IQR) time from sensor application to detection of reliable signal was longer in STIF group compared with STOF group (16 [15-17] vs. 10 [6-18] seconds; P