Author:
Perrone Serafina, ,Giordano Maurizio,De Bernardo Giuseppe,Lugani Paola,Sarnacchiaro Pasquale,Stazzoni Gemma,Buonocore Giuseppe,Esposito Susanna,Tataranno Maria Luisa
Abstract
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.
Publisher
Springer Science and Business Media LLC
Reference27 articles.
1. Buonocore G, Perrone S. Tataranno ML. Oxygen toxicity: chemistry and biology of reactive oxygen species. Semin Fetal Neonatal Med 2010;15:186–190, 4, DOI: https://doi.org/10.1016/j.siny.2010.04.003.
2. Perrone S, Laschi E, Buonocore G. Biomarkers of oxidative stress in the fetus and newborns. Free Radic Biol Med. 2019;142:23–31. https://doi.org/10.1016/j.freeradbiomed.2019.03.034.
3. Belvisi E, Bracciali C, Ognean ML, Tei M, Negro S, Carra F, et al. Enzyme activities in erythrocytes of term and preterm newborns. J Pediatr Biochem. 2016;6(02):114–8. https://doi.org/10.1055/s-0036-1593814.
4. Perrone S, Vezzosi P, Longini M, Marzocchi B, Paffetti P, Bellieni CV, et al. Biomarkers of oxidative stress in babies at high risk for retinopathy of prematurity. Front Biosci (Elite Ed). 2009;1:547–52.
5. Perrone S, Tataranno ML, Stazzoni G, Del Vecchio A, Buonocore G. Oxidative injury in neonatal erythrocytes. J Matern Fetal Neonatal Med. 2012;25(Suppl 5):104–8. https://doi.org/10.3109/14767058.2012.715471.
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献