Avoiding hyperoxemia during neonatal resuscitation: time to response of different SpO2 monitors
2011

Comparing Pulse Oximeters for Newborn Resuscitation

Sample size: 32 publication Evidence: moderate

Author Information

Author(s): Hernando Baquero, Alviz Ramiro, Armando Castillo, Fredy Neira, Augusto Sola

Primary Institution: Universidad del Norte

Hypothesis

The time to obtain a reliable oxygen saturation reading differs by the type of pulse oximeter used during neonatal resuscitation.

Conclusion

The Masimo Radical-7 pulse oximeter provides significantly faster reliable readings compared to other monitors during neonatal resuscitation.

Supporting Evidence

  • The Radical-7 achieved stable readings in about 20 seconds, while the Biox 3700 took about 74 seconds.
  • The N-395 monitor took about 67 seconds to achieve stable readings.
  • Statistical analysis showed significant differences in response times between the monitors.

Takeaway

Some pulse oximeters can tell doctors how much oxygen a baby needs faster than others, which helps keep babies safe during emergencies.

Methodology

A prospective observational study comparing three pulse oximeters in newborns requiring resuscitation.

Potential Biases

Potential bias due to the non-blinded design and the involvement of the research team in sensor placement.

Limitations

The study was not blinded and had a small sample size for some comparisons.

Participant Demographics

Infants with a median gestational age of 32 weeks, with 68% delivered by cesarean section.

Statistical Information

P-Value

0.02 and 0.03

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1111/j.1651-2227.2010.02097.x

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