scholarly journals To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation

2015 ◽  
Vol 7 (2) ◽  
pp. 41-44
Author(s):  
Jagat Singh ◽  
SPS Yadav ◽  
Ankit Gulati ◽  
Surender Singh ◽  
Anamika Bishnoi
Keyword(s):  
Statistical Analysis ◽  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Nasal Packing ◽  
Blood Oxygen ◽  
Deviated Nasal Septum ◽  
Blood Oxygen Saturation ◽  
Chi Square ◽  
Old Patients ◽  
Digital Pulse

ABSTRACT Objective To study the effect of nasal packing on blood oxygen saturation. Materials and methods Study was conducted on 30 patients of deviated nasal septum, who underwent septoplasty under local anesthesia followed by anterior nasal packing. The pulse oximetry was carried out three times on each patient to record the blood oxygen saturation (SpO2) by using digital pulse oximeter. The first reading of SpO2 was taken before nasal packing, second after 24 hours of nasal packing and third 3 weeks after surgery. Statistical analysis was done by Chi-square test and paired t-test. Results A total of 33.3% patients were below 20 years of age, whereas 60% were between 20 and 30 years of age and 6.7% were above 30 years. Males were 80%. It was observed that preoperative mean SpO2 was 98.3 ± 0.794%, after 24 hours of nasal packing was 97.17 ± 1.744% and 3 weeks after surgery was 98.87 ± 0.629%. On statistical analysis, the difference in SpO2 was highly significant (p < 0.001). Conclusion The application of nasal packs can be risky in old patients, more so having cardiopulmonary disease. The use of packs with airflow is recommended in these patients who should ideally be monitored with pulse oximetry. How to cite this article Singh S, Singh J, Kakkar V, Yadav SPS, Bishnoi A, Kathuria B, Gulati A, Sharma C. To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation. Int J Otorhinolaryngol Clin 2015;7(2):41-44.

Pulse Oximetry and Breathing Training1

Biofeedback ◽  
2012 ◽  
Vol 40 (4) ◽  
pp. 137-141 ◽  
Author(s):  
Christopher Gilbert
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Medical Condition ◽  
Noninvasive Monitoring ◽  
Control Of Breathing ◽  
Oxygen Absorption ◽  
Blood Oxygen ◽  
Blood Oxygen Saturation ◽  
Training Control ◽  
Pulse Oximeters

Small pulse oximeters have become widely available and can be useful for noninvasive monitoring of blood oxygen saturation by nonmedical personnel. When training control of breathing, an oximeter helps to reassure clients who hyperventilate that their oxygenation is adequate, offsetting their perception that they are not getting enough air. Low saturation may indicate a medical condition that impairs oxygen absorption. In that case, hyperventilation is a biological compensation that should not be tampered with.

scholarly journals Pulse Oximetry During the First 24 Hours as a Screening Tool For Congenital Heart Defects

2017 ◽  
Vol 3 (1) ◽  
pp. 12-17
Author(s):  
Mihaela Patriciu ◽  
Andreea Avasiloaiei ◽  
Mihaela Moscalu ◽  
Maria Stamatin
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Sensitivity And Specificity ◽  
Congenital Heart Defects ◽  
Screening Test ◽  
Congenital Heart ◽  
Heart Defects ◽  
Blood Oxygen ◽  
Blood Oxygen Saturation ◽  
Routine Pulse Oximetry

Abstract Introduction: Although screening for congenital heart defects (CHD) relies mainly on antenatal ultrasonography and clinical examination after birth, life-threatening cardiac malformations are often not diagnosed before the patient is discharged. Aim: To assess the use of routine pulse oximetry in the delivery room and at 24 hours postpartum, and to study its feasibility as a screening test for CHD. Material and Methods: In this prospective study, all infants born in “Cuza Voda” Maternity Hospital, Iasi, Romania, were enrolled over a thirteen-month period. Preductal oximetry was assessed during the first hour, and postductal oximetry was evaluated at twenty-four hours postpartum. Data were then analyzed to establish the sensitivity and specificity of pulse oximetry, as a screening test for CHD. Results: 5406 infants were included in the study, with a mean gestational age of 38.2 weeks and a mean birth weight of 3175 grams. During the first minute, blood oxygen saturation varied between 40% and 90% and at 24 hours of life, it ranged between 90% and 100%. Following oximetry assessment, 14 infants with critical CHD were identified. Blood oxygen saturation values in infants with CHD were lower throughout the entire period of evaluation. Pulse oximetry had good sensitivity and specificity at 1 hour (Se=87.5%, Sp=95.5%) and 24 hours (Se=92.5%, Sp=97.4%) for the diagnosis of CHD. Blood oxygen saturation values at one minute, 1 hour and 24 hours are strong discriminative parameters for the early diagnosis of CHD. Conclusion: Routine pulse oximetry during the first 24 hours postpartum represents an early indicator of CHD to facilitate timely intervention. Pulse oximetry provides excellent sensitivity and specificity and has tremendous potential as a standard screening test for CHD during the first 24 hours of life.

scholarly journals Snoring: The Case for Molecular Tissue Oximetry

2019 ◽  
Author(s):  
Guy M. Hatch ◽  
Liza Ashbrook ◽  
Aric A. Prather ◽  
Andrew D. Krystal
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Sleep Disturbance ◽  
Oxygen Supply ◽  
Blood Oxygen ◽  
Blood Oxygen Saturation ◽  
Primary Snoring ◽  
Arterial Blood ◽  
Obstructive Sleep ◽  
Tissue Oximetry

Snoring gets no respect.&nbsp; It also gets little to no medical therapy.&nbsp; Why is this?&nbsp; How can something that is clearly pathological based on epidemiologic research not be diagnosed and treated with effective therapy?&nbsp; The problem is the lack of a credible, objective index of pathology during snoring.&nbsp; Pulse oximetry detects drops in arterial blood oxygen saturation (SpO2) associated with obstructive sleep apnea and hypopnea events in polysomnographic (PSG) testing. &nbsp;When no desaturation is present, evidence of sleep disturbance is required to indicate the presence of pathology. &nbsp;However, obstruction at the mild end of the continuum of sleep disordered breathing (SDB) can occur without producing a drop in SpO2 or sleep disturbance; in which case it is referred to as &lsquo;primary snoring.&rsquo; Although statistically associated with co-morbidities of SDB, without there being a drop in SpO2 or sleep disturbance, primary snoring is not thought to be pathologic enough to warrant diagnosis or treatment.&nbsp; One promising means of detecting the pathological processes associated with primary snoring is molecular tissue oximetry, which detects skin tissue oxygen need, vs. oxygen supply.&nbsp;&nbsp; In cases of hypoxic challenge, regulatory mechanisms restrict blood flow to the skin to preferentially maintain blood oxygen supply to more vital organs.&nbsp; As a result, molecular tissue oximetry of the skin is a more sensitive measure of inadequate breathing than pulse oximetry measuring blood oxygen saturation.&nbsp; In this article we review molecular tissue oximetry technology and methodology and make the case that it is a promising tool for identifying pathology occurring in association with primary snoring.

Concurrent Validity of Arterial Blood Oxygen Saturation Measurements: A Preliminary Analysis of an iPad Pulse Oximeter and Traditional Pulse Oximeter Using Bluetooth

2014 ◽  
Vol 19 (3) ◽  
pp. 37-42
Author(s):  
Scott Cheatham ◽  
Morey J. Kolber ◽  
Michael P. Ernst
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Pulse Rate ◽  
Pulse Oximeter ◽  
Concurrent Validity ◽  
Outcome Measure ◽  
Blood Oxygen ◽  
Short Term ◽  
Blood Oxygen Saturation ◽  
Main Outcome Measure

Context:Pulse oximetry has become mobile with the use of smartphone and Bluetooth wireless technology. This technology offers many benefits but has not been extensively studied. There is a need to further validate its clinimetric properties for health professionals to provide proper guidance to patients.Objective:This investigation assessed the concurrent validity of the iSpO2pulse oximeter against a traditional pulse oximeter in measuring short-term resting blood oxygen saturation (SpO2) and pulse rate.Design:Observational study of reliability.Setting:University kinesiology laboratory.Participants:Thirty healthy, recre-ationally active adults (18 men, 12 women; mean age = 25.7 ± 5.46 years, mean height = 170.3cm ± 9.51, mean body mass = 76.4 kg ± 19.33).Intervention:Resting measurement of SpO2and pulse rate using the iSpO2pulse oximeter with the iPad Mini and a traditional pulse oximeter with Bluetooth.Main Outcome Measure:Resting SpO2and pulse rate were concurrently measured over 5 min.Results:The concurrent validity between the iSpO2and traditional pulse oximeter was moderate for measuring SpO2, intraclass correlation coeffcient (ICC)(3, 1) = .73,SEM= 0.70%, and good for pulse rate, ICC(3, 1) = .97,SEM= 1.74 beats per minute (bpm). The minimal detectable change at the 95% confidence interval for both instruments suggests that there may be 1.94% disagreement for SpO2and 4.82 bpm disagreement between pulse oximetry methods. The 95% limits of agreement (LoA) for measuring SpO2suggests that the iSpO2and traditional pulse oximeters may vary -0.28 ± 1.98%, or approximately 2%. The 95% LoA for measuring pulse rate suggests that the iSpO2and traditional pulse oximeter may vary 1.74 ± 4.98 bpm, potentially upward of 6 bpm. On the basis of the results of the LoA, it appears that there may be a slight systematic bias between the two devices, with the traditional pulse oximeter producing higher pulse rates than the iSpO2.Conclusion:The findings suggest that both instruments may be beneficial for indirect short-term measurements of resting SpO2and pulse rate.

Does post-operative nasal packing cause nocturnal oxygen desaturation?

1991 ◽  
Vol 105 (2) ◽  
pp. 109-111 ◽  
Author(s):  
J. G. Buckley ◽  
S. A. Hickey ◽  
A. F.Fitzgerald O'Connor
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Nasal Septum ◽  
Oxygen Desaturation ◽  
Nasal Packing ◽  
Small Magnitude ◽  
Digital Pulse ◽  
Before And After ◽  
Clinically Significant ◽  
Submucous Resection

AbstractPrevious studies have shown an increased frequency and duration of apnoeic episodes during sleep when the nose is occluded. The aim of this study was to ascertain whether oxygen desaturation occurs with nasal occlusion by postoperative packing. Continuous digital pulse oximetry was carried out before and after submucous resection of the nasal septum in 17 otherwise healthy patients. Post-operative nasal packing produced a statistically significant change in oxygen saturation during sleep. The change was, however, of such small magnitude that it is unlikely to be clinically significant.

scholarly journals Pulse Oximetry in Anesthesia—The “Perfect” Medical Technology Use Case

2021 ◽  
pp. 51-57
Author(s):  
Eric D. Perakslis ◽  
Martin Stanley
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Technology Use ◽  
Digital Health ◽  
Use Case ◽  
Time Data ◽  
Blood Oxygen Saturation ◽  
Technological Advances ◽  
Digital Pulse ◽  
Pulse Oximeters

It can be difficult to quantify progress or success when it comes to digital health, because there are many and highly varied stakeholders and perspectives to be considered, including some that are in opposition. Technological “advances” that bring clear benefits to patients, providers, and healthcare institutions are rare but do happen. In the 1980s, the first digital pulse oximeters changed the way blood oxygen saturation was monitored during surgery, an innovation that resulted in less pain for patients and better patient safety, superior real-time data for anesthetists, and greatly reduced surgical liability for hospitals. Inventions with such clear benefits to so many stakeholders remain rare three decades later. In this chapter, the evolution of digital pulse oximetry for oxygen saturation monitoring during surgical anesthesia is discussed via personal anecdote from the author.

scholarly journals Effects of Bilateral Nasal Packing on Oxygen Saturation and Blood Pressure

2017 ◽  
Vol 56 (208) ◽  
pp. 442-6
Author(s):  
Meera Bista
Keyword(s):  
Blood Pressure ◽  
Oxygen Saturation ◽  
Significant Rise ◽  
Nasal Packing ◽  
P Value ◽  
Systemic Effects ◽  
Blood Oxygen ◽  
Blood Oxygen Saturation ◽  
Saturation Pulse ◽  
Randomized Sampling

Introduction: Nasal packing is one of the most common rhinological procedures in ENT practice exerting local in nose and systemic effects. Systemic effects may be due to poor sleep quality, respiratory difficulty, decreased oxygen saturation, circulatory problems and toxic shock syndrome which can threaten the life of a person.The study was done to investigate the effect on bilateral nasal packing on blood oxygen saturation and blood pressure changes. Methods: A cross-sectional prospective study was undertaken in Kathmandu Medical College from January 2017 to June 2017. The ethical approval was taken from institutional review committee of KMC and verbal consent was taken from each patient. Thirty patients were included in the study by simple randomized sampling. The association between nasal packing and oxygen saturation and blood pressure was done using ANNOVA and Fisher Exact test. P value of <0.005 was considered statistically significant. SPSS version 20 for windows OS was used for analysis. Results: Blood oxygen saturation on four different days was compared using ANNOVA and paired sample tests. It showed a significant dip on the day of bilateral nasal packing compared to other readings (P value <0.001). Likewise, systolic and diastolic blood pressures showed a significant rise on the day of bilateral nasal packing compared to readings on other days (P value <0.001). Conclusions: Bilateral nasal packing can lead to significant rise in systolic and diastolic blood pressure and a dip in blood oxygen saturation. Thus care has to be taken while performing bilateral nasal packing in normal patients but much more in high risk patients. Keywords:  blood pressure; nasal obstruction; nasal packing; oxygen saturation; pulse oximetry.

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