Abstract
Background: Assessment of heart rate (HR) is essential during newborn resuscitation, and comparison of dry-electrode ECG technology to standard monitoring by 3-lead ECG and Pulse Oximetry (PO) is lacking. Methods: NeoBeat, ECG, and PO were applied to newborns resuscitated at birth. Resuscitations were video recorded, and HR was registered every second. Results: Device placement time from birth was median (quartiles) 6 (4, 18) seconds for NeoBeat versus 138 (97, 181) seconds for ECG and 152 (103, 216) seconds for PO. Time to first HR presentation from birth was 22 (13, 45) seconds for NeoBeat versus 171 (129, 239) seconds for ECG and 270 (185, 357) seconds for PO. Proportion of time with HR feedback from NeoBeat during resuscitation from birth was 85 (69, 93)%, from arrival at the resuscitation table 98 (85, 100)%, and during positive pressure ventilation 100 (95, 100)%. For ECG, these proportions were, 25 (0, 43)%, 28 (0, 56)%, and 33 (0, 66)% and for PO, 0 (0, 16)%, 0 (0, 16)%, and 0 (0, 18)%. All p < 0.0001. Conclusions: NeoBeat was faster to place, presented HR more rapidly, and provided feedback on HR for a larger proportion of time during ongoing resuscitation compared to 3-lead ECG and PO.
Highlights
After birth, the newborn heart rate (HR) is important in the assessment of the effectiveness of spontaneous breathing, need for positive pressure ventilation (PPV), and for determining the response to resuscitation
NeoBeat was faster to place, presented feedback on HR
The dry-electrode device NeoBeat was faster to place, presented feedback onmore rapidly, and presented for a larger proportion of time during resuscitation compared to more rapidly, and presented HR for a larger proportion of time during resuscitation
Summary
The newborn heart rate (HR) is important in the assessment of the effectiveness of spontaneous breathing, need for positive pressure ventilation (PPV), and for determining the response to resuscitation. Use of auscultation by stethoscope is still the most common method for evaluating HR in the newborn during resuscitation, but the need for continuous HR monitoring requires advanced modalities, such as electrocardiography ECG and Pulse Oximetry (PO). ECG provides reliable feedback on HR faster than PO [3] and is suggested for monitoring of HR during newborn resuscitation [1]. New devices for ECG monitoring during newborn resuscitation have been developed and include the dry-electrode ECG technology used in NeoBeat. Assessment of heart rate (HR) is essential during newborn resuscitation, and comparison of dry-electrode ECG technology to standard monitoring by 3-lead ECG and Pulse. Methods: NeoBeat, ECG, and PO were applied to newborns resuscitated at birth. Proportion of time with HR feedback from NeoBeat during resuscitation from birth was
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