Routine Versus Dedicated FiO2 Adjustments for SpO2 Level Monitoring in Preterm Infants

Ganesan Ramachandran, Navaneetha Krishnan, Shrutin Ulman, Ranjan Kumar Pejaver

Abstract

Providing supplemental oxygen to preterm neonates is an integral part of neonatal intensive care therapy. Preterm lungs unable to oxygenate or associated pathologies such as hyaline membrane disease, congenital pneumonia, wet lungs, or perinatal asphyxia are a few conditions that necessitate supplemental oxygen. However, it is now proved beyond doubt that both hypoxia and hyperoxia are detrimental to the neonate and both have short-term and long-term ill effects. A few studies have recommended safe oxygen saturation targets, which require strict oxygen control. Nursing staff should monitor and tweak the oxygen controls. But this adds to the already overburdened nurses’ routine work in resource-restricted environments. The irony is that it is in these environments that strict control is needed due to the pathologies seen in neonates. 

This article describes the original research conducted on these important aspects. May be an automated oxygen control fulfils the requirement.

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