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：通过经皮监测评估患有神经系统疾病的儿童的 SpO2 和 PCO2 记录的质量。

方法：分析过夜的经皮 SpO2 和 PCO2。注意到漂移和漂移校正的存在，并对中断记录的比率进行评分（0：不存在，1；存在）。还对录音质量进行评分（0、1、2 分为差、中和高）。

结果：共分析了 64 名 9.7±6 岁儿童的 228 条记录，其中 42 条使用了正压呼吸支持。录音的平均质量评分为 1.27 (0-2)。PCO2 漂移、漂移校正和录音中断分别出现在 25%、58% 和 26% 的录音中。91% 的病例做出了令人满意的临床决定。

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，临床结果被认为是令人满意的。PCO2 漂移的校正具有挑战性。