Review Fast and accurate newborn heart rate monitoring at birth: A systematic review*

被引:1
作者
Kapadia, Vishal S. [1 ]
Kawakami, Mandira D. [2 ]
Strand, Marya L. [3 ]
Hurst, Cameron Paul [4 ]
Spencer, Angela [5 ]
Schmolzer, Georg M. [6 ]
Rabi, Yacov [7 ]
Wyllie, Jonathan [8 ]
Weiner, Gary [9 ]
Liley, Helen G. [10 ]
Wyckoff, Myra H. [1 ]
机构
[1] Univ Texas Southwestern Med Ctr, Dept Pediat, Div Perinatal Neonatal Med, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
[2] Univ Texas Southwestern Med Ctr, Dallas, TX USA
[3] Univ Fed Sao Paulo, Sao Paulo, Brazil
[4] Akron Childrens Hosp, Akron, OH USA
[5] Charles Darwin Univ, Brisbane, Qld, Australia
[6] St Louis Univ, Sch Med, St Louis, MO USA
[7] Univ Alberta, Edmonton, AB, Canada
[8] Univ Calgary, Calgary, AB, Canada
[9] Univ Michigan Ann Arbor, Dept Microbiol & Immunol, Michigan Med, Ann Arbor, MI 48109 USA
[10] Univ Michigan, Ann Arbor, MI USA
来源
RESUSCITATION PLUS | 2024年 / 19卷
关键词
Newborn; Resuscitation; Heart Rate; Electrocardiogram; Pulse oximeter; Auscultation; Palpation; Digital stethoscope; Doppler ultrasound; Dry electrode ECG; Bradycardia; ILCOR; NRP; Systematic review; Meta-analysis; CARDIOVASCULAR CARE SCIENCE; NEONATAL LIFE-SUPPORT; PULSE OXIMETRY; CARDIOPULMONARY-RESUSCITATION; INTERNATIONAL CONSENSUS; ELECTROCARDIOGRAM; DELIVERY; DOPPLER; AGREEMENT; INFANTS;
D O I
10.1016/j.resplu.2024.100668
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Aim: To examine speed and accuracy of newborn heart rate measurement by various assessment methods employed at birth. Methods: A search of Medline, SCOPUS, CINAHL and Cochrane was conducted between January 1, 1946, to until August 16, 2023. (CRD 42021283364) Study selection was based on predetermined criteria. Reviewers independently extracted data, appraised risk of bias and assessed certainty of evidence. Results: Pulse oximetry is slower and less precise than ECG for heart rate assessment. Both auscultation and palpation are imprecise for heart rate assessment. Other devices such as digital stethoscope, Doppler ultrasound, an ECG device using dry electrodes incorporated in a belt, photoplethysmography and electromyography are studied in small numbers of newborns and data are not available for extremely preterm or bradycardic newborns receiving resuscitation. Digital stethoscope is fast and accurate. Doppler ultrasound and dry electrode ECG in a belt are fast, accurate and precise when compared to conventional ECG with gel adhesive electrodes. Limitations: Certainty of evidence was low or very low for most comparisons. Conclusion: If resources permit, ECG should be used for fast and accurate heart rate assessment at birth. Pulse oximetry and auscultation may be reasonable alternatives but have limitations. Digital stethoscope, doppler ultrasound and dry electrode ECG show promise but need further study.
引用
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页数:21
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