Table 1.
Variable | Monitor | Data acquisition feasible | Normative values establisheda | Comments | Strength of recommendation |
---|---|---|---|---|---|
SpO2 | Pulse oximeter | + | + | Accurate but unable to detect hyperoxemia | Class I |
HR | Pulse oximeter | + | + | Accurate but time delay in data acquisition | Class I |
ECG | + | + | Rapid accurate data acquisition | Class I | |
Peripheral perfusion | Echocardiography/NICOM | + | − | Not assessed in preterm infants | Class III |
Perfusion index | + | + | Normative values highly variable in newborns | Class III | |
ETT position | CO2 detector | + | n/a | Reduces time to confirmation of correct placement | Class I |
Facemask ventilation effectiveness | CO2 detector | + | n/a | Reduces mask leak and obstruction | Class IIa |
Further RCTs required | |||||
Capnography | + | − | Reduces mask leak and obstruction | Class IIa | |
Further RCTs required | |||||
Respiratory function monitor | + | − | Reduces mask leak and obstruction | Class IIa | |
Further RCTs required | |||||
Cerebral oxygenation | NIRS | + | + | Advise as part of further RCTs | Class IIb |
Cerebral activity | EEG | + | − | Advise further feasibility trials and establishment of normative reference values | Class III |
aFor preterm infants, <32 weeks gestation in the immediate newborn period.