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PEDIATRICS Vol. 110 No. 2 August 2002, pp. 401-402

COMMENTARY

Oxygen Desaturation in Term Infants in Car Safety Seats

Joel L. Bass, MD

Department of Pediatrics
Newton-Wellesley Hospital
MassGeneral Hospital for Children
Newton, MA 02462
Harvard Medical School
Boston, MA 02114

Marilyn Bull, MD

Riley Hospital for Children
Indiana University School of Medicine
Indianapolis, IN 46202

The first 20% of the full text of this article appears below.

The need for a period of observation of infants born prematurely to monitor for oxygen desaturation, apnea, or bradycardia when positioned semireclined in car safety seats has been well established.1–3 Whether otherwise healthy term infants are at risk for similar episodes while positioned in car safety seats, however, has not been fully determined and warrants additional investigation. A recent study, published in this journal in which 50 term infants were monitored documented that when properly positioned semireclined in rear-facing car safety seats, the mean oxygen saturation levels declined significantly from 97% to 94% after 60 minutes.4 Also, 8% of these term infants had oxygen saturation values of <90% for longer than 20 minutes. A previous report of a series of selected term infants with preexisting health conditions believed to place them at risk for potential oxygen desaturation documented . . . [Full Text of this Article]

Address correspondence to Joel L. Bass, MD, Newton Wellesley Hospital, 2014 Washington St (Six North), Newton, MA 02462. E-mail: jbass@partners.org




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