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2008, Number 3

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Gac Med Mex 2008; 144 (3)

Saturación periférica de oxígeno por oximetría de pulso en recién nacidos clínicamente sanos a la altitud de la Ciudad de México (2240 m)

Tapia-Rombo CA, Rosales-Cervantes MGI, Saucedo-Zavala VJ, Ballesteros-del Olmo JC, Sánchez-García L, Santos-Vera I
Full text How to cite this article

Language: Spanish
References: 25
Page: 207-212
PDF size: 53.56 Kb.


Key words:

Pulse oximetry, healthy newborn, preterm new born, oxygen, peripheral saturation.

ABSTRACT

Background: Oxygen peripheral saturation (SpO2) is crucial for an adequate management of critically-ill newborns infants (NB). The objective of the present study was to determine SpO2 by pulse oxymetry among healthy term and preterm NBs at an altitude of 2240 m above sea level.
Methods: Observational, cross-sectional and comparative. 218 NBs were prospectively studied between January to April 2004. Eighty nine were term and 128 were preterm. Alpha levels were set at p‹0.05.
Results: The recorded lower value for SpO2 was 88%, and the maximum was 99%. We observed a significant SpO2 difference among the term NB (93.5±2%) and preterm NBs (92.9±2%), p=0.01.
Conclusions: SpO2 in Mexico City’s altitude is on average lower when compared to that observed at sea level. In general with a minimum and maximum values found in our study the SpO2 needed to maintain a critically sick NB with supplementary O2, is suggested. Values should be kept at between 88% and 94% to avoid hypoxemia and hyperoxemia.


REFERENCES

  1. Poets CF, Southall PD. Noninvasive monitoring of oxygenation in infants and children: practical considerations and areas of concern. Pediatrics 1994;93:737-746.

  2. Hans-Ulrich Bucher, Fanconi D, Baeckert P, Duc G. Hyperoxemia in newborn infants: detection by pulse oximetry. Padiatrics 1989;84:226-230.

  3. Poets CF, Wilken M, Seindenberg J, Southall DP, Vonder Hardt H. Reliability of a pulse oximeter in the detection of hyperoxemia. J Pediatr 1993;122:87-90.

  4. Goldsmit G, Bellani P, Giudice L, et al. Recomendaciones para el control de la saturación de oxígeno óptima en prematuros. Arch Argent Pediatr 2004;102:308-311.

  5. Solimano AJ, Smyth JA, Mann TK, Albersheim SG; Lockitch G. Pulse oximetry advantages in infants with bronchopulmonary dysplasia. Pediatrics 1986;78:844-849.

  6. Hay WW, Brockway JM, Eyzaguirre M. Neonatal pulse oximetry: Accuracy and reliability. Pediatrics 1989;83:717-722.

  7. O’Brien LM, Stebbens VA, Poets CF, et al. Oxygen saturation during the first 24 hours life. Arch Dis Child Fetal Neonatal Ed 2000;83:F35-F38.

  8. Brockway J, Hay WW Jr. Prediction of arterial partial pressure of oxygen with pulse oxygen saturation measurements. J Pediatr 1998;133:63-66.

  9. Levesque BM, Pollack P, Griffin BE, Nielsen HC. Pulse oximetry: What’s normal in the newborn nursery? Pediatr Pulmonol 2000;30:406-412.

  10. Poets CF. When do infants need additional inspired oxygen? A review of the current literature. Pediatr Pulmonol 1998;26:424-428.

  11. Poets CF, Stebbens VA, Alexander JR, Arrowsmith WA, Salfield SA, Southau DP. Arterial oxygen saturation in preterm infants at discharge from the hospital and six weeks later. J Pediatr 1992;120:447-454.

  12. Saleu G, Lupiwa S, Javati A, Namvigi P, Lehmann D. Arterial oxygen saturation in healthy young infants in the highlands of Papaua New Guinea. PNG Med J 1999;42:90-93.

  13. Gonzales GF, Salirrosas A. Arterial oxygen saturation in healthy newborns delivered at term in Cerro de Pasco (4340 m) and Lima (150 m). Reprod Biol Endocrinol 2005;3:46.

  14. Jasso L. Fisiología del recién nacido. En: Jasso L, ed. Neonatología práctica. 6ª edición. México: El Manual Moderno; 2005. pp. 73-100.

  15. Tapia-Rombo CA, Munayer-Calderón J, Salazar-Acuña AH, Alvarez-Vazquez E, de los Santos-Soriano H, et. al. Hemodynamic indexes in newborns using arteriovenous oxygen content difference. Rev Invest Clin 1998;50:191-196.

  16. Ballard JL, Khoury JC, Wedig K. New Ballard Score expanded to include extremely premature infants. J Pediatr 1991;119:417-423.

  17. Young MJ, Bresnitz EA, Strom BL. Sample size nomograms for interpreting negative clinical studies. Ann Intern Med 1983;99:248-251.

  18. Noguez PFJ. La insuficiencia respiratoria en la sala de cuidados intensivos. En: M. Arellano, ed. Cuidados intensivos en pediatría. 2a. edición. México: Nueva Editorial Interamericana; 1981. pp. 43-96.

  19. Tapia-Rombo CA, Rodríguez-Jiménez G, Saucedo-Zavala VJ, Cuevas- Uróstegui ML. Comparison of available oxygen before and after red blood cell transfusion in critically-ill premature newborns infants of 28-36 weeks gestational age, to asses its possible usefulness in clinical practice. Rev Invest Clin 2004;56:737-747.

  20. Cohen A, Manno C. Transfusion practices in infants receiving assisted ventilation. Clin Perinatol 1998;25:97-111.

  21. Ranney HM, Rapaport SI. El eritrocito. En: West JB, ed. Bases fisiológicas de la práctica médica. 12a. edición. Buenos Aires: Editorial Médica Panamericana; 1993. pp. 454-473.

  22. Guyton. AC, Hall JE. Transporte de oxígeno y dióxido de carbono en la sangre y los líquidos corporales. En: Guyton, ed. Tratado de fisiología médica. 10a. edición. México: McGraw-Hill Interamericana; 2000. pp. 561-573.

  23. Stockman JA. Anemia of prematurity. Current concepts in the issue of when to transfuse. Pediatr Clin North Am 1986;33:111-128. (Review).

  24. Caldeyro- Barcia R, Duhagon P. Circulación fetal y adaptación posnatal del sistema circulatorio. En: Sánchez PA, ed. Cardiología pediátrica, clínica y cirugía. Barcelona: Salvat Editores; 1986. pp. 76-87.

  25. Wardrop CAJ, Holland BM, Veale KEA, Jones JG, Gray OP. Nonphysyological anemia of prematurity. Arch Dis Child 1978;53:855-860.




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Gac Med Mex. 2008;144