Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?

Neonates with respiratory distress syndrome (RDS), who are treated according to INSURE protocol; require arterial blood gas (ABG) analysis to decide on appropriate management. We conducted this study to investigate the validity of pulse oximetry instead of frequent ABG analysis in the evaluation of...

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Main Authors: Pedram Niknafs, Elahe Norouzi, Bahareh Bahman Bijari, Reza Baneshi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2015-05-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/index.php/IJMS/article/view/26
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author Pedram Niknafs
Elahe Norouzi
Bahareh Bahman Bijari
Reza Baneshi
author_facet Pedram Niknafs
Elahe Norouzi
Bahareh Bahman Bijari
Reza Baneshi
author_sort Pedram Niknafs
collection DOAJ
description Neonates with respiratory distress syndrome (RDS), who are treated according to INSURE protocol; require arterial blood gas (ABG) analysis to decide on appropriate management. We conducted this study to investigate the validity of pulse oximetry instead of frequent ABG analysis in the evaluation of these patients. From a total of 193 blood samples obtained from 30 neonates <1500 grams with RDS, 7.2% were found to have one or more of the followings: acidosis, hypercapnia, or hypoxemia. We found that pulse oximetry in the detection of hyperoxemia had a good validity to appropriately manage patients without blood gas analysis. However, the validity of pulse oximetry was not good enough to detect acidosis, hypercapnia, and hypoxemia.
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spelling doaj.art-18ad0d0bc8154069814c2b71852db1492022-12-22T00:04:36ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882015-05-01403264267Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?Pedram Niknafs0Elahe Norouzi1Bahareh Bahman Bijari2Reza Baneshi3Division of Neonatology, Afzalipour Medical Center, Kerman University of Medical Sciences, Kerman, Iran;Division of Neonatology, Afzalipour Medical Center, Kerman University of Medical Sciences, Kerman, Iran;Division of Neonatology, Afzalipour Medical Center, Kerman University of Medical Sciences, Kerman, Iran;Research Center for Modeling in Health, Institute for Future Studies, Kerman University of Medical Sciences, Kerman, IranNeonates with respiratory distress syndrome (RDS), who are treated according to INSURE protocol; require arterial blood gas (ABG) analysis to decide on appropriate management. We conducted this study to investigate the validity of pulse oximetry instead of frequent ABG analysis in the evaluation of these patients. From a total of 193 blood samples obtained from 30 neonates <1500 grams with RDS, 7.2% were found to have one or more of the followings: acidosis, hypercapnia, or hypoxemia. We found that pulse oximetry in the detection of hyperoxemia had a good validity to appropriately manage patients without blood gas analysis. However, the validity of pulse oximetry was not good enough to detect acidosis, hypercapnia, and hypoxemia.http://ijms.sums.ac.ir/index.php/IJMS/article/view/26InfantRespiratory distress syndromeOximetryBlood gaz analysis
spellingShingle Pedram Niknafs
Elahe Norouzi
Bahareh Bahman Bijari
Reza Baneshi
Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?
Iranian Journal of Medical Sciences
Infant
Respiratory distress syndrome
Oximetry
Blood gaz analysis
title Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?
title_full Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?
title_fullStr Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?
title_full_unstemmed Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?
title_short Can we Replace Arterial Blood Gas Analysis by Pulse Oximetry in Neonates with Respiratory Distress Syndrome, who are Treated According to INSURE Protocol?
title_sort can we replace arterial blood gas analysis by pulse oximetry in neonates with respiratory distress syndrome who are treated according to insure protocol
topic Infant
Respiratory distress syndrome
Oximetry
Blood gaz analysis
url http://ijms.sums.ac.ir/index.php/IJMS/article/view/26
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