{"title":"Update on neonatal pulse oximetry: A narrative review.","authors":"Christoph E Schwarz, Christian F Poets","doi":"10.1016/j.siny.2026.101773","DOIUrl":null,"url":null,"abstract":"<p><p>The standard monitoring approach to neonatal oxygenation is pulse oximetry. Utilized for decades, it seems fully integrated into clinical workflows. However, as with all other monitoring devices, it has limitations clinicians need to be aware of. Furthermore, various technical and clinical influencing factors may impair signal validity and should be taken into account. Beyond oxygen saturation, pulse oximetry also provides information on pulse rate and peripheral perfusion. This chapter will review technical and clinical factors and limitations of pulse oximetry in various clinical scenarios such as delivery room management and neonatal intensive care, including potential complications like sepsis. We aim to highlight current limitations, thereby setting goals for future research and integration into clinical practice.</p>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":" ","pages":"101773"},"PeriodicalIF":2.9000,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Fetal & Neonatal Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.siny.2026.101773","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
The standard monitoring approach to neonatal oxygenation is pulse oximetry. Utilized for decades, it seems fully integrated into clinical workflows. However, as with all other monitoring devices, it has limitations clinicians need to be aware of. Furthermore, various technical and clinical influencing factors may impair signal validity and should be taken into account. Beyond oxygen saturation, pulse oximetry also provides information on pulse rate and peripheral perfusion. This chapter will review technical and clinical factors and limitations of pulse oximetry in various clinical scenarios such as delivery room management and neonatal intensive care, including potential complications like sepsis. We aim to highlight current limitations, thereby setting goals for future research and integration into clinical practice.
期刊介绍：
Seminars in Fetal & Neonatal Medicine (formerly Seminars in Neonatology) is a bi-monthly journal which publishes topic-based issues, including current ''Hot Topics'' on the latest advances in fetal and neonatal medicine. The Journal is of interest to obstetricians and maternal-fetal medicine specialists.
The Journal commissions review-based content covering current clinical opinion on the care and treatment of the pregnant patient and the neonate and draws on the necessary specialist knowledge, including that of the pediatric pulmonologist, the pediatric infectious disease specialist, the surgeon, as well as the general pediatrician and obstetrician.
Each topic-based issue is edited by an authority in their field and contains 8-10 articles.
Seminars in Fetal & Neonatal Medicine provides:
• Coverage of major developments in neonatal care;
• Value to practising neonatologists, consultant and trainee pediatricians, obstetricians, midwives and fetal medicine specialists wishing to extend their knowledge in this field;
• Up-to-date information in an attractive and relevant format.
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