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Pulse Oximetry

  • Win TinEmail author
  • Samir Gupta
Chapter
  1. I.
    Introduction
    1. A.

      Noninvasive monitoring of oxygenation has become a standard procedure in neonatology.

       
    2. B.

      Pulse oximetry (SpO2) is based on using the pulsatile variations in optical density of tissues in the red and infrared wavelengths to compute arterial oxygen saturation without the need for calibration.

       
    3. C.

      The method was invented in 1972 by Takuo Aoyagi, and its clinical usage was first reported in 1975 by Susumu Nakajima, a surgeon, and his associates.

       
     
  2. II.
    Advantages of SpO 2
    1. A.

      Saturation is a basic physiologic determinant of tissue oxygen delivery.

       
    2. B.

      Noninvasive, and provides immediate and continuous readouts.

       
    3. C.

      No warm-up or equilibration time is needed.

       
    4. D.

      Can detect rapid or transient changes in oxygen saturation.

       
    5. E.

      Skin burns from oximeter probe are very rare compared to transcutaneous monitoring.

       
    6. F.

      Minimal effect of motion, light, perfusion, and temperature with the advent of “Signal Extraction Technology.”

       
    7. G.

      Substantially lower maintenance.

       
     
  3. III....

Keywords

Pulse Oximetry Pulse Oximeter Neonatal Jaundice Fractional Saturation Tissue Oxygen Delivery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. Ahmed SJ, Rich W, Finer NN. The effect of averaging time on oximetry values in the premature infant. Pediatrics. 2010;125(1):e115–21.PubMedCrossRefGoogle Scholar
  2. Hay Jr WW, Rodden DJ, Collins SM, et al. Reliability of conventional and new pulse oximetry in neonatal patients. J Perinatol. 2002;22:360–6.PubMedCrossRefGoogle Scholar
  3. Morgan C, Newell SJ, Ducker DA, et al. Continuous neonatal blood gas monitoring using a multiparameter intra arterial sensor. Arch Dis Child. 1999;80:F93–8.CrossRefGoogle Scholar
  4. Moyle JTB, Hahn CEW, Adams AP, editors. Principles and practice series: pulse oximetry. London: BMJ; 1998.Google Scholar
  5. O’Donnell CP, Kamlin CO, Davis PG, et al. Obtaining pulse oximetry data in neonates: a randomised crossover study of sensor application techniques. Arch Dis Child Fetal Neonatal Ed. 2005;90(1):F84–5.PubMedCrossRefGoogle Scholar
  6. Poets CF, Southhall DP. Noninvasive monitoring of oxygenation in infants and children: practical considerations and areas of concern. Pediatrics. 1994;3:737–46.Google Scholar
  7. Richardson DK, Eichenwald EC. Blood gas monitoring and pulmonary function tests. In: Cloherty JP, Stark AR, editors. Manual of Neonatal Care. New York: Lippincott-Raven; 1998. p. 354–5.Google Scholar
  8. Veyckemans F. Equipment, Monitoring and environmental conditions. In: Bissonnette B, Dalens BJ, editors. Pediatric anesthesia – principles and practice. New York: McGraw-Hill; 2002. p. 442–5.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Neonatal MedicineThe James Cook University HospitalMiddlesbroughUK
  2. 2.Department of Neonatal PaediatricsUniversity Hospital of North TeesClevelandUK

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