Pulse oximeter performance during desaturation and resaturation: a comparison of seven models

Journal of Clinical Anesthesia
N S TrivediS J Barker

Abstract

To compare pulse oximeter performance during induced hypoxemia. Prospective investigation in human volunteers. Laboratory facility at a university medical center. 8 unanesthetized, healthy ASA physical status I volunteers. We evaluated the accuracy and response times of seven popular pulse oximeters during induced hypoxemia. Arterial blood fractional oxygen saturation (SaO2) measurements were performed simultaneously and considered a gold standard. All oximeters were accurate (+/-2%) while subjects were breathing room air. During maximal hypoxemia (induced by breathing a FIO2 = 10% in nitrogen), large differences were noted between oxygen saturation as measured by pulse oximetry (SpO2) and SaO2 values, with pulse oximeters consistently underreporting SpO2 when actual SaO2 values were 75% or less. The Ohmeda 3740 (Ohmeda, Boulder, CO) using an ear probe was the first to detect desaturation (change in SpO2 > 3%) in 4 of 8 subjects (p < 0.05), and the Nellcor N200 reflectance oximeter (Nellcor, Inc., Pleasanton, CA) was first in 3 of 8 subjects (p < 0.05). During resaturation (after administering 100% oxygen), the Novametrix Oxypleth (Novametrix, Wallingford, CT) was significantly faster than other oximeters (p < 0.05) to return t...Continue Reading

References

May 1, 1992·Acta Anaesthesiologica Scandinavica·M VegforsC Lennmarken
Mar 1, 1991·Anaesthesia·A C RalstonW B Runciman
Apr 1, 1989·Chest·K K Tremper
Jan 1, 1989·Journal of Clinical Monitoring·J F Kelleher
Jul 1, 1989·Critical Care Medicine·H ChoeI Yoshiya
Sep 1, 1989·Anesthesia and Analgesia·J B Gunter
Feb 1, 1988·Anesthesia and Analgesia·D R Jobes, S C Nicolson
Oct 1, 1987·Anesthesiology·J W Severinghaus, K H Naifeh
Oct 1, 1983·Anesthesiology·M Yelderman, W New
Apr 1, 1994·Southern Medical Journal·D Thrush, M R Hodges
Apr 1, 1993·Anesthesia and Analgesia·L M ReynoldsD R Jobes

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Citations

Jun 1, 2000·Journal of Biomechanics·W M MurrayS L Delp
Nov 18, 2005·The Journal of Perinatal & Neonatal Nursing·Shyang-Yun Pamela K Shiao
Mar 31, 2007·High Altitude Medicine & Biology·Charles A Weitz, Ralph M Garruto
Jan 6, 2007·Journal of Clinical Monitoring and Computing·Mario G IobbiRobert J Dickinson
Mar 13, 2010·Journal of Clinical Monitoring and Computing·Li WangLing Mu
Jul 6, 2010·Heart & Lung : the Journal of Critical Care·Marla J De JongElizabeth Bridges
May 25, 2010·Respiratory Physiology & Neurobiology·Pascal MollardJean-Paul Richalet
Oct 7, 2008·Annales Françaises D'anesthèsie Et De Rèanimation·M CannessonJ-J Lehot
Oct 29, 2015·The American Journal of Emergency Medicine·Julia Fuzak FreemanLalit Bajaj
Dec 28, 2007·Respiratory Physiology & Neurobiology·Xavier WooronsChristine Lamberto
May 19, 2007·Heart & Lung : the Journal of Critical Care·Lynn SchallomJohn Mazuski
Apr 17, 2007·Respiratory Physiology & Neurobiology·Xavier WooronsChristine Lamberto
Jun 30, 2006·Scandinavian Journal of Medicine & Science in Sports·X WooronsJ-P Richalet
Jul 4, 2006·Respiratory Physiology & Neurobiology·Craig D Steinback, Marc J Poulin
Oct 20, 2014·Journal of Clinical Monitoring and Computing·Hisham ElMoaqetSatya Krishna Ramachandran
Aug 20, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·H FuchsM B Schmid
Apr 24, 2004·Anesthesia and Analgesia·Johannes H van Oostrom, Richard J Melker
Aug 13, 2017·Biomedizinische Technik. Biomedical Engineering·Jakub RaflKarel Roubik
Mar 6, 2004·Canadian Journal of Applied Physiology = Revue Canadienne De Physiologie Appliquée·Jon C KolbJoachim Mester
Sep 28, 2002·Anesthesia and Analgesia·Alexander KoberKlaus Hoerauf
May 31, 2014·Physiological Measurement·O Sadeghi FathabadiP A Dargaville
Aug 15, 2014·Expert Review of Respiratory Medicine·Awni M Al-SubuDavid A Turner
Oct 3, 2006·Current Opinion in Anaesthesiology·C Lennmarken, M Vegfors
Sep 23, 2010·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Daniel P DavisMichelle Jennings
Nov 22, 2018·Acta Ophthalmologica·Thorunn Scheving Eliasdottir
Nov 21, 2002·Critical Care Medicine·Helmut D HummlerAxel R Franz
May 29, 2021·Experimental Physiology·Joanna R G KeoughGlen E Foster
Oct 17, 2021·Experimental Neurology·Andrew E BeaudinMarc J Poulin

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