Neonatal Oxygen Targeting Brief Consensus Summary (2020)

Reviewed by Sarvin Ghavam, MD

Neonatal Oxygen Targeting Consensus
Date of Initial Publication: Sept 2020
Revision Date:
Contact Author: Sarvin Ghavam
Contributing Authors: John Chuo, Kathi Maschoff

Consensus Statement and Clinical Recommendations

Neonates < 32+0 wk PMA
- ON supplemental oxygen, target oxygen range of 90-94%
- OFF supplemental oxygen, target oxygen range of > 90%
Neonates ≥ 32+0 wks PMA
- ON supplemental oxygen, target oxygen range of 92-98%
- OFF supplemental oxygen, target oxygen range of >92%
Neonates with Chronic Lung Disease > 36 +0 wks PMA
- Oxygen targeting range of 92-98%

Caveats

For term corrected neonates, please use unit based acceptable saturations that meet critical congenital heart disease testing parameters
For late preterm neonates please err on the side of clinical judgement for further evaluation for persistent desaturations

	< 32+0 weeks Post Menstrual Age	≥ 32+0 weeks Post Menstrual Age
On Supplemental Oxygen	90-94%	92-98%
Off Supplemental Oxygen	>90%	>92%

Neonates > 36+0 wk PMA with Chronic Lung Disease: Oxygen targeting range of 92-98%

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The Neonatology Consensus Statements (“Statements”) are based on a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These Statements are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these Statements are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among CHOP, its physicians and the individual patients in question. CHOP does not represent or warrant that the Statements are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the Statements, or for any outcomes a patient might experience where a clinician consulted one or more such Statements in connection with providing care for that patient. If you use a printed version of a Statement, please ensure that you are using the most current version.