THE INACCURACY IN OXYGEN TITRATION WHEN USING PULSE OXIMETRY COMPARED TO MEASURE ARTERIAL OXYGEN SATURATION AT 4600 FEET ALTITUDE

AbstractRecently, maintaining a certain oxygen saturation measured by pulse oximetry (SpO2) range in mechanically ventilated patients was recommended; attaching the INTELLiVENT-ASV to ventilators might be beneficial. We evaluated the SpO2 measurement accuracy of a Nihon Kohden and a Masimo monitor compared to actual arterial oxygen saturation (SaO2). SpO2 was simultaneously measured by a Nihon Kohden and Masimo monitor in patients consecutively admitted to a general intensive care unit and mechanically ventilated. Bland–Altman plots were used to compare measured SpO2 with actual SaO2. One hundred mechanically ventilated patients and 1497 arterial blood gas results were reviewed. Mean SaO2 values, Nihon Kohden SpO2 measurements, and Masimo SpO2 measurements were 95.7%, 96.4%, and 96.9%, respectively. The Nihon Kohden SpO2 measurements were less biased than Masimo measurements; their precision was not significantly different. Nihon Kohden and Masimo SpO2 measurements were not significantly different in the “SaO2 < 94%” group (P = 0.083). In the “94% ≤ SaO2 < 98%” and “SaO2 ≥ 98%” groups, there were significant differences between the Nihon Kohden and Masimo SpO2 measurements (P < 0.0001; P = 0.006; respectively). Therefore, when using automatically controlling oxygenation with INTELLiVENT-ASV in mechanically ventilated patients, the Nihon Kohden SpO2 sensor is preferable.Trial registration UMIN000027671. Registered 7 June 2017.

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Validation of Arterial Oxygen Saturation Measurements in Utero Using Pulse Oximetry

American Journal of Perinatology ◽

10.1055/s-2007-994731 ◽

2008 ◽

Vol 10 (03) ◽

pp. 250-254 ◽

Cited By ~ 23

Author(s):

Andrew Harris ◽

Michael Sendak ◽

D. Chung ◽

Charles Richardson

Keyword(s):

Oxygen Saturation ◽

Pulse Oximetry ◽

Arterial Oxygen Saturation ◽

In Utero ◽

Arterial Oxygen

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Pulse Oximetry and Arterial Oxygen Saturation during Cardiopulmonary Exercise Testing

Medicine & Science in Sports & Exercise ◽

10.1249/mss.0000000000001658 ◽

2018 ◽

Vol 50 (10) ◽

pp. 1992-1997 ◽

Cited By ~ 4

Author(s):

MONA ASCHA ◽

ANIRBAN BHATTACHARYYA ◽

JOSE A. RAMOS ◽

ADRIANO R. TONELLI

Keyword(s):

Oxygen Saturation ◽

Pulse Oximetry ◽

Exercise Testing ◽

Arterial Oxygen Saturation ◽

Cardiopulmonary Exercise Testing ◽

Arterial Oxygen ◽

Cardiopulmonary Exercise

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Sequestro Leucocitário de Oxigénio

Acta Médica Portuguesa ◽

10.20344/amp.6874 ◽

2016 ◽

Vol 29 (5) ◽

pp. 343

Author(s):

Miguel Pinto da Costa ◽

Henrique Pimenta Coelho

Keyword(s):

Oxygen Saturation ◽

Pulse Oximetry ◽

Arterial Oxygen Saturation ◽

Gas Analysis ◽

Lymphocytic Leukemia ◽

Red Blood Cell Transfusion ◽

Clinical State ◽

Arterial Oxygen ◽

Low Oxygen ◽

Arterial Blood

<p>The authors present a case of a 60-year-old male patient, previously diagnosed with B-cell chronic lymphocytic leukemia, who was admitted to the Emergency Room with dyspnea. The initial evaluation revealed severe anemia (Hgb = 5.0 g/dL) with hyperleukocytosis (800.000/µL), nearly all of the cells being mature lymphocytes, a normal chest X-ray and a low arterial oxygen saturation (89%; pulse oximetry). After red blood cell transfusion, Hgb values rose (9.0 g/dL) and there was a complete reversion of the dyspnea. Yet, subsequent arterial blood gas analysis, without the administration of supplemental oxygen, systematically revealed very low oxygen saturation values (~ 46%), which was inconsistent with the patient’s clinical state and his pulse oximetry values (~ 87%), and these values were not corrected by the administration of oxygen via non-rebreather mask. The investigation performed allowed to establish the diagnosis of oxygen leukocyte larceny, a phenomenon which conceals the true oxygen saturation due to peripheral consumption by leukocytes.</p>

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