Next Article in Journal
A Comparison between Metaheuristics as Strategies for Minimizing Cyclic Instability in Ambient Intelligence
Next Article in Special Issue
Towards Autonomous Agriculture: Automatic Ground Detection Using Trinocular Stereovision
Previous Article in Journal
The Combined Application of Impinger System and Permeation Tube for the Generation of Volatile Organic Compound Standard Gas Mixtures at Varying Diluent Flow Rates
Previous Article in Special Issue
Variable-State-Dimension Kalman-Based Filter for Orientation Determination Using Inertial and Magnetic Sensors
Article Menu

Export Article

Open AccessArticle

Use of a Combined SpO2/PtcCO2 Sensor in the Delivery Room

Division of Neonatology, Department of Paediatrics, Catholic University of Sacred Heart, Largo Gemelli 8, I-00168 Rome, Italy
Author to whom correspondence should be addressed.
Sensors 2012, 12(8), 10980-10989;
Received: 12 June 2012 / Revised: 16 July 2012 / Accepted: 31 July 2012 / Published: 8 August 2012
(This article belongs to the Special Issue State-of-the-Art Sensors Technology in Italy 2012)
PDF [321 KB, uploaded 21 June 2014]


Arterial oxygen saturation (SaO2) and partial arterial pressure of carbon dioxide (PaCO2) are important respiratory parameters in critically ill neonates. A sensor combining a pulse oximeter with the Stow-Severinghaus electrode, required for the measurement of peripheral oxygen saturation (SpO2) and transcutaneous partial pressure of carbon dioxide (PtcCO2), respectively, has been recently used in neonatal clinical practice (TOSCA500ÒRadiometer). We evaluated TOSCA usability and reliability in the delivery room (DR), throughout three different periods, on term, late-preterm, and preterm neonates. During the first period (period A), 30 healthy term neonates were simultaneously monitored with both TOSCA and a MASIMO pulse oximeter. During the second period (period B), 10 healthy late-preterm neonates were monitored with both TOSCA and a transcutaneous device measuring PtcCO2 (TINAÒ TCM3, Radiometer). During the third period (period C), 15 preterm neonates were monitored with TOSCA and MASIMO after birth, during stabilization, and during transport to the neonatal intensive care unit (NICU). Blood gas analyses were performed to compare transcutaneous and blood gas values. TOSCA resulted easily and safely usable in the DR, allowing reliable noninvasive SaO2 estimation. Since PtcCO2 measurements with TOSCA required at least 10 min to be stable and reliable, this parameter was not useful during the early resuscitation immediately after birth. Moreover, PtcCO2 levels were less precise if compared to the conventional transcutaneous monitoring. However, PtcCO2 measurement by TOSCA was useful as trend-monitoring after stabilization and during transport to NICU. View Full-Text
Keywords: oxygen saturation; partial pressure of carbon dioxide; pulse oximeter; delivery room; TOSCA sensor; neonate oxygen saturation; partial pressure of carbon dioxide; pulse oximeter; delivery room; TOSCA sensor; neonate
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

Share & Cite This Article

MDPI and ACS Style

Rubortone, S.A.; De Carolis, M.P.; Lacerenza, S.; Bersani, I.; Occhipinti, F.; Romagnoli, C. Use of a Combined SpO2/PtcCO2 Sensor in the Delivery Room. Sensors 2012, 12, 10980-10989.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Sensors EISSN 1424-8220 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top