Heart & Lung: The Journal of Acute and Critical Care
Volume 36, Issue 3 , Pages 188-194 , May 2007

Comparison of forehead and digit oximetry in surgical/trauma patients at risk for decreased peripheral perfusion

  • Lynn Schallom, RN, MSN, CCRN, CCNS

      Affiliations

    • Barnes-Jewish Hospital, St Louis, Missouri
    • Corresponding Author InformationReprint requests: Lynn Schallom, RN, MSN, CCRN, CCNS, Barnes-Jewish Hospital, One Barnes-Jewish Hospital Plaza, MS 90-59-346, St. Louis, MO 63110.
    • ,
  • Carrie Sona, RN, MSN, CCRN, MS-CNS

      Affiliations

    • Barnes-Jewish Hospital, St Louis, Missouri
    • ,
  • Maryellen McSweeney, PhD

      Affiliations

    • Barnes-Jewish Hospital, St Louis, Missouri
    • ,
  • John Mazuski, MD, PhD

      Affiliations

    • Washington University School of Medicine, St Louis, Missouri.

References 

  1. 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;30:1735–1740
  2. Van de Louw A, Cracco C, Cerf C, Harf A, Dubaldestin P, Lemaire F, et al. Accuracy of pulse oximetry in the intensive care unit. Intensive Care Med. 2001;27:1606–1613
  3. Severinghaus JW, Kelleher JF. Recent developments in pulse oximetry. Anesthesiology. 1992;76:1018–1038
  4. Mendelson Y. Pulse oximetry: theory and applications for noninvasive monitoring. Clin Chem. 1992;38:1601–1607
  5. Clayton DG, Webb RK, Ralston AC, Duthie D, Runciman WB. Pulse oximeter sensors (A comparison between finger, nose, ear and forehead probes under conditions of poor perfusion). Anaesthesia. 1991;46:260–265
  6. Sveringhaus JW, Naifeh KH. Accuracy of response of six pulse oximeters to profound hypoxia. Anesthesiology. 1987;67:551–558
  7. Kagle DM, Alexander CM, Berko RS, Giuffre M, Gross JB. Evaluation of the Ohmeda 3700 pulse oximeter: steady-state and transient response characteristics. Anesthesiology. 1987;66:376–380
  8. Tittle M, Flynn MB. Correlation of pulse oximetry and co-oximetry. Dimens Crit Care Nurs. 1996;16:88–95
  9. Carter BG, Carlin JB, Tibballs J, Mead H, Hochmann M. Accuracy of two pulse oximeters at low arterial hemoglobin-oxygen saturation. Crit Care Med. 1998;26:1128–1133
  10. Cheng EY, Hopwood MB, Kay J. Forehead pulse oximetry compared with finger pulse oximetry and arterial blood gas measurement. J Clin Monitoring. 1988;4:223–226
  11. Trivedi NA, Ghouri AF, Lai E, Shah NK, Barker SJ. Pulse oximeter performance during desaturation and resaturation: a comparison of seven models. J Clin Anesth. 1997;9:184–188
  12. Young IH. Diagnostic tests: oximetry. Australian Prescriber. 2003;26:132–135
  13. Bebout DE, Asbagh NA. Detection of hypoxemia during peripheral vasoconstriction at the radial artery and various pulse oximeter sensor sites. (abstract) Crit Care Med. 2002;30(Suppl A):72
  14. Branson RD, Davis BR, Campbell R, Johannigman J, Davis K. Comparison of a reflective forehead and digit transmission sensor for oximetry in mechanically ventilated adults (abstract). Crit Care Med. 2002;30(Suppl A):91
  15. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307–310
  16. Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8(2):135–160
  17. Ibanez J, Velasco J, Raurich JM. The accuracy of the Biox 3700 pulse oximeter in patients receiving vasoactive therapy. Intensive Care Med. 1991;17:484–486
  18. Bebout DE, Mannheimer PD, Wun CC. Site-dependent differences in the time to detect changes in saturation during low perfusion (abstract). Crit Care Med. 2001;29:A115
  19. MacLeod DB, Cortinez LI, Keifer JC, Cameron D, Wright DR. The desaturation response time of finger pulse oximeters during mild hypothermia. Anaesthesia. 2005;60:65–71
  20. Nuhr M, Hoerauf K, Joldzo A, Frickey N, Barker R, Gorove L, et al. Forehead SpO2 monitoring compared to finger SpO2 recording in emergency transport. Anaesthesia. 2004;59:390–393
  21. Sugino S, Kanaya N, Mizuuchi M, Nakayama M, Namiki A. Forehead is as sensitive as finger pulse oximetry during general anesthesia. Can J Anesth. 2004;51:432–436

 Study funded by Nellcor/Tyco Healthcare, Pleasanton, California.

PII: S0147-9563(06)00206-8

doi: 10.1016/j.hrtlng.2006.07.007

Heart & Lung: The Journal of Acute and Critical Care
Volume 36, Issue 3 , Pages 188-194 , May 2007

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