Pulse oximetry screening (POS) was first described over 20 years ago. However, in recent years, major clinical trials have demonstrated consistent test accuracy for the detection of critical congenital heart defects (CCHD). International uptake of POS has progressed well over the last 10 years with most major high-income countries now recommending screening. This review describes the evidence base which has led to this, the current debate regarding choice of screening algorithm, and the future areas for further research.
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http://dx.doi.org/10.1016/j.cnc.2023.09.001 | DOI Listing |
Healthcare (Basel)
February 2025
Department of Sleep Disorders Center, Department of Respiratory Medicine, Medical School, University of Crete, 71500 Heraklion, Greece.
Factors underlying excessive daytime sleepiness (EDS) in obstructive sleep apnea (OSA) are not fully understood. We investigated whether polysomnography (PSG) parameters differed between non-sleepy and sleepy (based on the Epworth Sleepiness Scale (ESS)) OSA patients with the same disease severity, which may play a role in the presence of EDS. A total of 1307 patients, without cardiovascular, metabolic, respiratory, or inflammatory comorbidities, diagnosed with OSA (apnea-hypopnea index (AHI) ≥ 5 per hour of sleep) with type 1 PSG were included.
View Article and Find Full Text PDFDiagnostics (Basel)
February 2025
Department of Medical Laboratory Sciences, College of Applied & Health Sciences, A' Sharqiyah University, Ibra 400, Oman.
Carbon monoxide (CO) poisoning is a significant public health issue, with diagnosis often complicated by non-specific symptoms and limited access to specialised tools. Early detection is vital for preventing long-term complications. The review examines diagnostic challenges, prognostic factors, management strategies, and future advancements in CO poisoning.
View Article and Find Full Text PDFEur J Pediatr
March 2025
Department of Pediatrics, CHU de Québec-Université Laval, 2705 Boulevard Laurier, Québec, Québec, G1V 4G2, Canada.
Unlabelled: To explore whether prenatal conditions (i.e. chorioamnionitis, preeclampsia or small-for-gestational age (SGA)) affect the very preterm infant's response to docosahexaenoic acid (DHA) on bronchopulmonary dysplasia (BPD), according to mode of delivery, an independent factor shown to modulate this association.
View Article and Find Full Text PDFRespir Care
March 2025
Drs. Mazzola and Cloward are affiliated with Department of Sleep Medicine, Intermountain Health Care Inc, Murray, Utah, USA.
Postoperative patients receiving opioids are at risk for morbidity and mortality caused by opioid-induced respiratory depression (OIRD). Guidelines advocate electronic monitoring for OIRD during postoperative hospitalization, but the utility of home monitoring following ambulatory surgery has not been assessed. We describe the utilization of capnography and pulse oximetry in an ambulatory orthopedic cohort to determine subject/home caregiver acceptance and utility of continuous monitors at home.
View Article and Find Full Text PDFPediatr Dermatol
March 2025
Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Neonatal skin color, especially melanin assessment, remains an underexplored topic in neonatology and dermatology literature. Growing concerns about racial bias in pulse oximeters in adults highlight the need for objective assessment of skin color to investigate if skin pigmentation contributes to the inaccuracy. While skin color scales and cutaneous colorimetric devices have been utilized in adult dermatology for various applications, their use and effectiveness in neonates and infants are not well understood.
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