Heart Rate Changes following Facemask Placement in Infants Born at ≥32 +0 Weeks of Gestation
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.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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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)
- Creator
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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
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10.1159/000531739
- URN
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urn:nbn:de:101:1-2023101200355507482533
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:56 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- 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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