PT  - JOURNAL ARTICLE
AU  - Murphy, Madeleine C
AU  - De Angelis, Laura
AU  - McCarthy, Lisa K
AU  - O’Donnell, Colm Patrick Finbarr
TI  - Randomised study comparing heart rate measurement in newly born infants using a monitor incorporating electrocardiogram and pulse oximeter versus pulse oximeter alone
AID  - 10.1136/archdischild-2017-314366
DP  - 2019 Sep 01
TA  - Archives of Disease in Childhood - Fetal and Neonatal Edition
PG  - F547--F550
VI  - 104
IP  - 5
4099  - http://fn.bmj.com/content/104/5/F547.short
4100  - http://fn.bmj.com/content/104/5/F547.full
SO  - Arch Dis Child Fetal Neonatal Ed2019 Sep 01; 104
AB  - Aim To determine whether IntelliVue (ECG plus Masimo pulse oximeter (PO)) measures heart rate (HR) in low-risk newborns more quickly than Nellcor PO (PO alone).Methods Unmasked parallel group randomised (1:1) study.Results We studied 100 infants, 47 randomised to IntelliVue, 53 to Nellcor. Time to first HR was shorter with IntelliVue ECG than Nellcor (median (IQR) 24 (19, 39) vs 48 (36, 69) s, p<0.001). There was no difference in time to display both HR and SpO2 (52 (47, 76) vs 48 (36, 69) s, p=0.507). IntelliVue PO displayed initial bradycardia more often than the Nellcor (55% vs 6%). Infants monitored with IntelliVue were handled more frequently and for longer.Conclusions IntelliVue ECG displayed HR more quickly than Nellcor PO. IntelliVue PO often displayed initial bradycardia. Infants monitored with IntelliVue were handled more often. Study of ECG in high-risk infants is warranted.