Accuracy of clinical assessment of infant heart rate in the delivery room

被引:156
作者
Kamlin, C. Omar F.
O'Donnell, Colm P. F.
Everest, Neil J.
Davis, Peter G.
Morley, Colin J.
机构
[1] Royal Hosp Women, Div Newborn Serv, Melbourne, Vic, Australia
[2] Univ Melbourne, Parkville, Vic 3052, Australia
基金
英国医学研究理事会;
关键词
infant; newborn; resuscitation; heart rate;
D O I
10.1016/j.resuscitation.2006.04.015
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Heart rate (HR) dictates intervention during neonatal resuscitation. Guidelines recommend that HR be assessed by auscultation or palpation. We compared HRs determined clinically with electrocardiography (ECG) in healthy newborns in the delivery room. Clinical assessment by 23 observers randomly allocated to assess HR by one of two methods in 26 infants, was found to be inaccurate and underestimate ECG HR. The mean difference between HR assessed by auscultation and palpation ECG and HR using methodology recommended by the Neonatal Resuscitation Programme was 14 and 22 beats per minute respectively. (c) 2006 Elsevier Ireland Ltd. ALL rights reserved.
引用
收藏
页码:319 / 321
页数:3
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