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 |
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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 |
format | Article |
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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><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-199712000-00025</identifier><identifier>PMID: 9403758</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>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</subject><ispartof>Critical care medicine, 1997-12, Vol.25 (12), p.2051-2054</ispartof><rights>Williams & Wilkins 1997. All Rights Reserved.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3845-dba0e5d553bdd9a733ddf67048ec3ad1b78b3815a11a4ca59696cf96ffbe485f3</citedby><cites>FETCH-LOGICAL-c3845-dba0e5d553bdd9a733ddf67048ec3ad1b78b3815a11a4ca59696cf96ffbe485f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2092923$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9403758$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grieve, Susan H</creatorcontrib><creatorcontrib>McIntosh, Neil</creatorcontrib><creatorcontrib>Laing, Ian A</creatorcontrib><title>Comparison of two different pulse oximeters in monitoring preterm infants</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><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)</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Intensive care medicine</subject><subject>Intensive Care Units, Neonatal</subject><subject>Medical sciences</subject><subject>Monitoring, Physiologic - instrumentation</subject><subject>Oximetry - instrumentation</subject><subject>Point-of-Care Systems</subject><subject>Reproducibility of Results</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PxCAQQInRrOvqTzDhYLxVoQNtOZqNX4mJFz0TWsBF21Khzeq_l3XXvUkyITPzBpI3CGFKrigR5TVJB3JWZFSIkuYpy1Lk_ADNKYeU5AIO0ZwQQTJgAo7RSYzvhFDGS5ihmWAESl7N0ePSd4MKLvoee4vHtcfaWWuC6Uc8TG002H-5zowmROx63PnejT64_g0PYVPtUtWqfoyn6MiqxJ_t7gV6vbt9WT5kT8_3j8ubp6yBivFM14oYrjmHWmuhSgCtbVESVpkGlKZ1WdVQUa4oVaxRXBSiaKworK0Nq7iFBbrcvjsE_zmZOMrOxca0reqNn6IsBSuqHEgCqy3YBB9jMFYOwXUqfEtK5Mai_LMo9xblr8U0er77Y6o7o_eDO22pf7Hrq9io1gbVNy7usZyIXOSQMLbF1r7dCPxop7UJcmVUO67kfzuEHxK0ios</recordid><startdate>199712</startdate><enddate>199712</enddate><creator>Grieve, Susan H</creator><creator>McIntosh, Neil</creator><creator>Laing, Ian A</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199712</creationdate><title>Comparison of two different pulse oximeters in monitoring preterm infants</title><author>Grieve, Susan H ; McIntosh, Neil ; Laing, Ian A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3845-dba0e5d553bdd9a733ddf67048ec3ad1b78b3815a11a4ca59696cf96ffbe485f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive care: neonates and children. Prematurity. 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.
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)</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>9403758</pmid><doi>10.1097/00003246-199712000-00025</doi><tpages>4</tpages></addata></record> |
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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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