How to estimate newborn heart rate

1. Perlman J., Wyllie J., Kattwinkel J., Wyckoff M., Aziz K., Guinsburg R., Kim H., Hg L., Mildenhall L., Simon W., et al. Part 7: Neonatal Resuscitation 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2015;132:S204–S241. doi: 10.1161/CIR.0000000000000276. [PubMed] [CrossRef] [Google Scholar]

2. Wyckoff M.H., Aziz K., Escobedo M.B., Kapadia V.S., Kattwinkel J., Perlman J.M., Simon W.M., Weiner G.M., Zaichkin J.G. Part 13: Neonatal Resuscitation. Circulation. 2015;132:S543–S560. doi: 10.1161/CIR.0000000000000267. [PubMed] [CrossRef] [Google Scholar]

3. Siew M.L., Kitchen M.J., te Pas A.B., Harding R., Hooper S.B. The Lung. Elsevier; Amsterdam, The Netherlands: 2014. Pulmonary Transition at Birth; pp. 251–264. [Google Scholar]

4. Weiner G.M., Zaichkin J., Kattwinkel J., Ades A. In: Textbook of Neonatal Resuscitation. 7th ed. Weiner G.M., Zaichkin J., Kattwinkel J., Ades A., editors. American Academy of Pediatrics; Elk Grove Village, IL, USA: 2016. [Google Scholar]

5. Saugstad O.D. New guidelines for newborn resuscitation—A critical evaluation. Acta Paediatr. Int. J. Paediatr. 2011;100:1058–1062. doi: 10.1111/j.1651-2227.2011.02301.x. [PubMed] [CrossRef] [Google Scholar]

6. Dawson J.A., Kamlin C.O.F., Wong C., te Pas A.B., Vento M., Cole T.J., Donath S.M., Hooper S.B., Davis P.G., Morley C.J. Changes in heart rate in the first minutes after birth. Arch. Dis. Child.-Fetal Neonatal Ed. 2010;95:F177–F181. doi: 10.1136/adc.2009.169102. [PubMed] [CrossRef] [Google Scholar]

7. Espinoza M.L., Cheung P.Y., Lee T.F., O’Reilly M., Schmölzer G.M. Heart rate changes during positive pressure ventilation after asphyxia-induced bradycardia in a porcine model of neonatal resuscitation. Arch. Dis. Child.-Fetal Neonatal Ed. 2019;104:F98–F101. doi: 10.1136/archdischild-2017-314637. [PubMed] [CrossRef] [Google Scholar]

8. Linde J.E., Schulz J., Perlman J.M., Øymar K., Blacy L., Kidanto H., Ersdal H.L. The relation between given volume and heart rate during newborn resuscitation. Resuscitation. 2017;117:80–86. doi: 10.1016/j.resuscitation.2017.06.007. [PubMed] [CrossRef] [Google Scholar]

9. Schmölzer G.M., Dawson J.A., Kamlin C.O.F., O’Donnell C.P.F., Morley C.J., Davis P.G. Airway obstruction and gas leak during mask ventilation of preterm infants in the delivery room. Arch. Dis. Child.-Fetal Neonatal Ed. 2011;96:F254–F257. doi: 10.1136/adc.2010.191171. [PubMed] [CrossRef] [Google Scholar]

10. Palme-Kilander C., Tunell R., Chiwei Y. Pulmonary gas exchange immediately after birth in spontaneously breathing infants. Arch. Dis. Child. 1993;68:6–10. doi: 10.1136/adc.68.1_Spec_No.6. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

11. Pichler G., Schmölzer G.M., Urlesberger B. Cerebral tissue oxygenation during immediate neonatal transition and resuscitation. Front. Pediatr. 2017;5:29. doi: 10.3389/fped.2017.00029. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

12. Fuchs H. German experience in the management of ELGAN infants. Acta Biomed. 2015;86:16–20. [PubMed] [Google Scholar]

13. Yam C.H., Dawson J.A., Schmölzer G.M., Morley C.J., Davis P.G. Heart rate changes during resuscitation of newly born infants. Arch. Dis. Child.-Fetal Neonatal Ed. 2011;96:F102–F107. doi: 10.1136/adc.2009.180950. [PubMed] [CrossRef] [Google Scholar]

14. Linde J.E., Perlman J.M., Øymar K., Schulz J., Eilevstjønn J., Thallinger M., Kusulla S., Kidanto H.L., Ersdal H.L. Predictors of 24-h outcome in newborns in need of positive pressure ventilation at birth. Resuscitation. 2018;129:1–5. doi: 10.1016/j.resuscitation.2018.05.026. [PubMed] [CrossRef] [Google Scholar]

15. Johnson P.A., Cheung P.-Y., Lee T.-F., O’Reilly M., Schmölzer G.M. Novel technologies for heart rate assessment during neonatal resuscitation at birth—A systematic review. Resuscitation. 2019;143:196–207. doi: 10.1016/j.resuscitation.2019.07.018. [PubMed] [CrossRef] [Google Scholar]

16. Voogdt K.G.J.A., Morrison A.C., Wood F.E., Van Elburg R.M., Wyllie J.P. A randomised, simulated study assessing auscultation of heart rate at birth. Resuscitation. 2010;81:1000–1003. doi: 10.1016/j.resuscitation.2010.03.021. [PubMed] [CrossRef] [Google Scholar]

17. Hodgson K.A., Kamlin C.O.F., Rogerson S., Thio M. ECG monitoring in the delivery room is not reliable for all patients. Arch. Dis. Child.-Fetal Neonatal Ed. 2018;103:F88. doi: 10.1136/archdischild-2017-313928. [PubMed] [CrossRef] [Google Scholar]

18. O’Donnell C.P.F., Omar C., Kamlin F., Davis P.G., Morley C.J. Feasibility of and delay in obtaining pulse oximetry during neonatal resuscitation. J. Pediatr. 2005;147:698–699. doi: 10.1016/j.jpeds.2005.07.025. [PubMed] [CrossRef] [Google Scholar]

19. Van Vonderen J.J., Hooper S.B., Kroese J.K., Roest A.A.W., Narayen I.C., Van Zwet E.W., Te Pas A.B. Pulse oximetry measures a lower heart rate at birth compared with electrocardiography. J. Pediatr. 2015;166:49–53. doi: 10.1016/j.jpeds.2014.09.015. [PubMed] [CrossRef] [Google Scholar]

20. Wyckoff M., Aziz K., Escobedo M., Kapadia V., Kattwinkel J., Perlman J., Simon W., Weiner G., Zaichkin J. Part 13: Neonatal Resuscitation 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics. 2015;136:196–218. doi: 10.1542/peds.2015-3373G. [PubMed] [CrossRef] [Google Scholar]

21. Owen C.J., Wyllie J.P. Determination of heart rate in the baby at birth. Resuscitation. 2004;60:213–217. doi: 10.1016/j.resuscitation.2003.10.002. [PubMed] [CrossRef] [Google Scholar]

22. Boon W., McAllister J., Attar M.A., Chapman R.L., Mullan P.B., Haftel H.M. Evaluation of Heart Rate Assessment Timing, Communication, Accuracy, and Clinical Decision-Making during High Fidelity Simulation of Neonatal Resuscitation. Int. J. Pediatr. 2014;2014:927430. doi: 10.1155/2014/927430. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

23. Murphy M.C., De Angelis L., McCarthy L.K., O’Donnell C.P.F. Comparison of infant heart rate assessment by auscultation, ECG and oximetry in the delivery room. Arch. Dis. Child.-Fetal Neonatal Ed. 2018;103:F490–F492. doi: 10.1136/archdischild-2017-314367. [PubMed] [CrossRef] [Google Scholar]

24. Höök S.M., Pejovic N.J., Marrone G., Tyllesk T., Alfven T. Accurate and fast neonatal heart rate assessment with a smartphone-based application-a manikin study. Acta Padiatr. 2018;107:1548–1554. doi: 10.1111/apa.14350. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

25. Chitkara R., Rajani A.K., Oehlert J.W., Lee H.C., Epi M., Halamek L.P. The accuracy of human senses in the detection of neonatal heart rate during standardized simulated resuscitation: Implications for delivery of care, training and technology design. Resuscitation. 2013;84:369–372. doi: 10.1016/j.resuscitation.2012.07.035. [PubMed] [CrossRef] [Google Scholar]

26. Money N., Kusheleva N., Ruano S., Demissie S., Blau J., Singhi V. Who’s counting? Assessing the effects of a simulation-based training intervention on the accuracy of neonatal heart rate auscultation. J. Perinatol. 2019;39:634–639. doi: 10.1038/s41372-019-0339-4. [PubMed] [CrossRef] [Google Scholar]

27. Kamlin C.O.F., O’donnell C.P.F., Everest N.J., Davis P.G., Morley C.J. Accuracy of clinical assessment of infant heart rate in the delivery room. Resuscitation. 2006;71:319–321. doi: 10.1016/j.resuscitation.2006.04.015. [PubMed] [CrossRef] [Google Scholar]

28. Dawson J.A., Omar Kamlin C.F., Vento M., Wong C., Cole T.J., Donath S.M., Davis P.G., Morley C.J. Defining the Reference Range for Oxygen Saturation for Infants After Birth. Pediatrics. 2010;125:1340–1347. doi: 10.1542/peds.2009-1510. [PubMed] [CrossRef] [Google Scholar]

29. Schmölzer G.M., Kamlin O.C., Dawson J.A., Te Pas A.B., Morley C.J., Davis P.G. Respiratory monitoring of neonatal resuscitation. Arch. Dis. Child.-Fetal Neonatal Ed. 2010;95:295–303. doi: 10.1136/adc.2009.165878. [PubMed] [CrossRef] [Google Scholar]

30. Jahan E., Barua T., Salma U. An overview on heart rate monitoring and pulse oximeter system. Int. J. Latest Res. Sci. Technol. 2014;3:148–152. [Google Scholar]

31. Kamlin C.O.F., Dawson J.A., O’Donnell C.P.F., Morley C.J., Donath S.M., Sekhon J., Davis P.G. Accuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery room. J. Pediatr. 2008;152:756–760. doi: 10.1016/j.jpeds.2008.01.002. [PubMed] [CrossRef] [Google Scholar]

32. Mizumoto H., Tomotaki S., Shibata H., Ueda K., Akashi R., Uchio H., Hata D. Electrocardiogram shows reliable heart rates much earlier than pulse oximetry during neonatal resuscitation. Pediatr. Int. 2012;54:205–207. doi: 10.1111/j.1442-200X.2011.03506.x. [PubMed] [CrossRef] [Google Scholar]

33. Kopotic R.J., Lindner W. Assessing high-risk infants in the delivery room with pulse oximetry. Anesth. Analg. 2002;94:S31–S36. [PubMed] [Google Scholar]

34. Workie F.A., Rais-Bahrami K., Short B.L. Clinical Use of New-Generation Pulse Oximeters in the Neonatal Intensive Care Unit. Am. J. Perinatol. 2005;22:357–360. doi: 10.1055/s-2005-872704. [PubMed] [CrossRef] [Google Scholar]

35. Dawson J.A., Morley C.J. Monitoring oxygen saturation and heart rate in the early neonatal period. Semin. Fetal Neonatal Med. 2010;15:203–207. doi: 10.1016/j.siny.2010.03.004. [PubMed] [CrossRef] [Google Scholar]

36. Masimo Corporation Radical . Signal Extraction Pulse Oximeter Operator’s Manual. Masimo Corporation Radical; Irvine, CA, USA: 2006. pp. 1.1–8.2. [Google Scholar]

37. Louis D., Sundaram V., Kumar P. Pulse Oximeter Sensor Application During Neonatal Resuscitation: A Randomized Controlled Trial. Pediatrics. 2014;133:476–482. doi: 10.1542/peds.2013-2175. [PubMed] [CrossRef] [Google Scholar]

38. Iglesias B., Rodrí Guez J., Aleo E., Criado E., Martí Nez-Orgado J., Arruza L., Lagos M. 3-lead electrocardiogram is more reliable than pulse oximetry to detect bradycardia during stabilisation at birth of very preterm infants. Arch. Dis. Child.-Fetal Neonatal Ed. 2018;103:F233–F237. doi: 10.1136/archdischild-2016-311492. [PubMed] [CrossRef] [Google Scholar]

39. Murphy M.C., De Angelis L., Mccarthy L.K., O’Donnell C.P.F., Patrick C., O’donnell F., Finbarr O’donnell P. Randomised study comparing heart rate measurement in newly born infants using a monitor incorporating electrocardiogram and pulse oximeter versus pulse oximeter alone. Arch. Dis. Child.-Fetal Neonatal Ed. 2018;104:F547–F550. doi: 10.1136/archdischild-2017-314366. [PubMed] [CrossRef] [Google Scholar]

40. Katheria A., Arnell K., Brown M., Hassen K., Maldonado M., Rich W., Finer N. A pilot randomized controlled trial of EKG for neonatal resuscitation. PLoS ONE. 2017;12:e0187730. doi: 10.1371/journal.pone.0187730. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

41. Anton O., Fernandez R., Rendon-Morales E., Aviles-Espinosa R., Jordan H., Rabe H. Heart rate monitoring in newborn babies: A systematic review. Neonatology. 2019;116:199–210. doi: 10.1159/000499675. [PubMed] [CrossRef] [Google Scholar]

42. Di Fiore J.M. Neonatal cardiorespiratory monitoring techniques. Semin. Neonatol. 2004;9:195–203. doi: 10.1016/j.siny.2003.11.009. [PubMed] [CrossRef] [Google Scholar]

43. Hutchon D.J.R. Technological Developments in Neonatal Care at Birth. J. Nurs. Care. 2013;3:1000218. doi: 10.4172/2167-1168.1000218. [CrossRef] [Google Scholar]

44. Katheria A., Rich W., Finer N. Electrocardiogram Provides a Continuous Heart Rate Faster Than Oximetry During Neonatal Resuscitation. Pediatrics. 2012;130:e1177–e1181. doi: 10.1542/peds.2012-0784. [PubMed] [CrossRef] [Google Scholar]

45. Gulati R., Zayek M., Eyal F. Presetting ECG electrodes for earlier heart rate detection in the delivery room. Resuscitation. 2018;128:83–87. doi: 10.1016/j.resuscitation.2018.03.038. [PubMed] [CrossRef] [Google Scholar]

46. Shah B.A., Wlodaver A.G., Escobedo M.B., Ahmed S.T., Blunt M.H., Anderson M.P., Szyld E.G. Impact of electronic cardiac (ECG) monitoring on delivery room resuscitation and neonatal outcomes. Resuscitation. 2019;143:10–16. doi: 10.1016/j.resuscitation.2019.07.031. [PubMed] [CrossRef] [Google Scholar]

47. Phillipos E., Solevåg A.L., Pichler G., Aziz K., Van Os S., O’Reilly M., Cheung P.Y., Schmölzer G.M. Heart rate assessment immediately after birth. Neonatology. 2016;109:130–138. doi: 10.1159/000441940. [PubMed] [CrossRef] [Google Scholar]

48. Patel S., Cheung P.-Y., Solevåg A.L., Barrington K.J., Kamlin C.O.F., Davis P.G., Schmölzer G.M. Pulseless electrical activity: A misdiagnosed entity during asphyxia in newborn infants? Arch. Dis. Child.-Fetal Neonatal Ed. 2018;104:F215–F217. doi: 10.1136/archdischild-2018-314907. [PubMed] [CrossRef] [Google Scholar]

49. Luong D.H., Cheung P.-Y., O’Reilly M., Lee T.-F., Schmolzer G.M. Electrocardiography vs. Auscultation to Assess Heart Rate During Cardiac Arrest With Pulseless Electrical Activity in Newborn Infants. Front. Pediatr. 2018;6:366. doi: 10.3389/fped.2018.00366. [PMC free article] [PubMed] [CrossRef] [Google Scholar]

50. Luong D., Cheung P.-Y., Barrington K.J., Davis P.G., Unrau J., Dakshinamurti S., Schmölzer G.M. Cardiac arrest with pulseless electrical activity rhythm in newborn infants: A case series. Arch. Dis. Child.-Fetal Neonatal Ed. 2019;104:F572–F574. doi: 10.1136/archdischild-2018-316087. [PubMed] [CrossRef] [Google Scholar]

51. Sillers L., Handley S.C., James J.R., Foglia E.E. Pulseless Electrical Activity Complicating Neonatal Resuscitation Established Facts. Neonatology. 2019;115:95–98. doi: 10.1159/000493357. [PubMed] [CrossRef] [Google Scholar]

52. Piastra M., Cavallaro F., Genovese O., De Luca D., Biasucci D.G., De Sanctis R., Pietrini D., Conti G. Double cooling for pericardial tamponade and cardiac arrest after rewarming in neonatal asphyxia. Resuscitation. 2013;84:e83–e84. doi: 10.1016/j.resuscitation.2013.03.020. [PubMed] [CrossRef] [Google Scholar]

53. Hyde P., Puddy V. Pulseless electrical activity after rapid administration of fresh frozen plasma. J. Paediatr. Child Health. 2008;44:464–466. doi: 10.1111/j.1440-1754.2008.01345.x. [PubMed] [CrossRef] [Google Scholar]

54. Kevat A.C., Bullen D.V.R., Davis P.G., Kamlin C.O.F. A systematic review of novel technology for monitoring infant and newborn heart rate. Acta Paediatr. 2017;106:710–720. doi: 10.1111/apa.13786. [PubMed] [CrossRef] [Google Scholar]

55. Dawson J.A., Schmölzer G.M., Wyllie J. Monitoring heart rate in the delivery room. Semin. Fetal Neonatal Med. 2018;23:327–332. doi: 10.1016/j.siny.2018.07.001. [PubMed] [CrossRef] [Google Scholar]