Neonatology Book

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Newborn Pulse Oximetry Screening for Congenital Heart Disease

Aka: Newborn Pulse Oximetry Screening for Congenital Heart Disease
  1. Indications
    1. Universal Newborn Screening for Congenital Heart Disease (at 24 hours of life, typically prior to discharge)
  2. Technique
    1. Obtain Oxygen Saturation in both the right hand (pre-ductal) and right foot (post-ductal)
  3. Protocol
    1. Oxygen Saturation should be 95% or higher in both extremities with a difference between extremities <3%
    2. Repeat Oxygen Saturation measurement in one hour if 90-94% in either extremity or 3% or greater difference between extremities
    3. Repeat Oxygen Saturation a third time in one hour if still inadequate
    4. Obtain Echocardiogram for Oxygen Saturation <90% in either extremity or three failed measurements as above
  4. Resources
    1. AAP Newborn Screening for CCHD
      1. http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/PEHDIC/Pages/Newborn-Screening-for-CCHD.aspx

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