The Journal of Pediatrics
Volume 148, Issue 5 , Pages 590-594 , May 2006

Oxygen saturation trends immediately after birth

  • Yacov Rabi, MD, FRCPC

      Affiliations

    • Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
    • Partnership for Research and Education in Mothers and Infants Institute, Calgary, Alberta, Canada
    • Calgary Health Region, Calgary, Alberta, Canada
    • Corresponding Author InformationReprint requests: Yacov Rabi MD, FRCPC, Foothills Medical Centre, Room C211, 1403 29th Street NW, Calgary, Alberta, Canada T2N 2T9
    • ,
  • Wendy Yee, MD, FRCPC, MSc

      Affiliations

    • Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
    • Partnership for Research and Education in Mothers and Infants Institute, Calgary, Alberta, Canada
    • Calgary Health Region, Calgary, Alberta, Canada
    • ,
  • Sophie Yue Chen, MD, MSc

      Affiliations

    • Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
    • Partnership for Research and Education in Mothers and Infants Institute, Calgary, Alberta, Canada
    • Calgary Health Region, Calgary, Alberta, Canada
    • ,
  • Nalini Singhal, MD, FRCPC

      Affiliations

    • Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
    • Partnership for Research and Education in Mothers and Infants Institute, Calgary, Alberta, Canada
    • Calgary Health Region, Calgary, Alberta, Canada

Received 1 August 2005 ,Revised 9 November 2005 ,Accepted 19 December 2005.

References 

  1. AHA-AAP Neonatal Resuscitation Program Steering Committee . Textbook of neonatal resuscitation . 4ht ed.. Elk Grove Village, IL: American Academy of Pediatrics; 2000;
  2. Oski FA , Delivoria-Papadopoulos M . The shift to the left . Pediatrics . 1971;48:853–856
  3. Carrasco M , Martell M , Estol PC . Oronasopharyngeal suction at birth (effects on arterial oxygen saturation) . J Pediatr . 1997;130:832–834
  4. Dimich I , Singh PP , Adell A , Hendler M , Sonnenklar N , Jhaveri M . Evaluation of oxygen saturation monitoring by pulse oximetry in neonates in the delivery system . Can J Anaesth . 1991;38:985–988
  5. Harris AP , Sendak MJ , Donham RT . Changes in arterial oxygen saturation immediately after birth in the human neonate . J Pediatr . 1986;109:117–119
  6. Porter KB . Evaluation of arterial oxygen saturation of the newborn in the labor and delivery suite . J Perinatol . 1987;7:337–339
  7. House JT , Schultetus RR , Gravenstein N . Continuous neonatal evaluation in the delivery room by pulse oximetry . J Clin Monit . 1987;3:96–100
  8. Meier-Stauss P , Bucher HU , Hurlimann R , Konig V , Huch R . Pulse oximetry used for documenting oxygen saturation and right-to-left shunting immediately after birth . Eur J Pediatr . 1990;149:851–855
  9. Davis PG , Tan A , O’Donnell CP , Schulze A . Resuscitation of newborn infants with 100% oxygen or air (a systematic review and meta-analysis) . Lancet . 2004;364:1329–1333
  10. Saugstad OD , Rootwelt T , Aalen O . Resuscitation of asphyxiated newborn infants with room air or oxygen: an international controlled trial. The Resair 2 study . Pediatrics . 1998;102:e1
  11. Vento M , Asensi M , Sastre J , Garcia-Sala F , Pallardo FV , Vina J . Resuscitation with room air instead of 100% oxygen prevents oxidative stress in moderately asphyxiated term neonates . Pediatrics . 2001;107:642–647
  12. Vento M , Asensi M , Sastre J , Lloret A , Garcia-Sala F , Vina J . Oxidative stress in asphyxiated term infants resuscitated with 100% oxygen . J Pediatr . 2003;142:240–246
  13. Kopotic RJ , Lindner W . Assessing high-risk infants in the delivery room with pulse oximetry . Anesth Analg . 2002;94:S31–S36
  14. Niermeyer S , Yang P , Shanmina  , Drolkar  , Zhuang J , Moore LG . Arterial oxygen saturation in Tibetan and Han infants born in Lhasa, Tibet . N Engl J Med . 1995;333:1248–1252
  15. O’Donnell CP , Kamlin CO , Davis PG , Morley CJ . Obtaining pulse oximetry data in neonates (a randomised crossover study of sensor application techniques) . Arch Dis Child Fetal Neonatal Ed . 2005;90:F84–F85
  16. Vento M , Asensi M , Sastre J , Lloret A , Garcia-Sala F , Minana JB , et al.   Hyperoxemia caused by resuscitation with pure oxygen may alter intracellular redox status by increasing oxidized glutathione in asphyxiated newly born infants . Semin Perinatol . 2002;26:406–410

 Masimo Corporation supplied, on loan, the pulse oximeters and saturation probes used in this study. The study investigators chose to use the Masimo pulse oximeters because of the favorable performance profile for infants in the literature. They did not receive any monetary compensation from Masimo and retain ownership and full rights over the data and decisions regarding publication. Masimo was in no way involved in the data collection, study analyses, study design, or preparation of the manuscript. The first draft of the manuscript was written by Yacov Rabi and Sophie Chen (Methods and Results), Wendy Yee (Introduction), and Nalini Singhal (Discussion). All 4 authors contributed to all sections of the second draft.

PII: S0022-3476(05)01209-6

doi: 10.1016/j.jpeds.2005.12.047

The Journal of Pediatrics
Volume 148, Issue 5 , Pages 590-594 , May 2006

Article Tools

* Image Usage & Resolution