The Journal of Pediatrics
Volume 152, Issue 6 , Pages 756-760 , June 2008

Accuracy of Pulse Oximetry Measurement of Heart Rate of Newborn Infants in the Delivery Room

  • C. Omar F. Kamlin, MBBS, MRCPCH

      Affiliations

    • Neonatal Services, The Royal Women's Hospital, Melbourne, Australia
    • Corresponding Author InformationReprint requests: C. Omar F. Kamlin, Neonatal Paediatrician, Division of Newborn Services, The Royal Women's Hospital, 132 Grattan St, Carlton, Victoria, Australia, 3053.
    • ,
  • Jennifer A. Dawson, BSc

      Affiliations

    • Neonatal Services, The Royal Women's Hospital, Melbourne, Australia
    • ,
  • Colm P.F. O'Donnell, MRCPCH, PhD

      Affiliations

    • Neonatal Unit, National Maternity Hospital, Dublin, Ireland
    • ,
  • Colin J. Morley, MD, FRACP

      Affiliations

    • Neonatal Services, The Royal Women's Hospital, Melbourne, Australia
    • Department of Obstetrics, University of Melbourne, Melbourne, Australia
    • Murdoch Children's Research Institute, Melbourne, Australia.
    • ,
  • Susan M. Donath, PhD

      Affiliations

    • Department of Obstetrics, University of Melbourne, Melbourne, Australia
    • Murdoch Children's Research Institute, Melbourne, Australia.
    • ,
  • Jasbir Sekhon

      Affiliations

    • Department of Obstetrics, University of Melbourne, Melbourne, Australia
    • ,
  • Peter G. Davis, MD, FRACP

      Affiliations

    • Neonatal Services, The Royal Women's Hospital, Melbourne, Australia
    • Department of Obstetrics, University of Melbourne, Melbourne, Australia

Received 16 July 2007 ,Revised 25 October 2007 ,Accepted 3 January 2008.

References 

  1. Saugstad OD, Ramji S, Rootwelt T, Vento M. Response to resuscitation of the newborn: early prognostic variables. Acta Paediatr. 2005;94:890–895
  2. The International Liaison Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for pediatric and neonatal patients: neonatal resuscitation. Pediatrics. 2006;117:e978–e988
  3. Paediatric advanced life support: Australian Resuscitation Council guidelines 2006. Emerg Med Australas. 2006;18:357–371
  4. Kamlin CO, O'Donnell CP, Everest NJ, Davis PG, Morley CJ. Accuracy of clinical assessment of infant heart rate in the delivery room. Resuscitation. 2006;71:319–321
  5. Owen CJ, Wyllie JP. Determination of heart rate in the baby at birth. Resuscitation. 2004;60:213–217
  6. O'Donnell CP, Davis PG, Morley CJ. Positive pressure ventilation at neonatal resuscitation: review of equipment and international survey of practice. Acta Paediatr. 2004;93:583–588
  7. Kattwinkel J. Textbook of Neonatal Resuscitation. 5th edition. Elk Grove, IL: American Academy of Pediatrics and American Heart Association; 2006;
  8. Sekhon JSK, Kamlin CO, Morley CJ, O'Donnell CP, Donath S, Davis PG. Accuracy of pulse oximetry in assessing heart rate of infants in the neonatal intensive care unit. J Paediatr Child Health, in press.
  9. 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
  10. Kopotic RJ, Lindner W. Assessing high-risk infants in the delivery room with pulse oximetry. Anesth Analg. 2002;94(1 Suppl):S31–S36
  11. Sahni R, Gupta A, Ohira-Kist K, Rosen TS. Motion-resistant pulse oximetry in neonates. Arch Dis Child Fetal Neonatal Ed. 2003;88:F505–F508
  12. O'Donnell CP, Kamlin CO, Davis PG, Morley CJ. Feasibility of and delay in obtaining pulse oximetry during neonatal resuscitation. J Pediatr. 2005;147:698–699
  13. 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
  14. Operator's manual: Radical signal-extraction pulse oximeter. Irvine, CA: Masimo Corp; 2004;
  15. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;8476:307–310
  16. Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–160
  17. Finer NN, Carlo WA, Duara S, Fanaroff AA, Donovan EF, Wright LL, et al. Delivery room continuous positive airway pressure/positive end-expiratory pressure in extremely low birth weight infants: a feasibility trial. Pediatrics. 2004;114:651–657
  18. O'Donnell CP, Kamlin CO, Davis PG, Morley CJ. Endotracheal intubation attempts during neonatal resuscitation: success rates, duration, and adverse effects. Pediatrics. 2006;117:e16–e21

 Supported in part by a RWH Postgraduate degree scholarship (C.O., C.K., J.D.) an NHMRC Practitioner Fellowship (P.D.), and an Australian National Health and Medical Research Council Program grant (384100).

PII: S0022-3476(08)00003-6

doi: 10.1016/j.jpeds.2008.01.002

The Journal of Pediatrics
Volume 152, Issue 6 , Pages 756-760 , June 2008

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