Extubation readiness in preterm infants: Evaluating the role of monitoring intermittent hypoxemia

  • Elie G. Abu Jawdeh
  • , Amrita Pant
  • , Aayush Gabrani
  • , M. Douglas Cunningham
  • , Thomas M. Raffay
  • , Philip M. Westgate

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Preterm infants with respiratory distress may require mechanical ventilation which is associated with increased pulmonary morbidities. Prompt and successful extubation to noninvasive support is a pressing goal. In this communication, we show original data that increased recurring intermittent hypoxemia (IH, oxygen saturation <80%) may be associated with extubation failure at 72 h in a cohort of neonates <30 weeks gestational age. Current-generation bedside high-resolution pulse oximeters provide saturation profiles that may be of use in identifying extubation readiness and failure. A larger prospective study that utilizes intermittent hypoxemia as an adjunct predictor for extubation readiness is warranted.

Original languageEnglish
Article number237
JournalChildren
Volume8
Issue number3
DOIs
StatePublished - Mar 2021

Bibliographical note

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Funding

Funding: The study was funded in part by: (1) The Gerber Foundation (EGA, PI), (2) University of Kentucky’s National Center for Advancing Translational Sciences, UL1RR033173, and (3) TMR is supported by the NIH K08HL133459-04 grant. The study was funded in part by: (1) The Gerber Foundation (EGA, PI), (2) University of Kentucky?s National Center for Advancing Translational Sciences, UL1RR033173, and (3) TMR is supported by the NIH K08HL133459-04 grant.

FundersFunder number
EGA
University of Kentucky?s National Center for Advancing Translational Sciences
University of Kentucky’s National Center for Advancing Translational SciencesUL1RR033173
National Institutes of Health (NIH)K08HL133459-04
Gerber Foundation

    Keywords

    • Extubation
    • Intermittent hypoxemia
    • Intubation
    • Preterm
    • Respiratory distress

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

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