Sojourn in excessively high oxygen saturation ranges in individual, very low-birthweight neonates

Aim To investigate the variability in sojourn times at high oxygen saturations (SpO2) in individual patients and to examine whether there are subsets of patients or treatments that are associated with differing sojourn times at SpO2 ≥93%. Methods Pulse oximetry data (Masimo) were studied in 71 prema...

Full description

Saved in:

Bibliographic Details
Published in:	Acta Paediatrica Vol. 104; no. 2; pp. e51 - e56
Main Authors:	Arawiran, Jenda, Curry, JeanneMarie, Welde, Lorna, Alpan, Gad
Format:	Journal Article
Language:	English
Published:	Norway Blackwell Publishing Ltd 01-02-2015 Wiley Subscription Services, Inc
Subjects:	Babies Continuous Positive Airway Pressure - statistics & numerical data High-Frequency Ventilation - statistics & numerical data Humans Hyperoxia Infant, Extremely Low Birth Weight - blood Infant, Extremely Premature - blood Infant, Newborn Oximetry Oxygen Oxygen - administration & dosage Oxygen - blood Oxygen saturation Premature infant Prospective Studies Queuing Ventilation Premature infant Hyperoxia Oximetry Oxygen saturation
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Aim To investigate the variability in sojourn times at high oxygen saturations (SpO2) in individual patients and to examine whether there are subsets of patients or treatments that are associated with differing sojourn times at SpO2 ≥93%. Methods Pulse oximetry data (Masimo) were studied in 71 premature babies receiving supplemental oxygen. Outcome measure was proportion of time per 12‐h shift that individual babies spent in the range SpO2 ≥93%. We studied whether an inordinate proportion of time spent at SpO2 ≥93% was attributable to any subset of babies, mode of ventilation or nursing shifts, whether sojourn times were statistically independent shift‐to‐shift and whether an educational intervention reduced the amount of time spent at SpO2 ≥93%. Results The proportion of time spent by the populations overall at SpO2 ≥93% was distributed equally among babies. However, high‐frequency ventilation was associated with the least amount of time at SpO2 ≥93% compared with other modes of respiratory support (p < 0.0001), while nasal cannulae were associated with the highest proportion of time at SpO2 ≥93% (p < 0.001). Conclusion Measures to improve compliance with targeted SpO2 ranges should be applied universally although further improvement may be achieved by specifically targeting babies receiving supplemental oxygen via nasal cannula.
Bibliography:	ArticleID:APA12827 ark:/67375/WNG-K59VS552-9 istex:5163FBFB02B6BA44685F859DBB36D788BC8729D7 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0803-5253 1651-2227
DOI:	10.1111/apa.12827