Noninvasive Monitoring and Assessment of Oxygenation in Infants
Abstract
Formerly, assessing oxygenation relied on recognizing cyanosis; however, this is unreliable. Also, in neonates, a pink color, suggesting absence of severe hypoxemia, is difficult to assess. An objective and continuous assessment of oxygenation is necessary. Currently, this is best achieved noninvasively by transcutaneous partial pressure of oxygen (PTcO 2) monitoring or pulse oximetry. Because both PTcO 2 and oxygen saturation monitors (pulse oximeters) may display erroneous measurements, thorough understanding of their operating principles is required. Also, clinicians must recognize the range of values expected in healthy neonates. In this article, data on these issues are reviewed.
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Objective scales such as the Fitzpatrick Skin Pigmentation (FSP) scale or the Munsell scale were used by 6/37 studies (16.21%) and 4/37 studies (10.81%), respectively.
“We find that objective scales such as the Fitzpatrick Skin Pigmentation (FSP) scale or the Munsell scale were used by 6/37 studies (16.21%) [61,69,70,71,76,77] and 4/37 studies (10.81%) [47,48,74,89], respectively.”
From Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis (2022) · cites this paper as [74]
Two studies found a small but consistent skin pigmentation disparity in SpO2 measurements with values that may be falsely high in dark-skinned preterm infants.
“The other two studies found a small but consistent skin pigmentation disparity in SpO2 measurements with values that may be falsely high in dark-skinned preterm infants [51,74].”
From Skin pigmentation influence on pulse oximetry accuracy: a systematic review and bibliometric analysis (2022) · cites this paper as [74]
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- Authors
- Poets, C. F.
- Affiliations
- University of Tübingen (DE)
- Corresponding author
- Poets, Christian F.
- ORCID
- Poets, Christian F.
- Venue
- Clinics in Perinatology
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 46
- Issue
- 3
- Pages
- 417-433
- ISSN
- 0095-5108 (ISSN-L)
- OpenAlex
- W2952914753
- Cited by
- 24
- References
- 70
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 1 · 2018: 1
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinics in Perinatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
- Keywords
- neonatal oxygenation, pulse oximetry, oxygen saturation, hypoxemia, cyanosis, non-invasive monitoring, neonates, infants, measurement error
- MeSH terms
- Humans, Infant, Monitoring, Physiologic, Oximetry, Oxygen
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