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A Comparison of Finger Pulse Oximeter and SET-Based Neonatal Pulse Oximeter in Neonates in Terms of SpO2 Values and Response Time

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Abstract

Pulse oximetry is an imperative noninvasive tool to detect hypoxia. Signal extraction technology (SET)–based pulse oximeters recommended in neonates are expensive, while finger pulse oximeters are cheaper and widely available. Oxygen saturation (SpO2) values and reliable saturation reading time of 30 neonates were obtained using MEDITIVE MPO-03 fingertip pulse oximeter and Masimo SET-Rad-97 pulse oximeter on the right hand and right foot. Bland–Altman technique, paired t-test and Pearson correlational analysis were used. There was a good agreement of paired SpO2 measurements between the two oximeters on right foot. The agreement limits and bias were −1.2% to 0.8%, −0.1% for right hand, and −0.7% to 0.7%, −0.01% for right foot, respectively with a confidence interval of 95%. The mean response time obtained for finger pulse oximeter on right hand and right foot was 66.4 ± 4.6 and 58.9 ± 5.0 and for SET-based pulse oximeter was 47.8 ± 2.9 and 48.3 ± 3.0 s, respectively. Finger pulse oximeters can be considered in low-resource settings on the foot of the neonate, with a response time of 59 s.

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AMK conceptualized the study, drafted the initial manuscript, reviewed and revised the manuscript; PDP aided in diagnosing and revising it critically for important intellectual content, and provided the final approval of the version to be published; GEJ drafted the initial manuscript, coordinated, acquired the necessary data, and critically reviewed the manuscript ensuring that queries related to it are appropriately resolved. All authors approved the final manuscript as submitted, and agree to be accountable for all aspects of the work. AMK will act as the guarantor for this paper.

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Correspondence to Georgeena Elsa Jose.

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Khamkar, A.M., Pote, P.D. & Jose, G.E. A Comparison of Finger Pulse Oximeter and SET-Based Neonatal Pulse Oximeter in Neonates in Terms of SpO2 Values and Response Time. Indian J Pediatr 89, 1120–1122 (2022). https://doi.org/10.1007/s12098-022-04274-1

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  • DOI: https://doi.org/10.1007/s12098-022-04274-1

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