Evaluation of tcPO2, beat-to-beat heart rate and respiration in neonates with episodes of cyanosis, bradycardia, or apnea.

Episodes of cyanosis, bradycardia, or apnea were studied in 26 newborns and prematures by continuous recording of tcPO2, beat-to-beat heart rate, and impedance pneumography. Hypoxemia related to therapeutic, diagnostic, or care procedures is very common and often is not accompanied by bradycardia or apnea. Idiopathic bradycardia lasting less than 30 seconds will not lead to hypoxemia. However, idiopathic bradycardia of more than 30 seconds' duration can lead to hypoxemia. Beat-to-beat cardiograms and transcutaneous oxygen measurement appear to be the most reliable methods for routine monitoring of these patients.