Both high and low blood glucose levels may be dangerous to the newborn baby. Measurement of blood or plasma lactate concentrations gives an indication of the adequacy of oxygen delivery to tissues, and blood and CSF lactate levels are essential investigations in the diagnosis of inborn errors of metabolism (IEM)....

Babies are not small adults! The potential for abnormal adaptation to life outside of the womb, changes in physiology, and a myriad of possible life-threatening clinical conditions requires an understanding of the laboratory tests needed to support these infants.  To effectively handle the unique needs of these...

The intraoperative monitoring of the partial pressure of carbon dioxide in arterial blood (pCO₂) is used to assess the adequacy of ventilation and guide clinical interventions.  Although end-tidal CO₂ monitoring remains the most frequently used non-invasive technology in the intraoperative setting to provide a...

The application of transcutaneous pO₂/pCO₂ monitoring is essential in optimizing the ventilatory management of critically ill newborns. Application areas include high-frequency oscillatory ventilation initiation, transitioning modes of ventilation, and inter-facility transport.

Electronic fetal monitoring (EFM) during labor has been performed for 40 years. However, the specificity in diagnosing asphyxia is still insufficient. The combination of EFM and fetal scalp-blood sampling was introduced shortly after the introduction of EFM.  Although this monitoring ensures a better sensitivity and...

Neonates are subject to more preanalytical influences than any other population group. Many of these are related to the maturity of the infant and its adaptation to extra-uterine life. The necessary need for capillary blood collection and processing of small quantities of blood introduce additional preanalytical...

60 % of all neonates develop jaundice during their first week of life and thereby run a risk of getting hyperbilirubinemia.  Although different approaches for establishing treatment criteria have been suggested, treatment of neonatal hyperbilirubinemia is usually still based on the measurement of total bilirubin...

The possibility of continuously monitoring arterial blood oxygen and carbon dioxide using heated surface electrodes on human skin was discovered in the early 1970s and made commercially available by 1976.  These devices were applied initially to premature infants in an effort to reduce the incidence of blindness due...

The use of transcutaneous equipment is an essential element in the daily monitoring of neonates. To ensure reliable results and as little discomfort to neonates as possible, new staff members must be trained thoroughly. Nurse Åse Hansen, from the Copenhagen County Hosital, runs through the basic elements of staff...