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
Kumar, Praveen
中科院分区:
医学2区
文献类型:
--
作者:
Louis, Deepak;Sundaram, Venkataseshan;Kumar, Praveen

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目的:本研究比较了两种技术的脉搏血氧仪传感器应用在新生儿复苏更快的信号detection.METHODS:传感器到婴儿第一(STIF),然后到血氧仪进行了比较,传感器到血氧仪第一(STOF),然后到婴儿在28周的妊娠。主要结局是从完成传感器应用到可靠信号的时间,定义为心率和饱和度的稳定显示。从出生到传感器应用的时间、传感器应用所花费的时间、从出生到可靠信号的时间以及需要重新应用传感器是次要结局。进行了意向性治疗分析,并对妊娠和复苏需求进行了亚组分析。结果:150名新生儿被随机分为两组,每组75名。与STOF组相比,STIF组从传感器应用到检测到可靠信号的中位(IQR)时间更长(16 [15-17]秒vs. 10 [6-18]秒; P
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