2024, Number 1
<< Back Next >>
Rev Mex Anest 2024; 47 (1)
The pulse oximeter: more information than we think
Martínez-Sedas GD
Language: Spanish
References: 16
Page: 30-34
PDF size: 232.12 Kb.
ABSTRACT
The pulse oximeter, a common device in different hospital areas, especially in critical areas, is used most of the time to assess the patient's respiratory status; however, current evidence shows that this device can provide us with valuable information on hemodynamic behavior, the response of the autonomic nervous system, and the therapy given to critically ill patients. It is for this reason that knowing the fundamentals of oximetry, values beyond oxygenation such as the plethysmographic waveform and the perfusion index results in an important amount of information for decision making and the response to the treatments performed.
REFERENCES
de la Quintana B. Monitorización en anestesia, cuidados críticos y medicina de urgencias. Madrid: Elsevier; 2004.
Aldrete JA. Texto de anestesiología teórico-práctico. México: Manual Moderno; 2004.
Nitzan M, Romem A, Koppel R. Pulse oximetry: fundamentals and technology update. Med Devices (Auckl). 2014;7:231-239.
Poorzargar K, Pham C, Ariaratnam J, Lee K, Parotto M, Englesakis M, et al. Accuracy of pulse oximeters in measuring oxygen saturation in patients with poor peripheral perfusion: a systematic review. J Clin Monit Comput. 2022;36:961-973.
Jiménez Murillo L, Montero Pérez FJ. Medicina de urgencias y emergencias. 6a ed. España: Elsevier; 2018.
Tusman G, Bohm SH, Suarez-Sipmann F. Advanced uses of pulse oximetry for monitoring mechanically ventilated patients. Anesth Analg. 2017;124:62-71.
Lian H, Wang X, Zhang Q, Zhang H, Liu D. Changes in perfusion can detect changes in the cardiac index in patients with septic shock. J Int Med Res. 2020;48:300060520931675.
Beurton A, Gavelli F, Teboul JL, De Vita N, Monnet X. Changes in the plethysmographic perfusion index during an end-expiratory occlusion detect a positive passive leg raising test. Crit Care Med. 2020;49:e151-e160.
Hasanin A, Karam N, Mukhtar AM, Habib SF. The ability of pulse oximetry-derived peripheral perfusion index to detect fluid responsiveness in patients with septic shock. J Anesth. 2021;35:254-261.
de Courson H, Michard F, Chavignier C, Verchere E, Nouette-Gaulain K, Biais M. Do changes in perfusion index reflect changes in stroke volume during preload-modifying manoeuvres? J Clin Monit Comput. 2020;34:1193-1198.
Ginosar Y, Weiniger CF, Meroz Y, Kurz V, Bdolah-Abram T, Babchenko A et al. Pulse oximeter perfusion index as an early indicator of sympathectomy after epidural anesthesia. Acta Anaesthesiol Scand. 2009;53:1018-1026.
Abdelnasser A, Abdelhamid B, Elsonbaty A, Hasanin A, Rady A. Predicting successful supraclavicular brachial plexus block using pulse oximeter perfusion index. Br J Anaesth. 2017;119:276-280.
Agerskov M, Thusholdt ANW, Holm-Sorensen H, Wiberg S, Meyhoff CS, Hojlund J, et al. Association of the intraoperative peripheral perfusion index with postoperative morbidity and mortality in acute surgical patients: a retrospective observational multicentre cohort study. Br J Anaesth. 2021;127:396-404.
Molina-Galeote J, Patiño-Arreola G, Radillo-Santana ID, Deloya-Tomas E. Analgesia, sedation and neuromuscular blockade in critically ill patients: a practical approach for intensivists. ICU Management & Practice. 2022;3:124-134.
Hamunen K, Kontinen V, Hakala E, Talke P, Paloheimo M, Kalso E. Effect of pain on autonomic nervous system indices derived from photoplethysmography in healthy volunteers. Br J Anaesth. 2012;108:838-844.
Hasanin A, Mohamed SAR, El-Adawy A. Evaluation of perfusion index as a tool for pain assessment in critically ill patients. J Clin Monit Comput. 2017;31:961-965.