Question

Premature newborns are vulnerable to hyperoxia.Which action is appropriate with a pulse oximeter and blender during and immediately following resuscitation of preterm babies?

Answer 1

Premature babies are more vulnerable to hyperoxia, so oximeter and blender is used gradually to achieve 85 to 95% range during and then further resuscitation can be performed.

Then after this ventilation is assisted in the preterm baby and then further risk of brain injury should be avoided by holding the baby in the position that it has least pressure on the brain.

Then after this the other process is checked like blood sugar level, heart rate, infection et cetera.

Answer 2

It has been seen that the premature newborns, that is, born at less than 28 weeks of gestation shows a clear association between pulse oximetry saturation that reads above 92 percent or hyperoxia, chronic lung disease, development of severe retinopathy of prematurity, and brain injury. Hyperoxia is neither random nor natural. In the given case, following resuscitation of preterm babies, there is a need to amend the concentration of oxygen to maintain the saturation of oxygen in the range of 85 to 95 percent at 10 minutes post-birth.