Neonatal pulse oximetry screening improves detecting of critical congenital heart disease

Neonatal pulse oximetry screening improves detecting of critical congenital heart disease

MA Xiao-jing;HUANG Guo-ying

【期刊名称】《中华医学杂志（英文版）》 【年(卷),期】2013(126)014

【摘要】Objective Life-threatening critical congenital heart disease (cCHD) is often not detected in the neonatal period.Unrecognized cCHD results

in

high

morbidity

and

mortality

rates.As

a

non-

invasive,convenient,quick and accurate measuring method,pulse oximetry is considered to be a promising strategy to screen for cCHD in neonates.This article is a review on the neonatal pulse oximetry screening for cCHD.Data sources Articles on neonatal pulse oximetry screening for cCHD were accessed from PubMed,using keywords including

congenital

heart

defects,neonatal

screening

and

oximetry.Study selection Original articles and critical reviews selected were relevant to the review's theme.Results The factors in the course of implementation,including

threshold

for

positive

pulse-oximetry

screening results,the pulse oximeters used,timing of the screening,and the measuring position,influence the accuracy of the screening.It is recommended that the screening is completed on the second day of life,before hospital discharge.Motion-tolerant pulse oximeters,which can also be applied to measure the saturation in low-perfusion