Pulse oximetry vs non-invasive blood pressure/oscillometry to record blood pressure in neonates: A prospective observational study.

Raju, Reenu; Isac, Mathai · J Family Med Prim Care · 2022

prospective_cohort · Level II

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Abstract

To assess the usefulness and efficacy of pulse oximetry (disappearance/reappearance of plethsmographic waves) as a method of non-invasive blood pressure monitoring in neonates. To investigate the reliability of the plethysmographic wave form of the pulse oximeter to measure the systolic blood pressure. A prospective observational study was done to assess usefulness and efficacy of pulse oximetry (disappearance/reappearance of plethysmographic waves) as a method of non-invasive blood pressure monitoring in neonates. The study was conducted among 500 neonates to investigate the reliability of the plethysmographic waveform of the pulse oximeter to measure the systolic blood pressure as it is a easy way to perform and non invasive. The results will compare and analyse statistically by Pearson correlation co-efficient. Regression modeling will carried out to explain the relationship of non-invasive blood pressure with mean DP and RP and attempted to predict the non-invasive blood pressure from mean DP/mean RP. The study results revealed that NIBP systolic and diastolic both correlated with DP and RP of pulse oximetry plethysmograph. Study concluded that pulse oximetry is a reliable tool in measuring blood pressure in neonates (appearance and disappearance of plethysmogram).