Dataset Information

Feasibility of a Novel ECG Electrode Placement Method in Newborn Infants.

ABSTRACT:

Background

International newborn resuscitation guidelines recommend electrocardiogram (ECG) heart rate (HR) monitoring at birth. We evaluated the application time of pre-set ECG electrodes fixed to a polyethene patch allowing adhesive-free attachment to the wet skin of the newborn chest.

Objectives

Using a three-electrode pre-set ECG patch configuration, application success was calculated using video analysis and measured at three time points, the time to (1) apply electrodes; (2) detect recognizable QRS complexes after application; and (3) display a HR after application.

Method

A prospective observational study in two UK tertiary maternity units was undertaken with 71 newborns including 23 who required resuscitation.

Results

The median (IQR) time for ECG patch application was 8 (6-10) seconds, detection of recognizable QRS complexes 8 (2-12) seconds, and time to output HR was 23 (15-37) seconds.

Conclusion

Pre-set ECG chest electrodes allow rapid HR information at birth without electrode detachment or compromising skin integrity.

SUBMITTER: Henry C

PROVIDER: S-EPMC9153365 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Feasibility of a Novel ECG Electrode Placement Method in Newborn Infants.

Henry Caroline C Shipley Lara L Morgan Stephen S Crowe John A JA Carpenter James J Hayes-Gill Barrie B Sharkey Don D

Neonatology 20220207 2

<h4>Background</h4>International newborn resuscitation guidelines recommend electrocardiogram (ECG) heart rate (HR) monitoring at birth. We evaluated the application time of pre-set ECG electrodes fixed to a polyethene patch allowing adhesive-free attachment to the wet skin of the newborn chest.<h4>Objectives</h4>Using a three-electrode pre-set ECG patch configuration, application success was calculated using video analysis and measured at three time points, the time to (1) apply electrodes; (2) ...[more]

PMID: 35130540

Similar Datasets

Project description:ObjectiveTo evaluate the feasibility of implementing family-integrated newborn care (FINC) for hospitalised preterm and low birthweight infants in Ethiopia. Despite the WHO's call for family engagement in newborn care, evidence of the feasibility of implementation remains scarce.DesignAn observational feasibility study employing a mixed-methods design comprising a quantitative cross-sectional survey among 157 healthcare providers (HCPs) and a qualitative Participatory Rural Appraisal.SettingThe study was conducted in 30 neonatal care units (NCUs) of hospitals in Tigray, Northern Ethiopia.ParticipantsHCPs who were on duty in NCUs during the data collection period were included in the study.AnalysisDescriptive statistics were obtained for the quantitative data using STATA V.16, while qualitative data were coded and analysed using a framework analysis approach with qualitative data analysis software (Atlas.ti V.9).ResultsIn total, 157 HCPs were enrolled with a mean (SD) age of 32 (±6.8) years. Participants scored a higher weighted mean score for implementability (0.75) and a lower mean score for adaptability (0.50). Out of the 157 HCPs, the majority perceived that FINC was technically implementable (96%), conceptually acceptable (74%) and ethically correct (88%). Furthermore, 49% perceived that integrating FINC into the existing system was technically manageable, while 52% agreed that it was expandable to other healthcare facilities. However, HCPs reported lower confidence regarding its practicality (32%), integration (31%) and adaptability (16%). NCU space (97%), number of NCU rooms (87%) and increased risk of infection (83%) were perceived as potential challenges to the feasibility of FINC. More importantly, only 33% of HCPs felt that there was an organisational demand to consider FINC in NCUs. Furthermore, there was a statistically significant variation in the mean score for acceptability and perception of additional burden between age groups (p=0.04).Conclusions and recommendationsThe current study shows that FINC is conceptually acceptable, technically implementable and expandable to other settings, with weighted mean scores of 0.75, 0.72 and 0.66, respectively. However, its practicality (0.53), integration (0.52) and adaptability (0.50) could be generally constrained mainly by the poor organisational infrastructure related to NCU space and infection prevention measures. Addressing motivational, attitudinal and competency gaps of NCU HCPs, along with organisational capacity, would be required.

Dataset Information

Feasibility of a Novel ECG Electrode Placement Method in Newborn Infants.

Background

Objectives

Method

Results

Conclusion

Publications

Feasibility of a Novel ECG Electrode Placement Method in Newborn Infants.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets