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- a measuring instrument that measures the oxygen in arterial blood
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/06/10 07:26:49」(JST)
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A wrist mounted remote sensor pulse oximeter with plethysmogram.
Pulse oximetry is a non-invasive method for monitoring a patient's O2 saturation.
In its most common (transmissive) application mode, a sensor is placed on a thin part of the patient's body, usually a fingertip or earlobe, or in the case of an infant, across a foot. Light of two wavelengths is passed through the patient to a photodetector. The changing absorbance at each of the wavelengths is measured, allowing determination of the absorbances due to the pulsing arterial blood alone, excluding venous blood, skin, bone, muscle, fat, and (in most cases) nail polish.[1]
Reflectance pulse oximetry may be used as an alternative to transmissive pulse oximetery described above. This method does not require a thin section of the patient's body and is therefore well suited to more universal application such as the feet, forehead and chest, but it also has some limitations. Vasodilation and pooling of venous blood in the head due to compromised venous return to the heart, as occurs with congenital cyanotic heart disease patients, or in patients in the Trendelenburg position, can cause a combination of arterial and venous pulsations in the forehead region and lead to spurious SpO2 (Saturation of peripheral oxygen) results.[2]
Contents
- 1 History
- 2 Function
- 3 Indication
- 3.1 Advantages
- 3.2 Limitations
- 3.3 Increasing usage
- 4 See also
- 5 References
- 6 External links
History
In 1935, Karl Matthes (German physician 1905–1962) developed the first 2-wavelength ear O2 saturation meter with red and green filters (later switched to red and infrared filters). His meter was the first device to measure O2 saturation.[3]
The original oximeter was made by Glenn Allan Millikan in the 1940s.[4] In 1949 Wood added a pressure capsule to squeeze blood out of ear to obtain zero setting in an effort to obtain absolute O2 saturation value when blood was readmitted. The concept is similar to today's conventional pulse oximetry but was hard to implement because of unstable photocells and light sources. This method is not used clinically. In 1964 Shaw assembled the first absolute reading ear oximeter by using eight wavelengths of light. Commercialized by Hewlett-Packard, its use was limited to pulmonary functions and sleep laboratories due to cost and size.[citation needed]
Pulse oximetry was developed in 1972, by Takuo Aoyagi and Michio Kishi, bioengineers, at Nihon Kohden using the ratio of red to infrared light absorption of pulsating components at the measuring site. Susumu Nakajima, a surgeon, and his associates first tested the device in patients, reporting it in 1975.[5] It was commercialized by Biox in 1981 and Nellcor in 1983. Biox was founded in 1979, and introduced the first pulse oximeter to commercial distribution in 1981. Biox initially focused on respiratory care, but when the company discovered that their pulse oximeters were being used in operating rooms to monitor oxygen levels, Biox expanded its marketing resources to focus on operating rooms in late 1982. A competitor, Nellcor (now part of Covidien, Ltd.), began to compete with Biox for the U.S. operating room market in 1983. Prior to the introduction of pulse oximetry, a patient's oxygenation could only be determined by arterial blood gas, a single-point measurement that takes several minutes for sample collection and processing by a laboratory. In the absence of oxygenation, damage to the brain starts within 5 minutes with brain death ensuing within another 10–15 minutes. The worldwide market for pulse oximetry is over a billion dollars. With the introduction of pulse oximetry, a non-invasive, continuous measure of patient's oxygenation was possible, revolutionizing the practice of anesthesia and greatly improving patient safety. Prior to its introduction, studies in anesthesia journals estimated U.S. patient mortality as a consequence of undetected hypoxemia at 2,000 to 10,000 deaths per year, with no known estimate of patient morbidity.[citation needed]
By 1987, the standard of care for the administration of a general anesthetic in the U.S. included pulse oximetry. From the operating room, the use of pulse oximetry rapidly spread throughout the hospital, first to the recovery room, and then into the various intensive care units. Pulse oximetry was of particular value in the neonatal unit where the patients do not thrive with inadequate oxygenation, but too much oxygen and fluctuations in oxygen concentration can lead to vision impairment or blindness from retinopathy of prematurity (ROP). Furthermore, obtaining an arterial blood gas from a neonatal patient is painful to the patient and a major cause of neonatal anemia.[6] Motion artifact can be a significant limitation to pulse oximetry monitoring resulting in frequent false alarms and loss of data. The reason for this is that during motion and low peripheral perfusion, many pulse oximeters cannot distinguish between pulsating arterial blood and moving venous blood, leading to underestimation of oxygen saturation. Early studies of pulse oximetry performance during subject motion made clear the vulnerabilities of conventional pulse oximetry technologies to motion artifact.[7][8] In 1995, Masimo introduced Signal Extraction Technology (SET) that could measure accurately during patient motion and low perfusion by separating the arterial signal from the venous and other signals. Since then, pulse oximetry manufacturers have developed new algorithms to reduce some false alarms during motion[9] such as extending averaging times or freezing values on the screen, but they do not claim to measure changing conditions during motion and low perfusion. So, there are still important differences in performance of pulse oximeters during challenging conditions.[10]
In 2004, a jury found that Nellcor infringed several Masimo patents related to measure-through motion and low perfusion signal processing technology. In 2005, the appellate court affirmed the infringement findings against Nellcor, and instructed the District Court to enter a permanent injunction against Nellcor’s pulse oximeters (e.g., N-395, N-595) that were found to infringe. In January 2006, Masimo and Nellcor entered into a settlement agreement, where Nellcor, among other things, agreed to discontinue shipment of the pulse oximeters that were found to infringe Masimo’s patents.
Published papers have compared signal extraction technology to other pulse oximetry technologies and have demonstrated consistent favorable results for signal extraction technology.[11][12][13] Signal extraction technology pulse oximetry performance has also been shown to translate into helping clinicians improve patient outcomes. In one study, retinopathy of prematurity (eye damage) was reduced by 58% in very low birth weight neonates at a center using signal extraction technology, while there was no decrease in retinopathy of prematurity at another center with the same clinicians using the same protocol but with non-signal extraction technology.[14] Other studies have shown that signal extraction technology pulse oximetry results in fewer arterial blood gas measurements, faster oxygen weaning time, lower sensor utilization, and lower length of stay.[15] The measure-through motion and low perfusion capabilities it has also allow it to be used in previously unmonitored areas such as the general floor, where false alarms have plagued conventional pulse oximetry. As evidence of this, a landmark study was published in 2010 showing clinicians using signal extraction technology pulse oximetry on the general floor were able to decrease rapid response team activations, ICU transfers, and ICU days.[16]
High resolution pulse oximetry (HRPO) has been developed for in-home sleep apnea screening and testing in patients for whom it is impractical to perform polysomnography .[17][18][19] It stores and records both pulse rate and SpO2 in 1 second intervals and has been shown in one study to help to detect sleep disorderd breathing in surgical patients.[20]
In 1995 Masimo introduced perfusion index, quantifying the amplitude of the peripheral plethysmograph waveform. Perfusion index has been shown to help clinicians predict illness severity and early adverse respiratory outcomes in neonates,[21] [22] [23] predict low superior vena cava flow in very low birth weight infants,[24] priovide an early indicator of sympathectomy after epidural anesthesia,[25] and improve detection of critical congenital heart disease in newborns.[26]
In 2007, Masimo introduced the first measurement of the pleth variability index (PVI), which multiple clinical studies have shown provides a new method for automatic, noninvasive assessment of a patient's ability to respond to fluid administration.[27][28][29] Appropriate fluid levels are vital to reducing postoperative risks and improving patient outcomes: fluid volumes that are too low (under-hydration) or too high (over-hydration) have been shown to decrease wound healing and increase the risk of infection or cardiac complications.[30] Recently, the National Health Service in the United Kingdom listed PVI monitoring as part of their suggested strategies for intra-operative fluid management. [31]
Function
A blood-oxygen monitor displays the percentage of blood that is loaded with oxygen. More specifically, it measures what percentage of hemoglobin, the protein in blood that carries oxygen, is loaded. Acceptable normal ranges for patients without pulmonary pathology are from 95 to 99 percent. For a patient breathing room air at or near sea level, an estimate of arterial pO2 can be made from the blood-oxygen monitor "saturation of peripheral oxygen" (SpO2) reading.
Pulse oximetry is a particularly convenient noninvasive measurement method. Typically it utilizes a processor and a pair of small light-emitting diodes (LEDs) facing a photodiode through a translucent part of the patient's body, usually a fingertip or an earlobe. One LED is red, with wavelength of 660 nm, and the other is infrared with a wavelength of 940 nm. Absorption of light at these wavelengths differs significantly between blood loaded with oxygen and blood lacking oxygen. Oxygenated hemoglobin absorbs more infrared light and allows more red light to pass through. Deoxygenated hemoglobin allows more infrared light to pass through and absorbs more red light. The LEDs flash about thirty times per second.[32] The photodiode measures the amount of light that is transmitted (in other words, that is not absorbed). The measurement fluctuates in time because the amount of arterial blood that is present increases (literally pulses) with each heartbeat. By subtracting the minimum transmitted light from the peak transmitted light in each wavelength, the effects of other tissues is corrected for.[33] The ratio of the red light measurement to the infrared light measurement is then calculated by the processor (which represents the ratio of oxygenated hemoglobin to deoxygenated hemoglobin), and this ratio is then converted to SpO2 by the processor via a lookup table.[33]
Indication
Simple pulse oximeter showing correct position on patient's finger
A pulse oximeter is a medical device that indirectly monitors the oxygen saturation of a patient's blood (as opposed to measuring oxygen saturation directly through a blood sample) and changes in blood volume in the skin, producing a photoplethysmogram. The pulse oximeter may be incorporated into a multiparameter patient monitor. Most monitors also display the pulse rate. Portable, battery-operated pulse oximeters are also available for transport or home blood-oxygen monitoring.
Advantages
A pulse oximeter is useful in any setting where a patient's oxygenation is unstable, including intensive care, operating, recovery, emergency and hospital ward settings, pilots in unpressurized aircraft, for assessment of any patient's oxygenation, and determining the effectiveness of or need for supplemental oxygen. Although a pulse oximeter is used to monitor oxygenation, it cannot determine the metabolism of oxygen, or the amount of oxygen being used by a patient. For this purpose, it is necessary to also measure carbon dioxide (CO2) levels. It is possible that it can also be used to detect abnormalities in ventilation. However, the use of a pulse oximeter to detect hypoventilation is impaired with the use of supplemental oxygen, as it is only when patients breathe room air that abnormalities in respiratory function can be detected reliably with its use. Therefore, the routine administration of supplemental oxygen may be unwarranted if the patient is able to maintain adequate oxygenation in room air, since it can result in hypoventilation going undetected.[34]
Because of their simplicity of use and the ability to provide continuous and immediate oxygen saturation values, pulse oximeters are of critical importance in emergency medicine and are also very useful for patients with respiratory or cardiac problems, especially COPD, or for diagnosis of some sleep disorders such as apnea and hypopnea.[35] Portable battery-operated pulse oximeters are useful for pilots operating in a non-pressurized aircraft above 10,000 feet (12,500 feet in the U.S.)[36] where supplemental oxygen is required. Portable pulse oximeters are also useful for mountain climbers and athletes whose oxygen levels may decrease at high altitudes or with exercise. Some portable pulse oximeters employ software that charts a patient's blood oxygen and pulse, serving as a reminder to check blood oxygen levels.
Limitations
Pulse oximetry measures solely hemoglobin saturation, not ventilation and is not a complete measure of respiratory sufficiency. It is not a substitute for blood gases checked in a laboratory, because it gives no indication of base deficit, carbon dioxide levels, blood pH, or bicarbonate (HCO3-) concentration. The metabolism of oxygen can be readily measured by monitoring expired CO2, but saturation figures give no information about blood oxygen content. Most of the oxygen in the blood is carried by hemoglobin; in severe anemia, the blood will carry less total oxygen, despite the hemoglobin being 100% saturated.
Erroneously low readings may be caused by hypoperfusion of the extremity being used for monitoring (often due to a limb being cold, or from vasoconstriction secondary to the use of vasopressor agents); incorrect sensor application; highly calloused skin; or movement (such as shivering), especially during hypoperfusion. To ensure accuracy, the sensor should return a steady pulse and/or pulse waveform. Pulse oximetry technologies differ in their abilities to provide accurate data during conditions of motion and low perfusion.[37] [12]
Pulse oximetry also is not a complete measure of circulatory sufficiency. If there is insufficient bloodflow or insufficient hemoglobin in the blood (anemia), tissues can suffer hypoxia despite high oxygen saturation in the blood that does arrive. In 2008, a pulse oximeter that can also measure hemoglobin levels in addition to oxygen saturation was introduced by Masimo. In addition to the standard two wavelengths of light, the devices use multiple additional wavelengths of light to quantify hemoglobin.
Since pulse oximetry only measures the percentage of bound hemoglobin, a falsely high or falsely low reading will occur when hemoglobin binds to something other than oxygen:
- Hemoglobin has a higher affinity to carbon monoxide than oxygen, and a high reading may occur despite the patient actually being hypoxemic. In cases of carbon monoxide poisoning, this inaccuracy may delay the recognition of hypoxia (low blood oxygen level).
- Cyanide poisoning gives a high reading, because it reduces oxygen extraction from arterial blood. In this case, the reading is not false, as arterial blood oxygen is indeed high in early cyanide poisoning.
- Methemoglobinemia characteristically causes pulse oximetry readings in the mid-80s.
A noninvasive method that allows continuous measurement of the dyshemoglobins is the pulse CO-oximeter, which was invented in 2005 by Masimo. It provides clinicians a way to measure the dyshemoglobins carboxyhemoglobin and methemoglobin along with total hemoglobin.
Increasing usage
According to a report by iData Research the U.S. pulse oximetry monitoring market for equipment and sensors was over 700 million USD in 2011. [38] In 2008, more than half of the major internationally exporting medical equipment manufacturers in China were producers of pulse oximeters.[39]
In June 2009, video game company Nintendo announced an upcoming peripheral for the Wii console, dubbed the "Vitality Sensor", which consists of a pulse oximeter. This marks the onset of the use of this device for non-medical, entertainment purposes.[40][41]
See also
- Oxygen sensor
- Oxygen saturation
- Capnography, measuring of carbon dioxide (CO2) in the respiratory gases
- Sleep apnea
- Integrated Pulmonary Index
- Photoplethysmogram
- Respiratory monitoring
- Arterial blood gas
- Medical equipment
- Mechanical ventilation
References
- ^ Brand TM, Brand ME, Jay GD (February 2002). "Enamel nail polish does not interfere with pulse oximetry among normoxic volunteers". J Clin Monit Comput 17 (2): 93–6. doi:10.1023/A:1016385222568. PMID 12212998.
- ^ Jorgensen JS, Schmid ER, Konig V, Faisst K, Huch A, Huch R. Limitations of forehead pulse oximetry. J Clin Monit. Jul 1995;11(4):253–256.
- ^ Matthes, K (1935). "Untersuchungen über die Sauerstoffsättigung des menschlichen Arterienblutes" [Studies on the Oxygen Saturation of Arterial Human Blood]. Naunyn-Schmiedeberg's Archives of Pharmacology (in German) 179 (6): 698–711. doi:10.1007/BF01862691. Retrieved 28 April 2011.
- ^ Millikan G. A. (1942). "The oximeter: an instrument for measuring continuously oxygen-saturation of arterial blood in man". Rev. Sci. Instrum 13 (10): 434–444. doi:10.1063/1.1769941.
- ^ Severinghaus, John W.; Honda, Yoshiyuki (April 1987). "History of Blood Gas Analysis. VII. Pulse Oximetry". Journal of Clinical Monitoring 3 (2): 135–138. PMID 3295125.
- ^ Lin JC, Strauss RG, Kulhavy JC, et al. Phlebotomy overdraw in the neonatal intensive care nursery. Pediatrics. Aug 2000;106(2):E19.
- ^ Barker SJ. "Motion-resistant" pulse oximetry: a comparison of new and old models. Anesth Analg. 2002;95(4):967–972.
- ^ Barker SJ, Shah NK. The effects of motion on the performance of pulse oximeters in volunteers (revised publication). Anesthesiology. 1997;86(1):101–108.
- ^ Jopling MW, Mannheimer PD, Bebout DE. Issues in the laboratory evaluation of pulse oximeter performance. Anesth Analg. Jan 2002;94(1 Suppl):S62–68.
- ^ Shah N, Ragaswamy HB, Govindugari K, Estanol L. Performance of three new-generation pulse oximeters during motion and low perfusion in volunteers. J Clin Anesth. May 22.
- ^ Barker SJ. "Motion-resistant" pulse oximetry: a comparison of new and old models. Anesth Analg 2002;95:967–72
- ^ a b Shah N, Ragaswamy HB, Govindugari K, Estanol L. Performance of three new-generation pulse oximeters during motion and low perfusion in volunteers. J Clin Anesth 2012
- ^ Hay WW, Jr., Rodden DJ, Collins SM, Melara DL, Hale KA, Fashaw LM. Reliability of conventional and new pulse oximetry in neonatal patients. J Perinatol 2002;22:360–6.
- ^ Castillo A, Deulofeut R, Critz A, Sola A. Prevention of retinopathy of prematurity in preterm infants through changes in clinical practice and SpO(2)technology. Acta Paediatr 2010;100:188–92.
- ^ Durbin CG, Rostow SK. More reliable oximetry reduces the frequency of arterial blood gas analyses and hastens oxygen weaning after cardiac surgery: A prospective, randomized trial of the clinical impact of a new technology. Crit Care Med 2002;30:1735–40
- ^ Taenzer AH, Pyke JB, McGrath SP, Blike GT. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-and-after concurrence study. Anesthesiology 2010;112:282–7.
- ^ http://www.sleepreviewmag.com/issues/articles/2008-04_10.asp
- ^ http://www.maxtecinc.com/assets/docs/pulsox/ml187.p300iDataSheet.pdf
- ^ http://www.anesthesiology.org/pt/re/anes/fulltext.00000542-200809000-00004.htm
- ^ Chung F, Liao P, Elsaid H, Islam S, Shapiro CM, Sun Y. Oxygen desaturation index from nocturnal oximetry: a sensitive and specific tool to detect sleep-disordered breathing in surgical patients. Anesth Analg;114:993–1000.
- ^ De Felice C, Leoni L, Tommasini E, Tonni G, Toti P, Del Vecchio A, Ladisa G, Latini G. Maternal pulse oximetry perfusion index as a predictor of early adverse respiratory neonatal outcome after elective cesarean delivery. Pediatr Crit Care Med 2008;9:203–8.
- ^ De Felice C, Latini G, Vacca P, Kopotic RJ. The pulse oximeter perfusion index as a predictor for high illness severity in neonates. Eur J Pediatr 2002;161:561–2.
- ^ De Felice C, Goldstein MR, Parrini S, Verrotti A, Criscuolo M, Latini G. Early dynamic changes in pulse oximetry signals in preterm newborns with histologic chorioamnionitis. Pediatr Crit Care Med 2006;7:138–42.
- ^ Takahashi S, Kakiuchi S, Nanba Y, Tsukamoto K, Nakamura T, Ito Y. The perfusion index derived from a pulse oximeter for predicting low superior vena cava flow in very low birth weight infants. J Perinatol;30:265–9
- ^ Ginosar Y, Weiniger CF, Meroz Y, Kurz V, Bdolah-Abram T, Babchenko A, Nitzan M, Davidson EM. Pulse oximeter perfusion index as an early indicator of sympathectomy after epidural anesthesia. Acta Anaesthesiol Scand 2009;53:1018–26.
- ^ Granelli AW, Ostman-Smith I. Noninvasive peripheral perfusion index as a possible tool for screening for critical left heart obstruction. Acta Paediatr 2007;96:1455–9.
- ^ Zimmermann M, Feibicke T, Keyl C, Prasser C, Moritz S, Graf BM, Wiesenack C. Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness in mechanically ventilated patients undergoing major surgery. Eur J Anaesthesiol 2009;27:555–61
- ^ Cannesson M, Desebbe O, Rosamel P, Delannoy B, Robin J, Bastien O, Lehot JJ. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth 2008 Aug;101(2):200–6
- ^ Forget P, Lois F, de Kock M. Goal-Directed Fluid Management Based on the Pulse Oximeter-Derived Pleth Variability Index Reduces Lactate Levels and Improves Fluid Management. Anesth Analg 2010.
- ^ Ishii M, Ohno K (1977). "Comparisons of body fluid volumes, plasma renin activity, hemodynamics and pressor responsiveness between juvenile and aged patients with essential hypertension". Jpn. Circ. J. 41 (3): 237–46. doi:10.1253/jcj.41.237. PMID 870721.
- ^ NHS. IOFM Pack. 2012. Accessed at: http://www.ntac.nhs.uk/NewsAndEvents/NewsEvents3420.aspx
- ^ Principles of pulse oximetry Anaesthesia UK 11 Sept 2004.
- ^ a b Pulsimetry.org last modified: September 10, 2002 Pulse Oximetry Principles
- ^ Fu ES, Downs JB, Schweiger JW, Miguel RV, Smith RA. Supplemental oxygen impairs detection of hypoventilation by pulse oximetry. Chest 2004;126:1552–8
- ^ [1] Obstructive Sleep Apnea (OSA) Diagnosis
- ^ Code of Federal Regulations Federal Aviation Administration
- ^ Barker SJ. "Motion-resistant" pulse oximetry: a comparison of new and old models. Anesth Analg 2002;95:967–72.
- ^ U.S. Market for Patient Monitoring Equipment. i Data Research. May 2012
- ^ "Key Portable Medical Device Vendors Worldwide". China Portable Medical Devices Report (Beijing: ResearchInChina). December 2008.
- ^ Pigna, Kris (2009-06-02). "Satoru Iwata Announces Wii Vitality Sensor". 1UP.com. Retrieved 2009-06-02.
- ^ "Nintendo Introduces New Social Entertainment Experiences at E3 Expo". Nintendo of America. 2009-06-02. Retrieved 2009-06-02. [dead link]
External links
| Wikimedia Commons has media related to Pulse oximeters. |
- Principles of pulse oximetry explained using diagrams
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UpToDate Contents
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- 1. パルスオキシメトリ pulse oximetry
- 2. 成人における気道確保困難 the difficult airway in adults
- 3. 長期酸素補充療法 long term supplemental oxygen therapy
- 4. 小児に対する手術室外での鎮静処置の準備 preparation for pediatric procedural sedation outside of the operating room
- 5. 高齢者の外傷：初期評価およびマネージメント geriatric trauma initial evaluation and management
English Journal
- Kinetics of arterial carbon dioxide during veno-venous extracorporeal membrane oxygenation support in an apnoeic porcine model.
- Mendes PV1,2, Park M3,4, Maciel AT5,6, E Silva DP7, Friedrich N8, Barbosa EV9, Hirota AS10, Schettino GP11, Azevedo LC12,13, Costa EL14,15.
- Intensive care medicine experimental.Intensive Care Med Exp.2016 Dec;4(1):1. doi: 10.1186/s40635-015-0074-x. Epub 2016 Jan 6.
- BACKGROUND: Extracorporeal membrane oxygenation (ECMO) is a technique widely used worldwide to improve gas exchange. Changes in ECMO settings affect both oxygen and carbon dioxide. The impact on oxygenation can be followed closely by continuous pulse oximeter. Conversely, carbon dioxide equilibrates
- PMID 26738486
- Erratum to: Extracranial contamination in the INVOS 5100C versus the FORE-SIGHT ELITE cerebral oximeter: a prospective observational crossover study in volunteers.
- Greenberg S1,2, Murphy G3,4, Shear T3,4, Patel A3, Simpson A3, Szokol J3,4, Avram MJ5, Vender J3,4.
- Canadian journal of anaesthesia = Journal canadien d'anesthésie.Can J Anaesth.2016 Apr;63(4):512. doi: 10.1007/s12630-016-0620-3.
- PMID 26888637
- Application of the perfusion index in obstetric bleeding.
- Tanaka H1,2, Katsuragi S3, Tanaka K1, Kawamura T1, Nii M1, Kubo M1, Osato K1, Sasaki Y2, Ikeda T1.
- The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.J Matern Fetal Neonatal Med.2016 Mar 3:1-3. [Epub ahead of print]
- OBJECTIVE: We assessed the utility of the pulse oximeter perfusion index (PI) in maternal monitoring immediately after delivery.METHODS: We examined 30 pregnant women without any complications using the Rad7 device at delivery. The correlations between heart rate (HR), systolic blood pressure (BP),
- PMID 26820698
Japanese Journal
- パルスオキシメータの新しい応用 : 装用者自身への覚醒刺激,生命維持装置への始動指示原として
- 森岡 亨,寺崎 秀則
- 麻酔 63(3), 358-360, 2014-03
- NAID 40019999367
- 1-1 パルスオキシメータの普及とユーザ視点での開発(1.産学と病院の取組み,<小特集>医用電気機器実用化への最前線)
- 進藤 義明,鵜川 貞二
- 電子情報通信学会誌 96(9), 689-693, 2013-09-01
- パルスオキシメータは校正することなく,無侵襲,連続的かつリアルタイムに動脈血の酸素飽和度を測定する装置である.現在では様々な臨床現場で患者の安全確保には必須の医療機器となっている.しかし低出生体重児では,皮膚形成が未成熟であることなどから,直接皮膚に装着するパルスオキシメータには解決すべき課題が多く残されている.本稿では,原理を簡単に説明した上で,臨床現場と共同で開発した低出生体重児用パルスオキシ …
- NAID 110009660612
- パルスオキシメータの普及とユーザ視点での開発 (小特集 医用電気機器実用化への最前線) -- (産学と病院の取組み)
- 進藤 義明,鵜川 貞二
- 電子情報通信学会誌 : The Journal of the Institute of Electronics, Information and Communication Engineers 96(9), 689-693, 2013-09
- NAID 40019801118
Related Links
- pulse oximeter, oximeter, pulse oximeters, oximeters, pulse oximetry, finger pulse oximeter, fingertip pulse oximeter, wireless pulse oximeter, fda approved pulse oximeter, blood oxygen saturation , portable pulse oximeter, pediatric ...
- Further reading & references Chronic obstructive pulmonary disease; NICE Clinical Guideline (June 2010) Oxyhaemoglobin dissociation curve; Anaesthesia UK Haynes JM; The ear as an alternative site for a pulse oximeter finger clip ...
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