Journal of Clinical Monitoring

, Volume 9, Issue 4, pp 283–287

The detection of peripheral venous pulsation using the pulse oximeter as a plethysmograph

  • Kirk H. Shelley
  • Marc Dickstein
  • Steven M. Shulman
Case Reports

Abstract

The pulse oximeter can serve as a sensitive photoelectric plethysmograph in the operating room. It was noted in several cases that the plethysmographic waveform showed a high degree of variability during diastole. Three patients are described with discrete diastolic peaks on the plethysmograph. Further investigation revealed that these diastolic peaks appear to correlate with peripheral venous pulsation, which seems to have a central venous origin. Evidence is presented that the plethysmographic detection of the venous pulse may be useful in estimating the changing volume status of the patient.

Key Words

Equipment pulse oximeter plethysmograph Measurement techniques pulse oximetry 

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Copyright information

© Little, Brown and Company 1993

Authors and Affiliations

  • Kirk H. Shelley
    • 1
  • Marc Dickstein
    • 2
  • Steven M. Shulman
    • 2
  1. 1.Department of Anesthesia, University Hospital, College of MedicineThe Pennsylvania State University, The Milton S. Hershey Medical CenterHershey
  2. 2.Department of AnesthesiaColumbia University, College of Physicians and SurgeonsNew York

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