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Newborn Pulse Oximetry Screening for Congenital Heart Disease

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Newborn Pulse Oximetry Screening for Congenital Heart Disease

  • Indications
  1. Universal Newborn Screening for Congenital Heart Disease (at 24 hours of life, typically prior to discharge)
  • Technique
  1. Obtain Oxygen Saturation in both the right hand (pre-ductal) and right foot (post-ductal)
  • Protocol
  1. Oxygen Saturation should be 95% or higher in both extremities with a difference between extremities <3%
  2. Repeat Oxygen Saturation measurement in one hour if 90-94% in either extremity or 3% or greater difference between extremities
  3. Repeat Oxygen Saturation a third time in one hour if still inadequate
  4. Obtain Echocardiogram for Oxygen Saturation <90% in either extremity or three failed measurements as above
  • Resources
  1. AAP Newborn Screening for CCHD
    1. http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/PEHDIC/Pages/Newborn-Screening-for-CCHD.aspx