Pulse Oximetry by John Moyle

By John Moyle

This necessary consultant to 1 of the basic tracking ideas in anaesthesia has been up to date all through, and a brand new bankruptcy has been extra on excessive altitude and flying. Written by means of a number one known professional within the box, this is often an authoritative but transparent and functional consultant for all at the surgical ward and important care unit.

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8 Kim J-M, Arakawa K, Benson KT, Fox DK. Pulse oximetry and circulatory kinetics associated with pulse volume amplitude measured by photoelectric plethysmography. Anesth Analg 1986;65:1333–9. 9 Partridge BL. Use of pulse oximetry as a non-invasive indicator of intravascular volume status. J Clin Monit 1987;3:263–8. 10 Korbon GA, Wills MH, D’Lauro F, Lawson D. Systolic blood pressure measurement: Doppler vs pulse-oximeter [abstract]. Anaesthesiology 1987;67:A188. 11 Chawla R, Kumarval V, Girdhar KK, Sethi AK, Indryan A, Bhattacharya A.

Tissue oedema also reduces the sensitivity of reflection pulse oximetry. Other uses include the assessment of the blood supply of skin flaps and other transplanted organs, and of the viability of injured extremities and organs. In these applications the reflection probe must be placed in a sterile plastic sleeve. 12. 1. The electronics and display of the reflection pulse oximeter are identical to those of the transmission pulse oximeter. 32 How pulse oximetry works The pulse oximeter and magnetic resonance imaging The very high magnetic field strengths involved in magnetic resonance imaging (MRI) make the use of conventional electronic monitoring equipment impossible.

Thus it should be possible to interchange probes, within the limits stated by the manufacturer, without needing to recalibrate the instrument at each change. The centre wavelength of light-emitting diodes varies with operating current and temperature. The peak wavelength of a diode centred on 660 nm (red) will vary by 5·5 nm with a change of temperature from 0° to 50°C, and a 940 nm (near infrared) diode will vary by 7·8 nm over a similar temperature range. 13 Any discrepancy in results obtained in vivo is most likely to have been caused by physiological changes in tissue perfusion with change in temperature.

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