Department of Pediatrics, New York Presbyterian Hospital - Weill Cornell Medicine, New York, New York, USA
Department of Population Health Sciences, New York Presbyterian Weill Cornell, New York, New York, USA.
Arch Dis Child Fetal Neonatal Ed. 2021 Sep;106(5):550-552. doi: 10.1136/archdischild-2020-320901. Epub 2021 Jan 21.
Heart rate (HR) is used to guide interventions during delivery room (DR) neonatal resuscitation. Dry electrode ECG (NeoBeat) may detect HR more rapidly than pulse oximetry (PO) and portable ECG, but real-time comparisons of these devices are lacking.
DESIGN/METHODS: PO, ECG and NeoBeat were placed sequentially on newborns in the DR. Time for device placement and time to accurate HR acquisition were noted.
DR resuscitations of 28 preterm/term infants were observed. The NeoBeat was placed faster (ie, 3 s) than PO (20 s, p=<0.0001) and ECG (16 s, p=<0.0001). Total time from initiation of device placement to HR acquisition was fastest with NeoBeat (13 s) versus ECG (42 s, p<0.0001) and PO (105 s, p<0.0001) (duration values=median).
These observations in a small cohort of relatively well neonates demonstrate that the NeoBeat is significantly faster to place and consistently acquires HR faster than PO and ECG.
心率（HR）用于指导分娩室（DR）新生儿复苏期间的干预措施。干电极心电图（NeoBeat）可能比脉搏血氧仪（PO）和便携式心电图更快地检测 HR，但这些设备的实时比较尚缺乏。
设计/方法：PO、ECG 和 NeoBeat 依次放置在 DR 中的新生儿身上。记录设备放置时间和准确获取 HR 的时间。
观察了 28 例早产儿/足月新生儿的 DR 复苏。NeoBeat 的放置速度比 PO（20s，p<0.0001）和 ECG（16s，p<0.0001）更快（即 3s）。从开始放置设备到获取 HR 的总时间，NeoBeat 最快（13s），与 ECG（42s，p<0.0001）和 PO（105s，p<0.0001）相比（持续时间值为中位数）。
在一组相对健康的新生儿中进行的这些观察结果表明，与 PO 和 ECG 相比，NeoBeat 的放置速度明显更快，并且始终更快地获取 HR。
