Centre for Perinatal Research, School of Medicine, University of Nottingham, Nottingham, UK,
Centre for Perinatal Research, School of Medicine, University of Nottingham, Nottingham, UK.
Neonatology. 2022;119(2):264-267. doi: 10.1159/000521530. Epub 2022 Feb 7.
International newborn resuscitation guidelines recommend electrocardiogram (ECG) heart rate (HR) monitoring at birth. We evaluated the application time of pre-set ECG electrodes fixed to a polyethene patch allowing adhesive-free attachment to the wet skin of the newborn chest.
Using a three-electrode pre-set ECG patch configuration, application success was calculated using video analysis and measured at three time points, the time to (1) apply electrodes; (2) detect recognizable QRS complexes after application; and (3) display a HR after application.
A prospective observational study in two UK tertiary maternity units was undertaken with 71 newborns including 23 who required resuscitation.
The median (IQR) time for ECG patch application was 8 (6-10) seconds, detection of recognizable QRS complexes 8 (2-12) seconds, and time to output HR was 23 (15-37) seconds.
Pre-set ECG chest electrodes allow rapid HR information at birth without electrode detachment or compromising skin integrity.
国际新生儿复苏指南建议在出生时进行心电图（ECG）心率（HR）监测。我们评估了将预设定电极固定在聚乙稀贴片上的应用时间，该贴片可实现无胶粘贴到新生儿胸部的湿润皮肤。
使用三电极预设定 ECG 贴片配置，通过视频分析计算应用成功率，并在三个时间点进行测量，这三个时间点分别是：（1）应用电极的时间；（2）应用后可识别 QRS 复合波的时间；（3）应用后显示 HR 的时间。
在英国两家三级妇产医院进行了一项前瞻性观察性研究，纳入了 71 名新生儿，其中包括 23 名需要复苏的新生儿。
ECG 贴片应用的中位数（IQR）时间为 8（6-10）秒，可识别 QRS 复合波的检测时间为 8（2-12）秒，输出 HR 的时间为 23（15-37）秒。
预设定 ECG 胸部电极可在出生时快速提供 HR 信息，而不会导致电极脱落或损害皮肤完整性。
