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. Author manuscript; available in PMC: 2016 May 1.
Published in final edited form as: Arch Dis Child Fetal Neonatal Ed. 2015 Feb 25;100(3):F233–F237. doi: 10.1136/archdischild-2014-307272

Figure 2.

Figure 2

Diagram showing a 5-minute recording from a patient who failed the challenge. The upper 2 tracings show respiratory excursions. The lowest tracing is SpO2% averaged every 3 to 5 sec. Note the stable SpO2% > 90% when respirations are regular. Note the intermittent hypoxemia and characteristic oscillations in SpO2% seen with the brief run of periodic breathing early in the tracings, and the continuous oscillations when PB is established. This pattern occurred in 43.2% of challenge failures. For this subject, continuous periodic pattern was associated with failure-range falls in SpO2% to < 80%.

First vertical mark: challenge begun, followed by brief run of periodic breathing. 2nd vertical mark: quiet sleep. 6th vertical mark: RAC failure was declared. The smaller box is an enlarged 30 sec excerpt from between vertical marks 5 and 6.