title: Reflectance pulse oximetry in neonates.
abstract: OBJECTIVE
  To test the feasibility and reliability in neonates of an in-house reflectance pulse oximetry (RPOX) system as an alternative method of non-invasive oxygen saturation monitoring when transmission pulse oximetry (TPOX) cannot be used, as in fetal scalp oxygen saturation monitoring during delivery.
  
  
  METHODS
  The study population consisted of 31 intensive care neonates. The RPOX sensor was attached by suction to the forehead, cheek, occiput and back; recordings were under simultaneous TPOX control.
  
  
  RESULTS
  There was close agreement between RPOX and TPOX oxygen saturation and heart rate values, even in periodic breathing. RPOX signals from the back were unreliable because of breathing artifacts. Differences in mean absolute RPOX and TPOX oxygen saturation values were due to different calibrations. Both systems were equally sensitive to motion artifacts.
  
  
  CONCLUSIONS
  As a feasible and reliable method of non-invasive oxygen saturation monitoring in neonates, RPOX has potential applications in fetal scalp monitoring.
authors.affiliation: Department of Obstetrics, University Hospital of Zurich, Switzerland.
authors.forename: K
authors.initials: K
authors.lastname: Faisst
authors.forename: W
authors.initials: W
authors.lastname: Hannon
authors.forename: J S
authors.initials: JS
authors.lastname: Jørgensen
authors.forename: V
authors.initials: V
authors.lastname: König
authors.forename: H U
authors.initials: HU
authors.lastname: Bucher
authors.forename: A
authors.initials: A
authors.lastname: Huch
authors.forename: R
authors.initials: R
authors.lastname: Huch
mesh_terms: D006339:Heart Rate; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D009068:Movement; D010092:Oximetry / Q000379:methods*; D010100:Oxygen / Q000097:blood; D012119:Respiration
chemical_list: D010100:Oxygen