MONITORING PULSE OXIMETRY IN NEWBORN: NURSE PRACTICE IN NEONATAL UNITS.

Authors

  • João Paulo Assunção Borges Unifesp

DOI:

https://doi.org/10.18554/

Abstract

ABSTRACT

Supplemental oxygen (O2) therapy is used in newborns with respiratory disorders, despite presenting risks for morbidity. This study aimed to describe the nursing practice of administrating supplemental O2 and monitoring newborns. This systematic literature review was performed using a descriptive and reflective approach. Twenty studies were selected from electronic scientific databases considering the period between January 2000 and July 2013. It was found that the form of administration of O2 varies according to the efficiency of the system used, the cause and the degree of respiratory distress in the newborn. Pulse oximetry is a noninvasive method to continuously verify oxygenation, which is also able to reduce the incidence and severity of complications from O2 abuse. Neonatal units should count on air/O2 mixers and nurses should ensure continuous monitoring of oxygen therapy in infants, proposing strategies and goals for pulse oximetry.

Descriptors: nursing; oxygen; oxygen inhalation therapy; newborn.

 

 

Author Biography

João Paulo Assunção Borges, Unifesp

Bacharel em Enfermagem pela Faculdade de Medicina - FAMED da Universidade Federal de Uberlândia -UFU.Especialista em Atenção à Saúde da Criança pela FAMED/UFU.Mestre em Ciências da Saúde de pela FAMED/UFU.Docente do Curso de Graduação em Enfermagem da FAMED/UFU.

References

REFERÊNCIAS

Tamez RN. Enfermagem na UTI Neonatal: assistência ao recém-nascido de alto risco. Oxigenoterapia. 5ª ed. Rio de Janeiro: Guanabara Koogan; 2013. p.157-65.

Miyaki M, et al. Administração de oxigênio e monitorização da oxigenação no recém-nascido. Programa de Atualização em Neonatologia – PRORN. Porto Alegre: Artmed/Panamericana Editora. 2009: 99-144.

Camargo PAB, Pinheiro AT, Hercos ACR, Ferrari GF. Oxigenoterapia inalatória em pacientes pediátricos internados em hospital universitário. Rev Paul Pediatr. 2008; 26(1):43-47.

Mack E. Oxygen administration in the neonate. Newb. Inf. Nurs. Rev. 2006; 6:63-7.

Frey B, Shann F. Oxygen administration in infants. Arch Dis Child Fetal Neonatal. 2003; 88: 84-8.

Verklan MT, Padhye NS, Turner NC. Oxygen Saturation Levels in the First 30 Minutes of Life. Adv. Neonatal Care. 2008; 8(4): 231-236.

Finer N, Leone T. Oxygen Saturation Monitoring for the Preterm Infant: The Evidence Basis for Current Practice. Pediatr Res. 2009; 65: 375–380.

Maltepe E, Saugstad OD. Oxygen in Health and Disease: Regulation of Oxygen Homeostasis–Clinical Implications. Pediatr Res. 2009; 65: 261-268.

Palm K, Simoneau T, Sawicki G, Rhein L. Assessment of Current Strategies for Weaning Premature Infants From Supplemental Oxygen in the Outpatient Setting. Adv. Neonatal Care. 2011; 11(5): 349-356.

Ravert P, Detwiler TL, Dickinson JK. Mean Oxygen Saturation in Well Neonates at Altitudes Between 4498 and 8150 Feet. Adv. Neonatal Care. 2011; 11(6): 412-417.

Nghiem TH, et al. Nurse Opinions and Pulse Oximeter Saturation Target Limits for Preterm Infants. Pediatrics. 2008; 121: 1039-46.

Castillo A, et al. Pulse Oxygen Saturation Levels and Arterial Oxygen Tension Values in Newborns Receiving Oxygen Therapy in the Neonatal Intensive Care Unit: Is 85% to 93% an Acceptable Range? Pediatrics. 2008; 121: 882-89.

Martin R, et al. Consequences of Neonatal Resuscitation with Supplemental Oxygen. Semin Perinatol. 2008; 32: 355-366.

Madden JE, Bobola DL. A Data-Driven Approach to Retinopathy of Prematurity Prevention Leads to Dramatic Change. Adv. Neonatal Care. 2010; 10(4): 182-187.

May C, Patel S, Kennedy C, Pollina E, Rafferty GF, Peacock JL, et al. Prediction of bronchopulmonary dysplasia. Arch Dis Child Fetal Neonatal. 2011; 96: 410-416.

Gracey K, Talbot D, Lanckford R, Dodge P. Nasal cannula home oxygen. Adv. Neonatal Care. 2003; 3(2): 99-101.

Fidler H. What Do We Aim For? Oxygen Saturation Targets in Extremely Preterm Infants. Adv. Neonatal Care. 2011; 11(6): 404-405.

Johnson K, Scott SD, Fraser KD. Oxygen Use for Preterm Infants: Factors That May Influence Clinical Decisions Surrounding Oxygen Titration. Adv. Neonatal Care. 2011; 11(1): 8-14.

Deuber C, Abbasi S, Schwoebel A, Terhaar M. The Toxigen Initiative: Targeting Oxygen Saturation to Avoid Sequelae in Very Preterm Infants. Adv. Neonatal Care. 2013; 13(2): 139-45.

Kutzsche S, Ilves P, Kirkeby OJ, Saugstad OD. Hydrogen Peroxide Production in Leukocytes during Cerebral Hypoxia and Reoxygenation with 100% or 21% Oxygen in Newborn Piglets. Pediatric Research. 2001; 49(6): 834-42.

Published

2013-12-27

Issue

Section

Revisão