Speed and effectiveness in the measurement of cardiac frequency with cardiac monitorin newborns of the general san diego clinic in the city of Barranquilla-colombia

Authors

  • Ricardo León Sánchez Consuegra Universidad Libre
  • Amy Carolina Ahumada Sierra Universidad Libre
  • Marco Antonio Bula Álvarez Universidad Libre
  • Carlos Alí Camacho Consuegra Universidad Libre

DOI:

https://doi.org/10.18041/2390-0512/bioc..2.2277

Keywords:

Electrocardiograph, heart rate, pulso-oxymeter, newborn

Abstract

Objective: To determine the speed and efficiency of measuring heart rate with heart rate monitor in newborns and to analyze, compare and determine ultimately the methods in question for measuring heart rate is more effective and recommended use. Method: The newborn will be placed in a servocuna immediately after birth. A pulse - oximetry detector will be placed in pre-ductal position (palm or right wrist) will be connected to a pulse-oximeter brand model Edan H100B. Simultaneously another member of the team will dry the surface of the newborn chestand place three ECG electrodes which are connected to respective brand Edan Model M50 monitor, the information will be recorded for a period of at least 3 minutes, another team member will review videos and record the time that the monitors begin to show reliable heart rate values. Results: We studied 27 newborns, including 1 needed Cardio Pulmonary Resuscitation average time to get a reliable reading using the electrocardiogram heart rate averaged 18.8 seconds, with a median of 13 seconds. The average time to obtain a stable reading of heart rate using pulse-pulse oximetry was 27.8 seconds with a median of 26 seconds. Conclusion: measuring the heart rate, electrocardiogram was 33% faster than the pulse-oximeter for this purpose.

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References

1. Myra H. Wyckoff, Chair; Khalid Aziz; Marilyn B. Escobedo; Vishal S. Kapadia; John Kattwinkel; Jeffrey M. Perlman; Wendy M. Simon; Gary M. Weiner; Jeanette G. Zaichkin. Part 13: Neonatal Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. 2015; 132 (suppl 2): S543-S560. doi: 10.1161/CIR.0000000000000267.

2. Perlman JM, Wyllie J, Kattwinkel J, Wyckoff MH, Aziz K,Guinsburg R, Kim HS, Liley HG, Mildenhall L, Simon WM, Szyld E, Tamura M,Velaphi S. Part 7: Neonatal Resuscitation 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations (Reprint) 2015;132(suppl 1): S204–S241. doi:10.1542/peds.2015-3373D.

3. Sánchez R, Cuentas R, Carreño J. Reanimación cardiopulmonar básica en pediatría. Precop SCP. 6(4): pp 38

4. Wyllie J, Jos Bruinenberg J, Roehr CC, Rüdiger M, Trevisanuto D. B.U. European Resuscitation Council Guidelines for Resuscitation.2015 Section 7. Resuscitation and support of transition of babies at birth. Resuscitation.2015;95:248–62. doi: 10.1016/j.resuscitation

5. Mizumoto H, Tomotaki S, Shibata H, Ueda K, Akashi R, Uchio H, Hata D. Electrocardiogram shows reliable heart rates much earlier than pulse oximetry during neonatal resuscitation. Pediatr Int. 2012;54: 205–207. doi: 10.1111/j.1442-200X.2011. 03506.x.

6. Katheria A, Rich W, Finer N. Electrocardiogram provides a continuous heart rate faster than oximetry during neonatal resuscitation. Pediatrics. 2012;130:e1177–e1181. doi: 10.1542/peds.2012-0784.

7. Kamlin CO, Dawson JA, O’Donnell CP, Morley CJ, Donath SM, Sekhon J, Davis PG. Accuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery room. J Pediatr. 2008;152:756– 760. doi: 10.1016/j.jpeds.2008.01.002.

8. Dawson JA, Saraswat A, Simionato L, Thio M, Kamlin CO, Owen LS, Schmölzer GM, Davis PG. Comparison of heart rate and oxygen saturation measurements from Masimo and Nellcor pulse oximeters in newly born term infants. Acta Paediatr. 2013;102:955–960. doi:10.1111/apa.12329.

9. Van Vonderen JJ, Hooper SB, Kroese JK, Roest AA, Narayen IC, van Zwet EW, te Pas AB. Pulse oximetry measures a lower heart rate at birth compared with electrocardiography. J Pediatr. 2015;166:49– 53. doi: 10.1016/j.jpeds.2014.09.015.

10. Kamlin CO, O’Donnell CP, Everest NJ, Davis PG, Morley CJ. Accuracy of clinical assessment of infant heart rate in the delivery room. Resuscitation. 2006;71:319– 321. doi: 10.1016/j.resuscitation.2006.04. 015.

11. Garofalo F. Historia de la Cardiología de Rosario. Juan Carlos Caride/ María Cristina Butteri; 2004.pp 1-6 (Reseña xx)

12. López P. Oximetría de pulso: A la vanguardia en la monitorización no invasiva de la oxigenación. Revista Médica del Hospital General de México. 2003;66(3):pp 160 - 169. (mediagraphic)

13. Paul M. Zoll - Reanimación cardíaca [Internet]. Zoll.com. 2016 [cited 29 May 2016]. Available from: http://www.zoll.com/es/acerca-de-zoll/dr-paul-zoll/.

14. Garcia M. Atención al paciente crítico y cuidados paliativos Tema 2 [Internet]. ocw.uca.es. 2016 [cited 29 May 2016]. Available from: https://ocw.uca.es/course/view.php?id=2

15. Facmed.unam.mx. 2016 [cited 2 June 2016]. Available from: http://www.facmed.unam.mx/emc/computo/infoedu/productos/xaviera/menu.htm

16. Turmero P. El Pulso y la Frecuencia Cardíaca - Monografias.com [Internet]. Monografias.com. 2016 [cited 29 May 2016]. Available from: http://www.monografias.com/trabajos100/pulso-y-frecuencia-cardiaca/pulso-y-frecuencia-cardiaca.shtml#ixzz49Qe5iF8v

17. Jimenes M, Torralbas J, Rumi L. Las constantes vitales, monitorización básica [Internet]. Eccpn.aibarra.org. 2016 [cited 29 May 2016]. Available from: http://www.eccpn.aibarra.org/temario/seccion1/capitulo4/capitulo4.htm

18. Absorbancia - Modos de Detección - Tecnológico - BMG LABTECH [Internet]. Bmglabtech.com. 2016 [cited 30 May 2016]. Available from: http://www.bmglabtech.com/es/tecnologico/modos-de-deteccion/absorbancia/

19. Galiano A. MEDCICLOPEDIA: DICCIONARIO ILUSTRADO DE TÉRMINOS MÉDICOS [Internet]. Iqb.es. 2016 [cited 30 May 2016]. Available from: http://www.iqb.es/diccio/a/au.htm

20. Despolarizacion y Repolarizacion. [Internet]. Dac.escet.urjc.es. 2016 [cited 30 May 2016]. Available from: http://dac.escet.urjc.es/PFC/cristina_rodriguez/node19.html

21. M. Sánchez, J.Moreno, F. Botet, et al. 1. Displasia broncopulmonar: definiciones y clasificación. anales de pediatria. 2013;79(4). 2013;79:262.e1-6 - Vol. 79 Núm.4 DOI: 10.1016/j.anpedi.2013.02.003

22. Sociedad Española de cardiología. Electrocardiograma: ECG/EKG del corazón [Internet]. Fundaciondelcorazon.com. 2016 [cited 30 May 2016]. Available from: http://www.fundaciondelcorazon.com/informacion-para-pacientes/metodos-diagnosticos/electrocardiograma.html

23. Electrodos del Electrocardiograma, Ubicación [Internet]. My-ekg.com. 2016 [cited 30 May 2016]. Available from: http://www.my-ekg.com/generalidades-ekg/electrodos-ekg.html

24. Frecuencia Cardiaca [Internet]. Frecuencia-cardiaca.com. 2016 [cited 30 May 2016]. Available from: http://www.frecuencia-cardiaca.com/

25. Kattwinkel J, Perlman J, Aziz K, Colby C, et al. Resucitacion neonatal. Guías de la academia americana del corazón para resucitación cardiopulmonar y manejo de emergencia cardiovascular. 2010; 122 (suppl 3):S909 –S919.

26. Gasto cardiaco | Volviendo a lo básico [Internet]. Ffis.es. 2016 [cited 30 May 2016]. Available from: http://www.ffis.es/volviendoalobasico/5gasto_cardiaco.html

27. Definición de pulso arterial — Definicion.de [Internet]. Definición.de. 2016 [cited 30 May 2016]. Available from: http://definicion.de/pulso-arterial/#ixzz49mbZIwEa

28. Rush university Medical Center [Internet]. rush.edu. 2016 [cited 30 May 2016]. Available from: https://www.rush.edu/spanish/speds/cardiac/glossary.html

29. Pruebas para dos muestras independientes [Internet]. Ub.edu. 2016 [cited 30 May 2016]. Available from: http://www.ub.edu/aplica_infor/spss/cap6-2.htm

30. Barranco F, Blasco J, Merida A, et al. 2.4.4. Metodos de ventilacion [Internet]. Tratado.uninet.edu. 2016 [cited 30 May 2016]. Available from: http://tratado.uninet.edu/c020404.html

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Published

2017-06-24

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Section

ARTICLE OF SCIENTIFIC AND TECHNOLOGICAL RESEARCH

How to Cite

Speed and effectiveness in the measurement of cardiac frequency with cardiac monitorin newborns of the general san diego clinic in the city of Barranquilla-colombia. (2017). Biociencias, 12(2), 35-42. https://doi.org/10.18041/2390-0512/bioc..2.2277

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