Comparison of two different pulse oximeters in monitoring preterm infants

OBJECTIVE The aim of the study was to test the reliability and variation in the readings of two widely used pulse oximeters in preterm infants. DESIGN Two different pulse oximeters and a transcutaneous Po2 monitor were used to record the data continuously on a cotside computer database. PATIENTS Six...

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Veröffentlicht in:Critical care medicine 1997-12, Vol.25 (12), p.2051-2054
Hauptverfasser: Grieve, Susan H, McIntosh, Neil, Laing, Ian A
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container_title Critical care medicine
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creator Grieve, Susan H
McIntosh, Neil
Laing, Ian A
description OBJECTIVE The aim of the study was to test the reliability and variation in the readings of two widely used pulse oximeters in preterm infants. DESIGN Two different pulse oximeters and a transcutaneous Po2 monitor were used to record the data continuously on a cotside computer database. PATIENTS Sixteen preterm infants were studied in the Neonatal Unit, Simpson Memorial Maternity Pavilion, Edinburgh, UK. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Approximately one fifth of the time, the pulse oximeter readings could be established as artifactual. Study of the remaining four fifths of the data showed that, on average, the Nellcor pulse oximeter recorded saturation percentages 2.2% higher than the Ohmeda oximeter. CONCLUSIONS We recommend that all neonatal units adopt a policy of using different saturation alarm limits for these two instruments. We further recommend that other pulse oximeters be tested by a methodology similar to the one we present in this paper, before their use in monitoring oxygenation in preterm infants.(Crit Care Med 1997; 25:2051-2054)
doi_str_mv 10.1097/00003246-199712000-00025
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DESIGN Two different pulse oximeters and a transcutaneous Po2 monitor were used to record the data continuously on a cotside computer database. PATIENTS Sixteen preterm infants were studied in the Neonatal Unit, Simpson Memorial Maternity Pavilion, Edinburgh, UK. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Approximately one fifth of the time, the pulse oximeter readings could be established as artifactual. Study of the remaining four fifths of the data showed that, on average, the Nellcor pulse oximeter recorded saturation percentages 2.2% higher than the Ohmeda oximeter. CONCLUSIONS We recommend that all neonatal units adopt a policy of using different saturation alarm limits for these two instruments. 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DESIGN Two different pulse oximeters and a transcutaneous Po2 monitor were used to record the data continuously on a cotside computer database. PATIENTS Sixteen preterm infants were studied in the Neonatal Unit, Simpson Memorial Maternity Pavilion, Edinburgh, UK. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS Approximately one fifth of the time, the pulse oximeter readings could be established as artifactual. Study of the remaining four fifths of the data showed that, on average, the Nellcor pulse oximeter recorded saturation percentages 2.2% higher than the Ohmeda oximeter. CONCLUSIONS We recommend that all neonatal units adopt a policy of using different saturation alarm limits for these two instruments. We further recommend that other pulse oximeters be tested by a methodology similar to the one we present in this paper, before their use in monitoring oxygenation in preterm infants.(Crit Care Med 1997; 25:2051-2054)</description><subject>Anesthesia. Intensive care medicine. 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Sudden death</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Intensive care medicine</topic><topic>Intensive Care Units, Neonatal</topic><topic>Medical sciences</topic><topic>Monitoring, Physiologic - instrumentation</topic><topic>Oximetry - instrumentation</topic><topic>Point-of-Care Systems</topic><topic>Reproducibility of Results</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grieve, Susan H</creatorcontrib><creatorcontrib>McIntosh, Neil</creatorcontrib><creatorcontrib>Laing, Ian A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grieve, Susan H</au><au>McIntosh, Neil</au><au>Laing, Ian A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of two different pulse oximeters in monitoring preterm infants</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1997-12</date><risdate>1997</risdate><volume>25</volume><issue>12</issue><spage>2051</spage><epage>2054</epage><pages>2051-2054</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>OBJECTIVE The aim of the study was to test the reliability and variation in the readings of two widely used pulse oximeters in preterm infants. 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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Equipment Design
Humans
Infant, Newborn
Infant, Premature
Intensive care medicine
Intensive Care Units, Neonatal
Medical sciences
Monitoring, Physiologic - instrumentation
Oximetry - instrumentation
Point-of-Care Systems
Reproducibility of Results
title Comparison of two different pulse oximeters in monitoring preterm infants
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