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Open Access 01-12-2021 | Research

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

Authors: Serafina Perrone, Maurizio Giordano, Giuseppe De Bernardo, Paola Lugani, Pasquale Sarnacchiaro, Gemma Stazzoni, Giuseppe Buonocore, Susanna Esposito, Maria Luisa Tataranno, on behalf of the National Study Group of Neonatal Clinical Biochemistry of the Italian Society of Neonatology

Published in: Italian Journal of Pediatrics | Issue 1/2021

Abstract

Background

Although many studies emphasize the importance of using oxygen saturation (SpO₂) 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 SpO₂ 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 SpO₂ ranges were observed. Centers using written standard operating procedures on oxygen management and SpO₂ monitoring maintained a correct average range of SpO₂ 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 SpO₂ 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.

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Title: Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture
Authors: Serafina Perrone
Maurizio Giordano
Giuseppe De Bernardo
Paola Lugani
Pasquale Sarnacchiaro
Gemma Stazzoni
Giuseppe Buonocore
Susanna Esposito
Maria Luisa Tataranno
on behalf of the National Study Group of Neonatal Clinical Biochemistry of the Italian Society of Neonatology
Publication date: 01-12-2021
Publisher: BioMed Central
Published in: Italian Journal of Pediatrics / Issue 1/2021
Electronic ISSN: 1824-7288
DOI: https://doi.org/10.1186/s13052-021-01050-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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