Sudden, undetected changes in blood gas levels may result in severe damage to a neonate’s health and should as such be continuously monitored and acted upon immediately.
Arterial blood gas sampling is the most common test performed to detect changes in oxygen and carbon dioxide levels . However, these may fail to detect sudden changes and fluctuations as they happen. With a neonatal blood volume of 90-100 ml/kg being too low to allow for multiple sample collections, a justification for testing is needed .
Fewer blood gas samples save precious neonatal blood
With Radiometer America’s transcutaneous pCO2 monitoring of neonates, you can detect these changes as they happen and proactively regulate high-frequency oscillation ventilator settings. You can also limit blood gas draws to when an issue is detected, potentially reducing the number of blood gas samples [3,4].
Monitoring of neonatal pCO2 levels combined with blood gas sampling is not only more effective, but gentler to the baby as well.
Find out more about non-invasive pCO2 monitoring with Radiometer America’s TCM CombiM monitor.
- Diiulio R. The right stuff. Rtmagazine.com; April 2010: 20, 22, 24.
- Mulligan M. Blood gas interpretation in the neonate – what do you need to know now? www.acutecaretesting.org. Jan 2013 as accessed 2015.
- Christoph Aring, Chief Consultant, Children’s Hospital of St. Nicholas, Viersen, Germany. Case story: ‘Ongoing transcutaneous monitoring provides an ideal solution for tracking CO2 levels in premature babies, infants and young children with respiratory distress’. Radiometer Medical ApS publication 2014. Code no: 939-730.
- Dr. Sherry E. Courtney, MD, Professor of Pediatrics, Arkansas Children’s Hospital, Maryland, AR, USA. Case story: ‘Continuous transcutaneous monitoring of pCO2 and pO2 supports in the prevention of cerebral damage for infants in intensive care units’. Radiometer Medical ApS publication 2014. Code no: 939-590.