Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture.

Autor: Perrone S; Department of Medicine and Surgery, University of Parma, Parma, Italy., Giordano M; Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy., De Bernardo G; Division of Pediatrics Neonatology and NICU, Ospedale Buon Consiglio Fatebenefratelli, Naples, Italy., Lugani P; Department of Medicine and Surgery, University of Parma, Parma, Italy., Sarnacchiaro P; Department of Legal and Economic Sciences, University of Rome Unitelma Sapienza, Rome, Italy., Stazzoni G; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy., Buonocore G; Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy., Esposito S; Department of Medicine and Surgery, University of Parma, Parma, Italy., Tataranno ML; Department of Neonatology, Utrecht University Medical Center, Utrecht, The Netherlands. M.L.Tataranno-2@umcutrecht.nl.
Jazyk: angličtina
Zdroj: Italian journal of pediatrics [Ital J Pediatr] 2021 May 03; Vol. 47 (1), pp. 104. Date of Electronic Publication: 2021 May 03.
DOI: 10.1186/s13052-021-01050-3
Abstrakt: Background: Although many studies emphasize the importance of using oxygen saturation (SpO 2 ) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population.
Methods: Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO 2 was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed.
Results: Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO 2 ranges were observed. Centers using written standard operating procedures on oxygen management and SpO 2 monitoring maintained a correct average range of SpO 2 90-95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status.
Conclusions: There is considerable variation in SpO 2 targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms.
Databáze: MEDLINE
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