How can a respiratory therapist determine if a newborn needs supplemental oxygen based on APGAR scores?

A score of 4-6 on the APGAR assessment indicates that a newborn might be experiencing moderate distress and typically requires some level of support, which can include supplemental oxygen. The APGAR score assesses a newborn's condition based on five criteria: heart rate, respiratory effort, muscle tone, reflex response, and skin color, each scored from 0 to 2, leading to a possible total score between 0 and 10.

In the context of neonatal resuscitation, scores in the 4-6 range signal that the infant is not in a stable condition and could benefit from interventions that may include oxygen supplementation to improve oxygenation. While immediate interventions are necessary for lower scores (1-3), and a score of 7-10 represents a healthy newborn typically in good condition, the 4-6 range clearly indicates that further evaluation and potential support are warranted, making it crucial for the therapist to be vigilant and responsive during this time.

This understanding helps ensure that newborns in need of assistance are promptly provided with the appropriate care to support their respiratory function and overall well-being.