Abstract
Prompt recognition and treatment of hypoxia is an important part of management in the accident and emergency (A & E) department. Until recently the only reliable method of detecting hypoxia was by estimation of the arterial blood gases (ABG). Continuous monitoring of the arterial oxygen saturation (Sao2) is possible using an infra-red pulse oximeter. This study assessed the usefulness of this instrument in the A&E setting. The Sao2 was measured in 50 patients using a pulse oximeter. In 15 patients simultaneous ABG estimations were obtained. The Sao2 correlated closely with calculated values for Sao2. The use of the oximeter identified 21 patients (42%) with clinically unsuspected hypoxia. The pulse oximeter proved simple to use, accurate and a useful addition to our resuscitation equipment.
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Selected References
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- Anderson I. D., Woodford M., de Dombal F. T., Irving M. Retrospective study of 1000 deaths from injury in England and Wales. Br Med J (Clin Res Ed) 1988 May 7;296(6632):1305–1308. doi: 10.1136/bmj.296.6632.1305. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fanconi S., Doherty P., Edmonds J. F., Barker G. A., Bohn D. J. Pulse oximetry in pediatric intensive care: comparison with measured saturations and transcutaneous oxygen tension. J Pediatr. 1985 Sep;107(3):362–366. doi: 10.1016/s0022-3476(85)80507-2. [DOI] [PubMed] [Google Scholar]
- Jones J., Heiselman D., Cannon L., Gradisek R. Continuous emergency department monitoring of arterial saturation in adult patients with respiratory distress. Ann Emerg Med. 1988 May;17(5):463–468. doi: 10.1016/s0196-0644(88)80237-3. [DOI] [PubMed] [Google Scholar]
- Kim S. K., Baidwan B. S., Petty T. L. Clinical evaluation of a new finger oximeter. Crit Care Med. 1984 Oct;12(10):910–912. doi: 10.1097/00003246-198410000-00016. [DOI] [PubMed] [Google Scholar]
- Taylor M. B., Whitwam J. G. The current status of pulse oximetry. Clinical value of continuous noninvasive oxygen saturation monitoring. Anaesthesia. 1986 Sep;41(9):943–949. doi: 10.1111/j.1365-2044.1986.tb12922.x. [DOI] [PubMed] [Google Scholar]
- Tremper K. K., Shoemaker W. C. Transcutaneous oxygen monitoring of critically ill adults, with and without low flow shock. Crit Care Med. 1981 Oct;9(10):706–709. doi: 10.1097/00003246-198110000-00007. [DOI] [PubMed] [Google Scholar]
- Tweeddale P. M., Douglas N. J. Evaluation of Biox IIA ear oximeter. Thorax. 1985 Nov;40(11):825–827. doi: 10.1136/thx.40.11.825. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yelderman M., New W., Jr Evaluation of pulse oximetry. Anesthesiology. 1983 Oct;59(4):349–352. doi: 10.1097/00000542-198310000-00015. [DOI] [PubMed] [Google Scholar]
