ABSTRACT

Objective: To assess the quality of SpO2 and PCO2 recordings via transcutaneous monitoring in children with neurological conditions.

Methods: Overnight transcutaneous SpO2 and PCO2 were analyzed. The presence of drift and drift correction was noted, and the rate of disrupted recordings scored (0: absence, 1; presence). The quality of recordings was also scored (0, 1, 2 for poor, medium, and high).

Results: A total of 228 recordings from 64 children aged 9.7 ± 6 years were analyzed of which 42 used positive pressure respiratory support. The mean quality of the recordings was scored as 1.27 (0–2). PCO2 drift, drift correction, and disrupted recordings were present in 25%, 58%, and 26% of recordings, respectively. Satisfactory clinical decisions were taken in 91% of cases.

Conclusion: The quality of transcutaneous sensor recordings was acceptable and clinical findings were deemed as satisfactory in the large majority of cases. Correction of PCO2 drift was challenging.

摘要

目的：通过神经疾病患儿的经皮监测评估SpO2和PCO2记录的质量。

方法：对隔夜经皮SpO2和PCO2进行分析。记录漂移和漂移校正的存在，并对记录中断的比率评分（0：不存在，1；存在）。记录的质量也得到了评分（差，中，高分别为0、1、2）。

结果：分析了64位9.7±6岁儿童的228项记录，其中42项使用正压呼吸支持。录音的平均质量得分为1.27（0–2）。PCO2漂移，漂移校正和记录中断分别占记录的25％，58％和26％。91％的病例做出了令人满意的临床决策。

结论：经皮传感器记录的质量是可以接受的，在大多数情况下，临床发现被认为是令人满意的。校正PCO2漂移具有挑战性。