Pulse oximeter saturation target limits for preterm infants: a survey among European neonatal intensive care units

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• 作者：Maurice J. Huizing ; Eduardo Villamor-Martínez…
• 关键词：Oxygen saturation ; Preterm ; Hypoxia ; Hyperoxia
• 刊名：European Journal of Pediatrics
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：176
• 期：1
• 页码：51-56
• 全文大小：523KB
• 刊物主题：Pediatrics;
• 出版者：Springer Berlin Heidelberg
• ISSN：1432-1076
• 卷排序：176

文摘

The optimum range of pulse oximeter oxygen saturation (SpO₂) for preterm infants remains controversial. Between November 2015 and February 2016, we conducted a web-based survey aimed to investigate the current and former practices on SpO₂ targets in European neonatal intensive care units (NICUs). We obtained valid responses from 193 NICUs, treating 8590 newborns ≤28 weeks per year, across 27 countries. Forty different saturation ranges were reported, ranging from 82–93 to 94–99%. The most frequently utilized SpO₂ ranges were 90–95% (28%), 88–95% (12%), 90–94% (5%), and 91–95% (5%). A total of 156 NICUs (81%) changed their SpO₂ limits over the last 10 years. The most frequently reported former limits were 88–92% (18%), 85–95% (9%), 88–93 (7%), and 85–92% (6%). The NICUs that increased their SpO₂ ranges expected to obtain a reduction in mortality. A 54% of the NICUs found the scientific evidence supporting their SpO₂ targeting policy strong or very strong.