原创力文档pulse oximetry in the newborn is the left hand pre- or post-ductal脉搏血氧测量新生儿的左手前或post-ductal.pdfVIP
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pulse oximetry in the newborn is the left hand pre- or post-ductal脉搏血氧测量新生儿的左手前或post-ductal
Rüegger et al. BMC Pediatrics 2010, 10:35
/1471-2431/10/35
R E S E A R C H A R T I C L E Open Access
Research article
Pulse oximetry in the newborn: Is the left hand pre-
or post-ductal?
Christoph Rüegger*, Hans Ulrich Bucher and Romaine Arlettaz Mieth
Abstract
Background: Over the past few years, great efforts have been made to screen duct-dependent congenital heart
diseases in the newborn. Arterial pulse oximetry screening (foot and/or right hand) has been put forth as the most
useful strategy to prevent circulatory collapse. The left hand, however, has always been ignored, as it was unclear if the
ductus arteriosus influences left-hand arterial perfusion. The objective of our study was to evaluate the impact of the
arterial duct on neonatal pulse oximetry saturation (POS) on the left hand.
Methods: In this observational study, arterial oxygen saturation on both hands and on one foot was measured within
the first 4 hours of life.
Results: Two hundred fifty-one newborns were studied: 53% males and 47% were delivered by caesarean section. The
median gestational age was 38 4/7 weeks (90% CI, 32 6/7 - 41 2/7 weeks), the median birth weight was 3140 g (90% CI,
1655 - 4110 g) and the median age at recording was 60 minutes (90% CI, 15 - 210 minutes). The mean POS for the
overall study population was 95.7% (90% CI, 90 - 100%) on the right hand, 95.7% (90% CI, 90 - 100%) on the left hand,
and 94.9% (90% CI, 86 - 100%) on the foot. Four subgroups (preterm infants, babies with respiratory disorders, neonates
delivered by caesarean section, and newborns ≤15 minutes of age) were formed and analysed separately. None of the
subgroups showed a statistically significant difference between the right and left hands. Additionally, multivariate
logistic regression did not identify any associated factors influencing the POS on the left hand
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