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Apart from titration of oxygen therapy, this guideline document also addresses the need of humidification and various technological choices in monitoring and titrating oxygen therapy. This guideline applies to neonates who require oxygen or respiratory support in the first few weeks after birth.
1 sty 2021 · Clinicians should ideally aim to titrate supplemental oxygen therapy to maximize the amount of time spent in the appropriate target oxygen saturation range, taking care to avoid prolonged periods of either hypoxemia or hyperoxemia as a trade-off.
As soon as a baby requires oxygen, then the 88-93% limits must be applied. Where to place the oxygen saturation probe? The best place is on the right hand/wrist, which will give a pre-ductal reading of oxygen saturation – this is the blood that goes to the brain and eyes.
Oxygen therapy for preterm and term infants improves survival in situations where lung immaturity, infection or other pulmonary conditions reduce the arterial oxygen concentration. Oxygen saturations provide the best continuous measure of arterial oxygen concentrations and are easily measured.
23 sie 2022 · Oxygen Saturation Histogram for babies on respiratory support. Arbitrary cut off of ≥20% below 90% Spo2 and ≥20% of time above 95% as sub optimal. This should be considered along with other cardio-respiratory parameters: PCO2, work of breathing and apneic episodes. No evidence/extrapolated data.
25 lip 2019 · The AAP highlights that the ideal oxygen saturation target for extremely low birthweight infants remains unknown, and is likely to be patient specific and dynamic and depends on various factors, including gestational age, chronologic age, underlying disease and transfusion status.
In preterm newborns (<35 weeks of gestation) receiving respiratory support at birth, it may be reasonable to begin with 21% to 30% oxygen and to base subsequent oxygen titration on oxygen saturation targets. These guidelines require no change in the Neonatal Resuscitation Algorithm–2015 Update.
