Oxygen saturation monitoring in the Neonatal Intensive Care Unit (NICU): Evaluation of a new alarm management

2010 ◽  
Vol 3 (2) ◽  
pp. 135-139
Author(s):  
Heather M. Brostowicz ◽  
K. Rais-Bahrami
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Oxygen Saturation ◽  
Neonatal Intensive Care ◽  
Alarm Management

An In-Service Educational Package Improves Alarm Management in the Neonatal Intensive Care Unit (NICU): Before and After Study

2021 ◽  
pp. 097321792110512
Author(s):  
Suryaprakash Hedda ◽  
Shashidhar A. ◽  
Saudamini Nesargi ◽  
Kalyan Chakravarthy Balla ◽  
Prashantha Y. N. ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Response Time ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Alarm Management ◽  
Educational Package ◽  
Before And After ◽  
Before And After Study

Background: Monitoring in neonatal intensive care unit (NICU) largely relies on equipment which have a number of alarms that are often quite loud. This creates a noisy environment, and moreover leads to desensitization of health-care personnel, whereby potentially important alarms may also be ignored. The objective was to evaluate the effect of an educational package on alarm management (the number of alarms, response to alarms, and appropriateness of settings). Methods: A before and after study was conducted at a tertiary neonatal care center in a teaching hospital in India involving all health-care professionals (HCP) working in the high dependency unit. The intervention consisted of demo lectures about working of alarms and bedside demonstrations of customizing alarm limits. A pre- and postintervention questionnaire was also administered to assess knowledge and attitude toward alarms. The outcomes were the number and type of alarms, response time, appropriateness of HCP response, and appropriateness of alarm limits as observed across a 24-h period which were compared before and after the intervention. Findings: The intervention resulted in a significant decrease in the number of alarms (11.6-9.6/h). The number of times where appropriate alarm settings were used improved from 24.3% to 67.1% ( P < .001). The response time to alarm did not change significantly (225 s vs 200 s); however, the appropriate response to alarms improved significantly from 15.6% to 68.8%. Conclusion: A simple structured intervention can improve the appropriate management of alarms. Application to Practice: Customizing alarm limits and nursing education reduce the alarm burden in NICUs

Experience in a Neonatal Intensive Care Unit Affects Pain Response

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 925-930 ◽  
Author(s):  
C. Céleste Johnston ◽  
Bonnie J. Stevens
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Oxygen Saturation ◽  
Repeated Measures ◽  
Neonatal Intensive Care ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Pain Response ◽  
Invasive Procedures

Objective. To determine the effect of being in the neonatal intensive care unit (NICU) on pain responses in infants of 32 weeks' postconceptual age (PCA). Design. A cross-sectional comparative design was used. Setting. Two level III NICUs, each in metropolitan, university teaching hospitals. Patients. Infants of 32 weeks' PCA born within the past 4 days (the newly born group; n = 53) were compared with infants of the same PCA who had been born 4 weeks earlier (the earlier-born group; n = 36) and had spent that time in an NICU. Outcome Measures. Heart rate, oxygen saturation levels, and facial actions were used as outcomes in a between-group repeated measures analysis of variance across the heel stick procedure. Background variables of Apgar, weight at birth and data collection, severity of illness, age group, and total number of invasive procedures were entered into a stepwise regression. Results. The two groups responded differently to the heel stick: the earlier-born infants had less behavioral manifestations of pain than the newly born infants. The number of invasive procedures was the primary factor that explained those behavioral differences, with Apgar as a second explanatory factor. The earlier-born infants had higher heart rates and lower oxygen saturation than the newly born infants before as well as during the procedure. These physiological differences were explained by the perinatal factors of age at birth and birth weight. Conclusion. Preterm infants who spend PCA weeks 28 through 32 in an NICU are less mature in their pain response than newborn premature infants of 32 weeks' PCA. Greater frequency of invasive procedures is associated with behavioral immaturity, whereas birth factors are associated with physiological immaturity.

scholarly journals Effect of positioning on physiological parameters on low birth weight preterm babies in neonatal intensive care unit

2019 ◽  
Vol 10 (4) ◽  
pp. 2800-2804 ◽  
Author(s):  
Alice Jeba J ◽  
Senthil Kumar S ◽  
Shivaprakash sosale
Keyword(s):  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Oxygen Saturation ◽  
Respiratory Rate ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Saturation Level ◽  
Oxygen Saturation Level

Preterm infants are babies who are delivered before the completion of 37 weeks gestation period. They are born with immature functioning of the brain. In  Neonatal Intensive Care Unit (NICU), these infants receives many environmental stimuli, and their comfort will be disturbed. These various sensory stimulus received in NICU influence the functional and neurodevelopmental outcome of these infants and also their quality of life. So this study was intended to evaluate the axillary temperature, heart rate, respiratory rate and oxygen saturation level of these infants prior to nesting and after nesting at the 60th minute. Forty preterm infants who fulfilled the criteria of selection were included in the study by simple random sampling and segregated into case and control groups by blocked randomization. Data was collected and recorded. The temperature was recorded by a digital thermometer, respiratory rate was counted by the number of times the infants' chest rises, heart rate and oxygen saturation readings from the pulse oximeter. The result of the study showed that there was statistically significant effect of nesting at 60th minute, temperature (t=5.03966,p<0.05), respiratory rate(t= -2.13,p<0.05) and heart rate (t=-2.59766,p<0.05). But the effect was not significant on oxygen saturation level (t=1.2,p=0.238).  Hence this study result supports the use of nesting in NICU.

Temporal quantification of oxygen saturation ranges: an effort to reduce hyperoxia in the neonatal intensive care unit

2013 ◽  
Vol 34 (1) ◽  
pp. 33-38 ◽  
Author(s):  
M J Bizzarro ◽  
F Y Li ◽  
K Katz ◽  
V Shabanova ◽  
R A Ehrenkranz ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Oxygen Saturation ◽  
Neonatal Intensive Care

scholarly journals THE EFFECT OF LISTENING TO MUROTTAL QUR'AN ON THE OXYGEN SATURATION LEVEL IN PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT

2018 ◽  
Vol 4 (5) ◽  
pp. 457-461
Author(s):  
Dina Sulviana Damayanti ◽  
Djauhar Ismail ◽  
Warsiti Warsiti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Oxygen Saturation ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Healing Process ◽  
Saturation Level ◽  
Intensive Care Unit Treatment ◽  
Oxygen Saturation Level

Background: Preterm infants are at risk for respiratory and hypothermia disorders that may affect physiologic growth and development processes that can be aggravated by treatment processes while in the neonatal intensive care unit. Treatment in the NICU can trigger stress that can affect the vital signs and healing process of preterm infants, thus requiring non-medical treatment to stimulate the condition. This research provides a different treatment of sound therapy that has never been given to preterm infants in previous studies by listening murottal Al-Qur'an.Objective: To examine the effect of listening to the murottal Qur'an on oxygen saturation in preterm infants during treatment at the neonatal intensive care unit (NICU).Method: This was a pre-experimental study with one group pretest-postest design from September to October 2017. The samples were 30 preterm infants treated at NICU of the General Hospital of Panembahan Senopati Bantul selected using accidental sampling. The analysis used was simple linear regression.Result: There was an increase of the oxygen saturation level after given intervention of Murottal Qur'an for 3 days. The first day of oxygen saturation intervention increased by 2.07%, the second day 3.75%, and the third day 4.65% compared to the oxygen saturation level before the intervention.Conclusion: Listening to murrotal Qur'an could statistically increase oxygen saturation, but clinically there was no significant change in preterm infants, as the increase of oxygen saturation level was still within normal limits.

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