Heart Rate Changes following Facemask Placement in Infants Born at ≥32 +0 Weeks of Gestation

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Introduction: Recent reports have raised concerns of cardiorespiratory deterioration in some infants receiving respiratory support at birth. We aimed to independently determine whether respiratory support with a facemask is associated with a decrease in heart rate (HR) in some late-preterm and term infants. Methods: Secondary analysis of data from infants born at ≥32+0 weeks of gestation at 2 perinatal centres in Melbourne, Australia. Change in HR up to 120 s after facemask placement, measured using 3-lead electrocardiography, was assessed every 3 s until 60 s and every 5 s thereafter from video recordings. Results: In the 15 s after facemask placement, 10/68 (15%) infants had a decrease in mean HR by >10 beats per minute (bpm) compared with their individual baseline mean HR in the 15 s before facemask placement. In 4 (6%) infants, HR decreased to <100 bpm. Nine out of 68 (13%) infants had an increase in mean HR by >10 bpm; 7 of these infants had a baseline HR <120 bpm. In univariable comparisons, the following characteristics were found not to be risk factors for a decrease in HR by >10 bpm: prematurity; type of respiratory support; hypoxaemia; early cord clamping; mode of birth; HR <120 bpm before mask placement. Six out of 63 infants (10%) who had HR ≥120 bpm after facemask placement had a late decrease in HR to <100 bpm between 30 and 120 s after facemask placement. Conclusion: Facemask respiratory support at birth is temporally associated with a decrease in HR in a subset of late-preterm and term infants.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Heart Rate Changes following Facemask Placement in Infants Born at ≥32 +0 Weeks of Gestation ; volume:120 ; number:5 ; year:2023 ; pages:624-632 ; extent:9
Neonatology ; 120, Heft 5 (2023), 624-632 (gesamt 9)

Urheber
Badurdeen, Shiraz
Brooijmans, Elisa
Blank, Douglas A.
Kuypers, Kristel Leontina Anne Marie
Te Pas, Arjan B.
Roberts, Calum
Polglase, Graeme R.
Hooper, Stuart B.
Davis, Peter G.

DOI
10.1159/000531739
URN
urn:nbn:de:101:1-2023101200355507482533
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:56 MESZ

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Beteiligte

  • Badurdeen, Shiraz
  • Brooijmans, Elisa
  • Blank, Douglas A.
  • Kuypers, Kristel Leontina Anne Marie
  • Te Pas, Arjan B.
  • Roberts, Calum
  • Polglase, Graeme R.
  • Hooper, Stuart B.
  • Davis, Peter G.

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