The perfusion index of healthy term infants during transition at birth
Perfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term...
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| Veröffentlicht in: | European journal of pediatrics 2016-04, Vol.175 (4), p.475-479 |
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| creator | Kroese, Jacco K. van Vonderen, Jeroen J. Narayen, Ilona C. Walther, Frans J. Hooper, Stuart te Pas, Arjan B. |
| description | Perfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term born infants were recorded during the first 10 min after birth, using a pulse oximetry sensor placed preductally. A Wilcoxon signed-rank test was used to compare between time points. No significant trend in perfusion index could be observed in term-delivered infants. There was a significant difference between 2 and 3 min (2.4 (1.6–5.0) vs. 2.3 (1.6–3.7),
p
= 0.05) and between 3 and 4 min after birth (2.3 (1.6–3.7) vs. 2.1 (1.4–3.2),
p
|
| doi_str_mv | 10.1007/s00431-015-2650-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4799258</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3990070901</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-af231c951c61a01997a0544e192792e05e35f8df92514994f32f78210a80c21f3</originalsourceid><addsrcrecordid>eNp1kU9LHTEUxUNp0Vf1A7iRgW7cjL03fyebQnloFYRudB3ivMSJzMu8Jpmi3948nxVb6CqQ_M7JufcQcoxwhgDqawbgDFtA0VIpoMUPZIGc0RZByY9kAYxDK1HrffI55weoGo3dHtmnkutOcrkgFzeDazYu-TmHKTYhrtxjM_lmcHYsw1NTXFrXW29jyc1qTiHeNyXZmEPZ8rY0dyGV4ZB88nbM7uj1PCC3F-c3y8v2-uePq-X367bnCkprPWXYa4G9RAs1mLIgOHeoqdLUgXBM-G7lNRXIteaeUa86imA76Cl6dkC-7Xw3893arXoXa5jRbFJY2_RkJhvM3y8xDOZ--m240tW0qwanrwZp-jW7XMw65N6No41umrNBpbhgDCVU9Ms_6MM0p1jHe6GollqoSuGO6tOUc3L-LQyC2bZkdi2Z2pLZtmSwak7eT_Gm-FNLBegOyJvtxl169_V_XZ8BF3ScEQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1774296957</pqid></control><display><type>article</type><title>The perfusion index of healthy term infants during transition at birth</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kroese, Jacco K. ; van Vonderen, Jeroen J. ; Narayen, Ilona C. ; Walther, Frans J. ; Hooper, Stuart ; te Pas, Arjan B.</creator><creatorcontrib>Kroese, Jacco K. ; van Vonderen, Jeroen J. ; Narayen, Ilona C. ; Walther, Frans J. ; Hooper, Stuart ; te Pas, Arjan B.</creatorcontrib><description>Perfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term born infants were recorded during the first 10 min after birth, using a pulse oximetry sensor placed preductally. A Wilcoxon signed-rank test was used to compare between time points. No significant trend in perfusion index could be observed in term-delivered infants. There was a significant difference between 2 and 3 min (2.4 (1.6–5.0) vs. 2.3 (1.6–3.7),
p
= 0.05) and between 3 and 4 min after birth (2.3 (1.6–3.7) vs. 2.1 (1.4–3.2),
p
< 0.001). There was no significant change in median PI values in the following 8 min.
Conclusion
: Perfusion index does not change significantly during transition at birth in healthy term infants born by normal vaginal delivery or cesarean section. Large variation in perfusion index causes monitoring this parameter to have limited value.
What is known:
•
Perfusion index is a non
-
invasive indicator for peripheral perfusion
.
•
Perfusion index values
<
1.24 are seen as an accurate predictor for severity of illness for infants admitted to the neonatal intensive care unit
.
What is new:
•
Although significant physiological changes occur during birth, perfusion index remains stable
.
•
Large variation in perfusion index causes monitoring of this value to have limited value as an additional parameter for evaluating transition at birth
.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-015-2650-1</identifier><identifier>PMID: 26498646</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Babies ; Cesarean section ; Delivery, Obstetric ; Gestational age ; Heart rate ; Heart Rate - physiology ; Hemodynamics - physiology ; Humans ; Infant, Newborn ; Medicine ; Medicine & Public Health ; Monitoring, Physiologic ; Newborn babies ; Original ; Original Article ; Oximetry - methods ; Oxygen - analysis ; Oxygen saturation ; Pediatrics ; Physiology ; Pulse oximetry ; Reference Values ; Retrospective Studies ; Sensors ; Suffocation ; Term Birth - physiology ; Time Factors ; Vagina</subject><ispartof>European journal of pediatrics, 2016-04, Vol.175 (4), p.475-479</ispartof><rights>The Author(s) 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-af231c951c61a01997a0544e192792e05e35f8df92514994f32f78210a80c21f3</citedby><cites>FETCH-LOGICAL-c470t-af231c951c61a01997a0544e192792e05e35f8df92514994f32f78210a80c21f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-015-2650-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-015-2650-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26498646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kroese, Jacco K.</creatorcontrib><creatorcontrib>van Vonderen, Jeroen J.</creatorcontrib><creatorcontrib>Narayen, Ilona C.</creatorcontrib><creatorcontrib>Walther, Frans J.</creatorcontrib><creatorcontrib>Hooper, Stuart</creatorcontrib><creatorcontrib>te Pas, Arjan B.</creatorcontrib><title>The perfusion index of healthy term infants during transition at birth</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>Perfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term born infants were recorded during the first 10 min after birth, using a pulse oximetry sensor placed preductally. A Wilcoxon signed-rank test was used to compare between time points. No significant trend in perfusion index could be observed in term-delivered infants. There was a significant difference between 2 and 3 min (2.4 (1.6–5.0) vs. 2.3 (1.6–3.7),
p
= 0.05) and between 3 and 4 min after birth (2.3 (1.6–3.7) vs. 2.1 (1.4–3.2),
p
< 0.001). There was no significant change in median PI values in the following 8 min.
Conclusion
: Perfusion index does not change significantly during transition at birth in healthy term infants born by normal vaginal delivery or cesarean section. Large variation in perfusion index causes monitoring this parameter to have limited value.
What is known:
•
Perfusion index is a non
-
invasive indicator for peripheral perfusion
.
•
Perfusion index values
<
1.24 are seen as an accurate predictor for severity of illness for infants admitted to the neonatal intensive care unit
.
What is new:
•
Although significant physiological changes occur during birth, perfusion index remains stable
.
•
Large variation in perfusion index causes monitoring of this value to have limited value as an additional parameter for evaluating transition at birth
.</description><subject>Babies</subject><subject>Cesarean section</subject><subject>Delivery, Obstetric</subject><subject>Gestational age</subject><subject>Heart rate</subject><subject>Heart Rate - physiology</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Monitoring, Physiologic</subject><subject>Newborn babies</subject><subject>Original</subject><subject>Original Article</subject><subject>Oximetry - methods</subject><subject>Oxygen - analysis</subject><subject>Oxygen saturation</subject><subject>Pediatrics</subject><subject>Physiology</subject><subject>Pulse oximetry</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><subject>Sensors</subject><subject>Suffocation</subject><subject>Term Birth - physiology</subject><subject>Time Factors</subject><subject>Vagina</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9LHTEUxUNp0Vf1A7iRgW7cjL03fyebQnloFYRudB3ivMSJzMu8Jpmi3948nxVb6CqQ_M7JufcQcoxwhgDqawbgDFtA0VIpoMUPZIGc0RZByY9kAYxDK1HrffI55weoGo3dHtmnkutOcrkgFzeDazYu-TmHKTYhrtxjM_lmcHYsw1NTXFrXW29jyc1qTiHeNyXZmEPZ8rY0dyGV4ZB88nbM7uj1PCC3F-c3y8v2-uePq-X367bnCkprPWXYa4G9RAs1mLIgOHeoqdLUgXBM-G7lNRXIteaeUa86imA76Cl6dkC-7Xw3893arXoXa5jRbFJY2_RkJhvM3y8xDOZ--m240tW0qwanrwZp-jW7XMw65N6No41umrNBpbhgDCVU9Ms_6MM0p1jHe6GollqoSuGO6tOUc3L-LQyC2bZkdi2Z2pLZtmSwak7eT_Gm-FNLBegOyJvtxl169_V_XZ8BF3ScEQ</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Kroese, Jacco K.</creator><creator>van Vonderen, Jeroen J.</creator><creator>Narayen, Ilona C.</creator><creator>Walther, Frans J.</creator><creator>Hooper, Stuart</creator><creator>te Pas, Arjan B.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>The perfusion index of healthy term infants during transition at birth</title><author>Kroese, Jacco K. ; van Vonderen, Jeroen J. ; Narayen, Ilona C. ; Walther, Frans J. ; Hooper, Stuart ; te Pas, Arjan B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-af231c951c61a01997a0544e192792e05e35f8df92514994f32f78210a80c21f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Babies</topic><topic>Cesarean section</topic><topic>Delivery, Obstetric</topic><topic>Gestational age</topic><topic>Heart rate</topic><topic>Heart Rate - physiology</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Monitoring, Physiologic</topic><topic>Newborn babies</topic><topic>Original</topic><topic>Original Article</topic><topic>Oximetry - methods</topic><topic>Oxygen - analysis</topic><topic>Oxygen saturation</topic><topic>Pediatrics</topic><topic>Physiology</topic><topic>Pulse oximetry</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><topic>Sensors</topic><topic>Suffocation</topic><topic>Term Birth - physiology</topic><topic>Time Factors</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kroese, Jacco K.</creatorcontrib><creatorcontrib>van Vonderen, Jeroen J.</creatorcontrib><creatorcontrib>Narayen, Ilona C.</creatorcontrib><creatorcontrib>Walther, Frans J.</creatorcontrib><creatorcontrib>Hooper, Stuart</creatorcontrib><creatorcontrib>te Pas, Arjan B.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kroese, Jacco K.</au><au>van Vonderen, Jeroen J.</au><au>Narayen, Ilona C.</au><au>Walther, Frans J.</au><au>Hooper, Stuart</au><au>te Pas, Arjan B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The perfusion index of healthy term infants during transition at birth</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>175</volume><issue>4</issue><spage>475</spage><epage>479</epage><pages>475-479</pages><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>Perfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term born infants were recorded during the first 10 min after birth, using a pulse oximetry sensor placed preductally. A Wilcoxon signed-rank test was used to compare between time points. No significant trend in perfusion index could be observed in term-delivered infants. There was a significant difference between 2 and 3 min (2.4 (1.6–5.0) vs. 2.3 (1.6–3.7),
p
= 0.05) and between 3 and 4 min after birth (2.3 (1.6–3.7) vs. 2.1 (1.4–3.2),
p
< 0.001). There was no significant change in median PI values in the following 8 min.
Conclusion
: Perfusion index does not change significantly during transition at birth in healthy term infants born by normal vaginal delivery or cesarean section. Large variation in perfusion index causes monitoring this parameter to have limited value.
What is known:
•
Perfusion index is a non
-
invasive indicator for peripheral perfusion
.
•
Perfusion index values
<
1.24 are seen as an accurate predictor for severity of illness for infants admitted to the neonatal intensive care unit
.
What is new:
•
Although significant physiological changes occur during birth, perfusion index remains stable
.
•
Large variation in perfusion index causes monitoring of this value to have limited value as an additional parameter for evaluating transition at birth
.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26498646</pmid><doi>10.1007/s00431-015-2650-1</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Babies Cesarean section Delivery, Obstetric Gestational age Heart rate Heart Rate - physiology Hemodynamics - physiology Humans Infant, Newborn Medicine Medicine & Public Health Monitoring, Physiologic Newborn babies Original Original Article Oximetry - methods Oxygen - analysis Oxygen saturation Pediatrics Physiology Pulse oximetry Reference Values Retrospective Studies Sensors Suffocation Term Birth - physiology Time Factors Vagina |
| title | The perfusion index of healthy term infants during transition at birth |
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