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

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. 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

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Posted February 17, 20178 yr

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.