Challenges and opportunities in neonatal monitoring: insights on forehead photoplethysmography sensors

Le résumé fourni par la source

During the transition after birth, an infant’s heart rate (HR) is the most important determinant used to decide whether further resuscitative interventions are necessary. It is considered the most sensitive indicator of the efficacy of resuscitation. 1 , 2 Furthermore, preductal oxygen saturation (SpO 2 ) also plays an important role in the decision-making process for providing oxygen and respiratory support. Therefore, continuous monitoring of these two parameters during stabilization and resuscitation of newborns at risk or with poor adaptation is recommended by the European Resuscitation Council. 1 However, achieving accurate HR and SpO 2 measurements during the transition from fetal to newborn life can be challenging and is still a highly controversial scientific topic. For instance, a recently published systematic review showed that pulse oximetry is less accurate than electrocardiography (ECG) in the determination of HR after birth. 2 Based on the evidence provided in previous trials, ECG is recommended for monitoring HR after birth. 2 Strictly speaking, however, ECG does not provide direct information about cardiac output or mechanical function, but rather records the heart’s electrical activity. Furthermore, ECG electrode placement can be difficult right after birth, which can cause issues with signal pick-up. Moreover, it remains unclear if using ECG or pulse oximetry for HR monitoring has an effect on patient outcomes. 3

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.