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Irish Child Health Database - Peer Reviewed Papers

Database Search

• Clinical assessment of infant colour at delivery

  Published in:

  Arch Dis Child Fetal Neonatal Ed, Vol: 92, Page: F465-7

  Publication Date:

  November 2007

  Aims & Objectives:

  The aim of this study was to investigate use of video recordings of newborn infants to determine colour and oxygen saturation

  Abstract:

  OBJECTIVE: Use of video recordings of newborn infants to determine: (1) if clinicians agreed whether infants were pink; and (2) the pulse oximeter oxygen saturation (Spo(2)) at which infants first looked pink. METHODS: Selected clips from video recordings of infants taken immediately after delivery were shown to medical and nursing staff. The infants received varying degrees of resuscitation (including none) and were monitored with pulse oximetry. The oximeter readings were obscured to observers but known to the investigators. A timer was visible and the sound was inaudible. The observers were asked to indicate whether each infant was pink at the beginning, became pink during the clip, or was never pink. If adjudged to turn pink during the clip, observers recorded the time this occurred and the corresponding Spo(2) was determined. RESULTS: 27 clinicians assessed videos of 20 infants (mean (SD) gestation 31(4) weeks). One infant (5%) was perceived to be pink by all observers. The number of clinicians who thought each of the remaining 19 infants were never pink varied from 1 (4%) to 22 (81%). Observers determined the 10 infants with a maximum Spo(2) >/=95% never pink on 17% (46/270) of occasions. The Spo(2) at which individual infants were perceived to turn pink varied from 10% to 100%. CONCLUSION: Among clinicians observing the same videos there was disagreement about whether newborn infants looked pink with wide variation in the Spo(2) when they were considered to become pink.

  Authors:

  C. P. O'Donnell; C. O. Kamlin; P. G. Davis; J. B. Carlin; C. J. Morley

  Study Type:

  Study Papers » Case Study » Descriptive Studies - Without a comparision

  Categories:

  video recordings as a monitoring facility

  International Classification:

  Health service provision

  Keywords:

  • Color
  • Cyanosis/ diagnosis/therapy
  • Humans
  • Infant, Newborn
  • Neonatal Nursing
  • Neonatology
  • Observer Variation
  • Oximetry
  • Oxygen/ blood
  • Physical Examination
  • Resuscitation
  • Videotape Recording

  
  

  Geography:

  Republic of Ireland (Republic of Ireland)