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What's hot in neonatal respiratory monitoring?
Pediatr Res
November 2024
Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Respiratory monitoring is an essential part of routine clinical care of the newborn. Recent technological developments have improved respiratory monitoring and allowed for a two-way interaction between the monitored parameter and the level of the provided respiratory support. We herein discuss applications of monitoring by neurally adjusted ventilatory assist, closed-loop oxygen control, tidal capnography, lung ultrasound, diaphragmatic electromyography and lung magnetic resonance imaging.
View Article and Find Full Text PDFCarbon dioxide monitoring during neonatal stabilisation at delivery (COSTA-Neo)-Multi centre observational study.
Resuscitation
October 2023
Institute for Computational Cosmology, Department of Physics, University of Durham, Durham, DH1 3LE, United Kingdom.
Background: The data is evolving on exhaled carbon dioxide (ECO) levels for preterm infants requiring stabilisation.
Objectives: To establish the trends of ECO levels during the first 10 minutes of stabilisation in preterm infants at birth.
Methods: We conducted a multi-centre, prospective observational study.
Capnography waveforms: basic interpretation in neonatal intensive care.
Front Pediatr
April 2024
Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
End-tidal capnography can provide useful clinical information displayed on the ventilator screen or bedside monitor. It is important that clinicians can assess and utilise this information to assist in identifying underlying complications and pulmonary pathology. Sudden change or loss of the CO waveform can act as a safety measure in alerting clinicians of a dislodged or blocked endotracheal tube, considering the concurrent flow and volume waveforms.
View Article and Find Full Text PDFRespiratory rate monitoring in ICU patients and healthy volunteers using electrical impedance tomography: a validation study.
Physiol Meas
June 2024
Department of Adult Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
. The respiratory rate (RR) is considered one of the most informative vital signals. A well-validated standard for RR measurement in mechanically ventilated patient is capnography; a noninvasive technique for expiratory COmeasurements.
View Article and Find Full Text PDFGas exchange parameters for the prediction of obstructive sleep apnea in infants.
J Clin Sleep Med
July 2024
Service de Pneumologie Infantile, Allergologie et Centre De Référence En Mucoviscidose, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.
Study Objectives: Sleep laboratory polysomnography is the gold standard for obstructive sleep apnea (OSA) diagnosis in infants, but its access remains limited. Oximetry-capnography is another simple and widely used tool that can provide information on the presence of desaturations and alveolar hypoventilation. However, its reliability is debated.
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