NYMC Faculty Publications

Safe Oxygen Saturation Targeting and Monitoring in Preterm Infants: Can We Avoid Hypoxia and Hyperoxia?

Author Type(s)

Faculty

DOI

10.1111/apa.12692

Journal Title

Acta Paediatrica

First Page

1009

Last Page

1018

Document Type

Article

Publication Date

10-1-2014

Department

Pediatrics

Keywords

Humans, Hyperoxia, Hypoxia, Infant, Newborn, Infant, Premature, Intensive Care, Neonatal, Monitoring, Physiologic, Oxygen, Randomized Controlled Trials as Topic

Disciplines

Medicine and Health Sciences

Abstract

UNLABELLED: Oxygen is a neonatal health hazard that should be avoided in clinical practice. In this review, an international team of neonatologists and nurses assessed oxygen saturation (SpO2 ) targeting in preterm infants and evaluated the potential weaknesses of randomised clinical trials.

CONCLUSION: SpO2 of 85-89% can increase mortality and 91-95% can cause hyperoxia and ill effects. Neither of these ranges can be recommended, and wider intermediate targets, such as 87-94% or 88-94%, may be safer.

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