Use of a Combined SpO2PtcCO2 Sensor in the Delivery Room 英文参考文献.docVIP

Sensors 2012, 12, 10980-10989; doi:10.3390/s120810980 OPEN ACCESS sensors ISSN 1424-8220 /journal/sensors Article Use of a Combined SpO2/PtcCO2 Sensor in the Delivery Room Serena Antonia Rubortone, Maria Pia De Carolis *, Serafina Lacerenza, Iliana Bersani, Federica Occhipinti and Costantino Romagnoli Division of Neonatology, Department of Paediatrics, Catholic University of Sacred Heart, Largo Gemelli 8, I-00168 Rome, Italy; E-Mails: sererubor@hotmail.it (S.A.R.); saralac@inwind.it (S.L.); ilianabersani@ (I.B.); federicaocchipinti@hotmail.it (F.O.); cromagnoli@rm.unicatt.it (C.R.) * Author to whom correspondence should be addressed; E-Mail: mpia.decarolis@rm.unicatt.it; Tel./Fax: +39-06-3015-4357. Received: 12 June 2012; in revised form: 16 July 2012 / Accepted: 31 July 2012 / Published: 8 August 2012 Abstract: Arterial oxygen saturation (SaO2) and partial arterial pressure of carbon dioxide (PaCO2) are important respiratory parameters in critically ill neonates. A sensor combining a pulse oximeter with the Stow-Severinghaus electrode, required for the measurement of peripheral oxygen saturation (SpO2) and transcutaneous partial pressure of carbon dioxide (PtcCO2), respectively, has been recently used in neonatal clinical practice (TOSCA500?Radiometer). We evaluated TOSCA usability and reliability in the delivery room (DR), throughout three different periods, on term, late-preterm, and preterm neonates. During the first period (period A), 30 healthy term neonates were simultaneously monitored with both TOSCA and a MASIMO pulse oximeter. During the second period (period B), 10 healthy late-preterm neonates were monitored with both TOSCA and a transcutaneous device measuring PtcCO2 (TINA? TCM3, Radiometer). During the third period (period C), 15 preterm neonates were monitored with TOSCA and MASIMO after birth, during stabilization, and during transport to the neonatal intensive