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Huisarts en wetenschap

, Volume 62, Issue 9, pp 50–55 | Cite as

Percutane zuurstofsaturatiemeting

  • Roy BeijaertEmail author
Casuïstiek
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Samenvatting

De percutane zuurstofsaturatiemeting (pulsoxymetrie) geeft een niet-invasieve indicatie van de cardiorespiratoire toestand van de patiënt. Hoewel er nog weinig onderzoek is gedaan naar de meerwaarde van de percutane zuurstofsaturatiemeter in de huisartsenpraktijk, is het gebruik ervan inmiddels niet meer weg te denken. 1 Huisartsen geven aan dat de saturatiemeter gebruikt wordt bij vele indicaties in acute en niet-acute situaties. 2 Bij bijvoorbeeld exacerbaties van obstructieve longziekten, bij ernstige pneumonie, bronchiolitis, longembolie of hartfalen kunnen zuurstoftransport en gaswisseling in de weefsels tekortschieten.

Literatuur

  1. 1.
    Huijgen QCA, Effing TW, Hancock KL, Schermer TJ, Crockett, AJ. Knowledge of pulse oximetry among general practitioners in South Australia. Prim Care Respir J 2011;20:456-8.Google Scholar
  2. 2.
    Schermer T, Leenders J, In ‘t Veen HVan den Bosch W, Wissink A, Smeele I, et al. Pulse oximetry in family practice: indications and clinical observations in patients with COPD. Fam Pract 2009;26:524-31.
  3. 3.
    Van den Bosch WJHM, Schermer Tj, Chavannes N. De saturatiemeter in de huisartsenpraktijk. Huisarts Wet 2005;48:467-9.Google Scholar
  4. 4.
    Jubran A. Pulse oximetry. Critical Care 1999;3:11-7.Google Scholar
  5. 5.
    Crawford Mechem C. Pulse oximetry. UpToDate 2018.Google Scholar
  6. 6.
    Wonca/ICC. Clinical use of pulse oximetry. Pocket reference, 2010.Google Scholar
  7. 7.
    Ryan D, Nestor S, McDonnel MJ, Rutherford RM. Pulse oximetry in general practice: an underutilised assessment tool. QJM 2016;109(12):775-6.Google Scholar
  8. 8.
    Bewick T, Greenwood S, Lim WS. What is the role of pulse oximetry in the assessment of patients with community-acquired pneumonia in primary care? Prim Care Respir J 2010;19(4):378-82.Google Scholar
  9. 9.
    Alani S, Spigt M, Laue J, Melbye H. Predictors of treatment with antibiotics and systemic corticosteroids for acute exacerbations of asthma and COPD in primary care. BMC Fam Pract 2015;16:40.Google Scholar
  10. 10.
    Gosselink R, Langer D, Burtin C. KNGF-richtlijn Chronisch obstructieve longziekten. Amersfoort: KNGF, 2008.Google Scholar
  11. 11.
    Gokalp Hde Folter JVerma V, Fursse J, Jones RClarke M. Integrated telehealth and telecare for monitoring frail elderly with chronic disease. Telemedicine and e-Health 2018;24:940-57.
  12. 12.
    Suliman L, Shalabi N, Saad A. Validity of overnight pulse oximetry as a screening tool of obstructive sleep apnea. Eur Resp J 2016;48:PA2316.Google Scholar
  13. 13.
    Hudson AJ, Benjamin J, Jardeleza T, Bergstrom CCronin WMendoza M, et al. Clinical interpretation of peripheral pulse oximeters labeled “Not for Medical Use”. Ann Fam Med 2018;16:552-4.
  14. 14.
    Hakverdioglu YG, Akin KE, Dizer B. The effect of nail polish on pulse oximetry readings. Intensive Crit Care Nurse 2014; 30(2):111-5.Google Scholar
  15. 15.
    Dalbak LG, Straand J, Melbey H. Should pulse oximetry be included in GPs’ assessment of patients with obstructive lung disease? Scan J Prim Health Care 2015;33(4):305-10.Google Scholar
  16. 16.
    Witting MD, Scharf SM. Diagnostic room-air pulse oximetry: effects of smoking, race and sex. Am J Emerg Med 2008;26:131-6.Google Scholar
  17. 17.
    Chavannes N. Pulse oximetry and respiratory disease in primary care. Prim Care Resp J 2003;12:2-3.Google Scholar
  18. 18.
    Hill E, Stoneham MD. Practical applications of pulse oximetry. Pract Procedures 2000;11:156-9.Google Scholar
  19. 19.
    Kaufman DP, Dhamoon AS. Physiology, Oxyhemoglobin Dissociation Curve. NCBI Statpearls, 2018.Google Scholar
  20. 20.
    NHG-Werkgroep Astma bij volwassenen en COPD. NHG-Standaard COPD (Derde herziening). Huisarts Wet 2015;58(4):198-211.Google Scholar
  21. 21.
    Welsh EJ, Carr R. Pulse oximeters to self monitor oxygen saturation levels as part of a personalised asthma action plan for people with asthma. Cochrane Database Syst Rev 2015;9:CD011584.
  22. 22.
    Velardo C, Shah SA, Gibson O, Clifford GHeneghan CRutter H, et al. Digital health system for personalised COPD long-term management. BMC Med Inform Decis Mak 2017;17:19.

Copyright information

© Bohn Stafleu van Loghum, onderdeel van Springer Media B.V. 2019

Authors and Affiliations

  1. 1.Wetenschappelijk medewerkerNederlands Huisartsen GenootschapUtrechtNederland

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