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POLL: Saturations targets for preterm infants... what do you aim at?

  •
Stefan Johansson
in Respiratory Disorders

For the initial care of 31-weeker with mild RDS, on CPAP and 30-21% oxygen over five days - what saturation target do you aim at? 25 members have voted

  1. 1. I'd set the saturation target to...

    • 85-89%
      1
    • 88-93%
      9
    • 91-95%
      13
    • 93-97%
      0
    • Other saturation target (see comment)
      0

  2. 2. I'd set the alarm limits to...

    • 1% above/below the saturation target
      9
    • 2% above/below the saturation target
      7
    • 3% above/below the saturation target
      7
    • other alarm setting (see comment)
      0

Please sign in or register to vote in this poll.

Featured Replies

There is some relatively strong data supporting a saturation target at 90-95%, at least during intensive care (level-3 settings) and for extremely preterm infants. This commentary from EBNEO is quite interesting: https://ebneo.org/2017/02/oxygen-saturation-targets-in-extremely-preterm-infants/

However, the studies on saturation targeting has some methodological aspects that is also good to consider. Have a look on a lecture by Barbara Schmidt below, a lecture that problematize the evidence.

Further, what shall we target in the majority of preterm infants not born extremely preterm, and cared for in level-2 settings? Like a 31- or a 34-week infant who may need CPAP and supplemental oxygen only for a few days.

Another common discussion is what alarm limits should be applied. If the target is 91-95&, does the alarm need to go off at 89 and 97%?

Please complete the poll above on saturations targets and alarm limit, and comment below.

 

 

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