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A randomised cross-over study of methods of acquiring ECG heart rate in newborns
  1. Madeleine C Murphy1,2,
  2. Laura De Angelis3,
  3. Danielle McCollum1,
  4. Lisa K McCarthy1,
  5. Colm PF O’Donnell1,2,4
  1. 1Department of Neonatology, National Maternity Hospital, Dublin, Ireland
  2. 2School of Medicine, University College Dublin, Dublin, Ireland
  3. 3Ospedale dei Bambini V Buzzi, Milano, Lombardia, Italy
  4. 4National Children's Research Centre, Dublin, Ireland
  1. Correspondence to Dr Colm PF O’Donnell, Neonatal Intensive Care Unit, The National Maternity Hospital, Dublin 2, Ireland; codonnell{at}nmh.ie

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The 2015 International Liaison Committee on Resuscitation1 treatment recommendations suggest that ECG can be used to provide rapid and accurate estimation of the newly born infant’s heart rate (HR). Studies report that it provides HR quicker than pulse oximetry (PO) in the delivery room (DR).2 3 In addition, a DR study of 53 infants reported that HR measured with PO at birth was significantly lower than that measured with ECG with clinically important differences in the first minutes.4 Pulse oximeters display the HR more quickly when the sensor is applied to the infant before it is connected to the monitor.5 We wished to determine …

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