Article Text
Abstract
Background and aims Infants with chronic neonatal lung disease (CNLD) often require home oxygen therapy. Overnight pulse oximetry monitoring (12–18 h duration) is useful for confirming need for oxygen therapy. We aimed to audit practise in our NICU after implementation of changes in our unit’s overnight oximetry monitoring policy (Masimo Rad 7 pulse oximeters, PROFOX analysis software and new clinical protocol).
Methods We conducted a retrospective review of overnight oximetry from two full year (Jan 2012–Dec 2013). Clinical data were abstracted from medical records and archived oximetry reports generated from PROFOX were also retrieved.
Results 57 infants with CNLD had overnight oximetry performed in our centre with about two studies each.
Conclusions Overnight oximetry studies were performed just over 7 days from discharge; with the PROFOX reports increasingly affecting a change in oxygen therapy (flow rate delivered). These infants also experienced numerous brief oxygen desaturations. There was an increased trend of infants discharged home with oxygen.