Oropharyngeal and Tongue Pulse Oximetry in 2 Critically Ill Pediatric Patients: A Case Report

Abstract

Pulse oximetry has become a standard of care to monitor oxygenation. Absent or inaccurate readings can occur with varied patient states. We present preliminary experience with a modification of a standard pulse oximetry using readily available equipment (oral airway and a tongue blade) to allow for continuous pulse oximetry from the oral cavity and tongue in 2 critically ill pediatric patients when standard application of pulse oximetry was not feasible or nonfunctional. These modifications can assist in the care of critically ill patients, allowing for adaptability in monitoring techniques when other options are unavailable.

Oropharyngeal and Tongue Pulse Oximetry: The Rescue Solution?

“…We read with great interest the 2 reported cases by Hall et al 1 that described using oropharyngeal and tongue pulse oximetry in 2 critically ill pediatric patients, and we commend Hall et al 1 for their ingenuity in restoring the functionality of the pulse oximetry using this interesting method. However, some points should be addressed.…”

“…Second, the Hall et al’s 1 recommendation, “Use of oral pulse oximetry would be recommended in any case in which it is difficult to obtain a reading in the usual locations,” is questionable.…”