The Effect of Sensor Malpositioning on Pulse Oximeter Accuracy during Hypoxemia

Barker, Steven J.; Hyatt, John A.; Shah, Nitin; Kao, Y. J.

doi:10.1097/00000542-199308000-00009

“…We believe that, as has been described, poor alignment of the light emitting diode and detector was responsible. 20 The SpO 2 in our infants closely resemble those found by others in nonresuscitated term infants 21,22 and mildly compromised infants resuscitated with either air or 100% oxygen. 23,24 Our findings suggest that gestation and the presence of labor have an effect on SpO 2 in the minutes after birth.…”

Section: Discussionsupporting

confidence: 87%

Oxygen saturation in healthy infants immediately after birth

Kamlin

¹

,

O’Donnell

²

,

Davis

³

et al. 2006

The Journal of Pediatrics

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“…The oximeter probe must be properly positioned; clip-on devices are easy to displace, which may produce artifactual data (under-or overestimation of oxygen saturation). 361 Maximum recommended doses and durations of action are shown. Note that lower doses should be used in very vascular areas.…”

Section: Local Anesthetic Agentsmentioning

confidence: 99%

Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016

Coté¹,

Wilson²

2016

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The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical/dental supervision, careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications, appropriate fasting for elective procedures and a balance between the depth of sedation and risk for those who are unable to fast because of the urgent nature of the procedure, a focused airway examination for large (kissing) tonsils or anatomic airway abnormalities that might increase the potential for airway obstruction, a clear understanding of the medication's pharmacokinetic and pharmacodynamic effects and drug interactions, appropriate training and skills in airway management to allow rescue of the patient, age-and size-appropriate equipment for airway management and venous access, appropriate medications and reversal agents, suffi cient numbers of staff to both carry out the procedure and monitor the patient, appropriate physiologic monitoring during and after the procedure, a properly equipped and staffed recovery area, recovery to the presedation level of consciousness before discharge from medical/dental supervision, and appropriate discharge instructions. This report was developed through a collaborative effort of the

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“…It is essential that any oximeter probe is properly positioned; clip-on devices are prone to easy displacement, which may produce artifactual data (underestimation or overestimation of oxygen saturation). 141,142 Capnography Expired carbon dioxide monitoring is valuable to diagnose the simple presence or absence of respirations, airway obstruction, or respiratory depression, particularly in patients sedated in less-accessible locations, such as MRI or computerized axial tomography devices or darkened rooms. 47,49,50,143,[164][165][166][167][168][169][170][171][172][173] The use of expired carbon dioxide monitoring devices is encouraged for sedated children, particularly in situations where other means of assessing the adequacy of ventilation are limited.…”

Section: Pulse Oximetrymentioning

confidence: 99%

Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update

Coté¹,

Wilson²

2006

View full text Add to dashboard Cite

The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical supervision; careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications; appropriate fasting for elective procedures and a balance between depth of sedation and risk for those who are unable to fast because of the urgent nature of the procedure; a focused airway examination for large tonsils or anatomic airway abnormalities that might increase the potential for airway obstruction; a clear understanding of the pharmacokinetic and pharmacodynamic effects of the medications used for sedation, as well as an appreciation for drug interactions; appropriate training and skills in airway management to allow rescue of the patient; age-and size-appropriate equipment for airway management and venous access; appropriate medications and reversal agents; sufficient numbers of people to carry out the procedure and monitor the patient; appropriate physiologic monitoring during and after the procedure; a properly equipped and staffed recovery area; recovery to presedation level of consciousness before discharge from medical supervision; and appropriate discharge instructions. This report was developed through a collaborative effort of the American Academy of Pediatrics and the American Academy of Pediatric Dentistry to offer pediatric providers updated information and guidance in delivering safe sedation to children. INTRODUCTIONInvasive diagnostic and minor surgical procedures on pediatric patients outside the traditional operating room setting have increased in the last decade. As a consequence of this change and the increased awareness of the importance of providing analgesia and anxiolysis, the need for sedation for procedures in physician offices, dental offices, subspecialty procedure suites, imaging facilities, emergency departments, and ambulatory surgery centers has also markedly increased. In recognition of this need for both elective and emergency use of sedation in nontraditional

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The Effect of Sensor Malpositioning on Pulse Oximeter Accuracy during Hypoxemia

Cited by 48 publications

References 0 publications

Oxygen saturation in healthy infants immediately after birth

Oxygen saturation in healthy infants immediately after birth

Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016

Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update

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