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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2019
Randomized Controlled TrialRandomised study comparing heart rate measurement in newly born infants using a monitor incorporating electrocardiogram and pulse oximeter versus pulse oximeter alone.
- Madeleine C Murphy, Laura De Angelis, Lisa K McCarthy, and O'Donnell Colm Patrick Finbarr CPF National Maternity Hospital, Dublin, Ireland. National Children's Res.
- National Maternity Hospital, Dublin, Ireland.
- Arch. Dis. Child. Fetal Neonatal Ed. 2019 Sep 1; 104 (5): F547-F550.
AimTo determine whether IntelliVue (ECG plus Masimo pulse oximeter (PO)) measures heart rate (HR) in low-risk newborns more quickly than Nellcor PO (PO alone).MethodsUnmasked parallel group randomised (1:1) study.ResultsWe studied 100 infants, 47 randomised to IntelliVue, 53 to Nellcor. Time to first HR was shorter with IntelliVue ECG than Nellcor (median (IQR) 24 (19, 39) vs 48 (36, 69) s, p<0.001). There was no difference in time to display both HR and SpO2 (52 (47, 76) vs 48 (36, 69) s, p=0.507). IntelliVue PO displayed initial bradycardia more often than the Nellcor (55% vs 6%). Infants monitored with IntelliVue were handled more frequently and for longer.ConclusionsIntelliVue ECG displayed HR more quickly than Nellcor PO. IntelliVue PO often displayed initial bradycardia. Infants monitored with IntelliVue were handled more often. Study of ECG in high-risk infants is warranted.© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
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