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been withdrawn from the market recently because of high

production costs.

E. Precautions

1. The fiberoptic sensor may fail as a result of excessive

kinking during sensor insertion into the umbilical

artery catheter.

2. The sensor should be removed slowly to ensure that

there is no microthrombus release if heparinization of

the catheter was suboptimal.

3. See also Chapter 29.

F. Technique

1. Use sterile procedure.

2. Insert umbilical artery catheter (see Chapter 29).

3. Verify catheter position by radiography.

4. Calibrate sensor following the manufacturer’s instructions.

5. Introduce the sensor into the umbilical artery catheter

following the manufacturer’s instructions.

G. Complications

Same as for umbilical artery catheterization; see Chapter 29.

References

1. Hay WW. Physiology of oxygenation and its relation to pulse

oximetry in neonates. J Perinatol. 1987;7:309.

2. Dziedzic K, Vidyasagar D. Pulse oximetry in neonatal intensive

care. Clin Perinatol. 1989;16:177.

3. Barrington KJ, Finer NN, Ryan CA. Evaluation of pulse oximetry

as a continuous monitoring technique in the neonatal intensive

care unit. Crit Care Med. 1988;16:1147.

4. Di Fiore JM. Neonatal cardiorespiratory monitoring techniques.

Semin Neonatol 2004;9(3):195.

5. Davis PG, Dawson JA. New concepts in neonatal resuscitation.

Curr Opin Pediatr. 2012;24:147.

6. Dawson JA, Davis PG, O’Donnell CP, et al. Pulse oximetry for

monitoring infants in the delivery room: a review. Arch Dis Child

Fetal Neonatal Ed. 2007;92(1):F4.

7. Kattwinkel J, Perlman JM, Aziz K, et al. Neonatal resuscitation:

2010 American Heart Association Guidelines for Cardiopulmonary

Resuscitation and Emergency Cardiovascular Care. Pediatrics.

2010;126(5):e1400.


74 Section II ■ Physiologic Monitoring

8. Perlman JM, Wyllie J, Kattwinkel J, et al. Neonatal resuscitation:

2010 International Consensus on Cardiopulmonary Resuscitation

and Emergency Cardiovascular Care Science with Treatment

Recommendations. Pediatrics. 2010;126(5):e1319.

9. Workie FA, Rais-Bahrami K, Short BL. Clinical use of new-generation pulse oximeters in the neonatal intensive care unit. Am J

Perinatol. 2005;22(7):357.

10. Hay WW Jr, Rodden DJ, Collins SM, et al. Reliability of conventional and new pulse oximetry in neonatal patients. J Perinatol.

2002;22(5):360.

11. Soubani AO. Noninvasive monitoring of oxygen and carbon dioxide. Am J Emerg Med. 2001;19(2):141.

12. Bohnhorst B, Peter CS, Poets CF. Pulse oximeters’ reliability in

detecting hypoxemia and bradycardia: comparison between a

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