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Gewählte Publikation:

Publikationstyp: Zeitschriftenaufsatz
Dokumenttyp: Originalarbeit

Jahr: 2020

AutorInnen: Kanz, P; Gusterer, E; Krieger, S; Schweinzer, V; Süss, D; Drillich, M; Iwersen, M

Titel: Pulsoximetric monitoring of fetal arterial oxygen saturation and fetal pulse at stage II of labor to predict acidosis in newborn Holstein Friesian calves.

Quelle: Theriogenology. 2020; 142:303-309



Autor/innen der Vetmeduni Vienna:

Drillich Marc
Gusterer Erika
Iwersen Michael
Kanz Peter
Krieger Stefanie
Schweinzer Vanessa
Süss David

Beteiligte Vetmed-Organisationseinheiten
Universitätsklinik für Wiederkäuer, Bestandsbetreuung bei Wiederkäuern


Zugehörige(s) Projekt(e): Monitoring der Herzfrequenz und Sauerstoffsättigung bei Kälbern während der Geburt mittels kabelloser Sensortechnologie zur Senkung der Totgeburtenrate


Abstract:
During stage II of parturition, the bovine fetus is at risk of oxygen deficiency caused by insufficient gas exchange between the dam and the fetus. The early detection of this critical condition, followed by assistance at calving, can help to improve the vitality of the newborn calf, or even prevent it from being born dead. By using pulse oximetry, the arterial oxygen saturation, as well as the pulse rate, can be continuously and non-invasively measured. The aim of our study was to identify critical thresholds for the parameters 'arterial oxygen saturation (FSpO2)' and 'pulse rate (PR)' that indicate a severe postnatal risk for calves to suffer from acidosis. FSpO2 and PR from 40 bovine fetuses were recorded during the last 25 min of calving with a commercially available pulse oximeter (Radius-7, Masimo Corporation, Irvine, USA). The calves were tested immediately after birth for acidosis by analyzing their blood with a portable blood gas analyzer (VetScan iStat1, Abaxis Inc., Union City, USA). Retrospectively, the pulsoximetric data were scanned for predefined patterns. The validity of these patterns to predict acidosis in newborn calves was analyzed by using receiver operating characteristics (ROC) curve analyses. In general, PR was a stronger predictive parameter for acidosis than FSpO2, with the greatest area under the curve (AUC) for the PR criteria 'Pulse rate > 120 beats per minute (bpm) for at least 2 min', with an AUC of 0.764, in contrast to an AUC of 0.613 for the best FSpO2 criteria 'FSpO2 < 40% for at least 50% of the measurement'. Further studies should investigate whether vitality after calving can be improved and fetal death rate can be reduced when obstetric assistance is performed as soon as one of these criteria apply to the bovine fetus. For more practical implementation in the field, improvement of the device's hardware would be necessary.Copyright © 2019 Elsevier Inc. All rights reserved.

Keywords Pubmed: Acidosisdiagnosisveterinary
Animals
Animals, Newborn
Arterieschemistry
Cattle
Cattle Diseasesdiagnosis
Female
Fetal Diseasesdiagnosisveterinary
Fetal Monitoringmethodsveterinary
Heart Rate, Fetal
Labor, Obstetricphysiology
Male
Oximetrymethodsveterinary
Oxygenanalysisblood
Predictive Value of Tests
Pregnancy
Prognosis
Pulmonary Gas Exchangephysiology
Reproducibility of Results
Retrospective Studies

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