Accuracy of clinical assessment of infant heart rate in the delivery room

Heart rate (HR) dictates intervention during neonatal resuscitation. Guidelines recommend that HR be assessed by auscultation or palpation. We compared HRs determined clinically with electrocardiography (ECG) in healthy newborns in the delivery room. Clinical assessment by 23 observers randomly allo...

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Veröffentlicht in:	Resuscitation 2006-12, Vol.71 (3), p.319-321
Hauptverfasser:	Kamlin, C. Omar F., O’Donnell, Colm P.F., Everest, Neil J, Davis, Peter G, Morley, Colin J
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Delivery Rooms Electrocardiography Emergency and intensive care: neonates and children. Prematurity. Sudden death Gestational Age Heart Auscultation Heart Rate Humans Infant Infant, Newborn Intensive care medicine Investigative techniques of respiratory function Investigative techniques, diagnostic techniques (general aspects) Medical sciences Newborn Observer Variation Palpation Practice Guidelines as Topic Reference Values Reproducibility of Results Resuscitation
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Zusammenfassung:	Heart rate (HR) dictates intervention during neonatal resuscitation. Guidelines recommend that HR be assessed by auscultation or palpation. We compared HRs determined clinically with electrocardiography (ECG) in healthy newborns in the delivery room. Clinical assessment by 23 observers randomly allocated to assess HR by one of two methods in 26 infants, was found to be inaccurate and underestimate ECG HR. The mean difference between HR assessed by auscultation and palpation ECG and HR using methodology recommended by the Neonatal Resuscitation Programme was 14 and 22 beats per minute respectively.
ISSN:	0300-9572 1873-1570
DOI:	10.1016/j.resuscitation.2006.04.015