Acute cardiac care & resuscitation

Gentle limb fixation for a faster reliable heart rate obtained with pulse oximeter at birth

ResuscitationPublished

  • Video recordings of neonatal resuscitations with simultaneous pulse oximetry readings were retrospectively analyzed
  • retrospective
+1 more
  • retrospective

Authors' conclusion

Pulse oximetry does not seem motion artefact resistant when the first HR is obtained. Gentle limb fixation after sensor application may facilitate more timely clinical assessment.

Study context

Population
Neonates ≥24 weeks' gestation undergoing neonatal resuscitationneonates included, median gestational age 30 + 4 weeks (28 + 4–33 + 6)
Participants
178 neonates
Exposure
Status of the right limb during the first 10 s after sensor application: movement, no movement, or gentle fixation by a caregiver

Main finding

As reported in the abstract

Time to achieve a reliable HRPO

Observational data: associations, not effects.

Further findings

Percentage of neonates who achieved a reliable HRPO within 30 s after application

  • Percentage of neonates who achieved a reliable HRPO within 30 s after application: significantly higher after limb fixation (p < 0.001)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Gentle limb fixation for a faster reliable heart rate obtained with pulse oximeter at birth. Resuscitation. Published 8 June 2026. doi:10.1016/j.resuscitation.2026.111164

Summarised from the published abstract; every number is checked against it