@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(2):105-109
ISSN: 2252-0805 The Horizon of Medical Sciences 2017;23(2):105-109
Comparison the Precision of Ear and Finger Pulse Oximetry with Finger Sensor in Mechanically Ventilated ICU Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Baloochi Beydokhti T. (1)Mohammadpour A. (1)
Kianmehr M. (2)
Shaban M.J. (* )
(* ) Student Research Committee, -, Gonabad University of Medical Sciences, Gonabad, Iran
(1) Medical-Surgical Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Gonabad University of Medical Sciences, Imam Khomeyni Street, Gonabad, Razavi Khorasan Province, IranPhone: +98 (51) 57723115
Fax: -
shabanmj1@mums.ac.ir
Article History
Received: October 17, 2016Accepted: January 25, 2017
ePublished: March 25, 2017
ABSTRACT
Aims
Nowadays, the pulse oximetry is widely used to monitor the oxygen saturation constantly. In the clinical care, it is observed that the ear pulse oximetry with the finger sensor is sometimes utilized in the ICUs. The aim of the study was to determine the accuracy of the ear pulse oximetry and the fingertip with the finger sensor in the ICU patients under the mechanical ventilation.
Materials & Methods In the analytic comparative study, 60 hospitalized patients under the mechanical ventilation in the ICU of Moddares Hospital in Kashmar Township were studied in 2015. The subjects were selected via available convenience sampling method. One finger pulse oximetry sensor having been attached to the upper part of the ear and the other to the fingertip, the arterial blood sampling was done simultaneously. Data was analyzed by SPSS 22 software using repeated ANOVA and Spearman correlation tests.
Findings Mean oxygen saturation percentage and the heartbeat of ear, fingertip, and arterial blood pulse oximetry were significantly different (p<0.001). In addition, the oxygen saturation percentage of ear, fingertip, and arterial blood pulse oximetry was significantly correlated by the partial pressure of oxygen (PaO2; p=0.001). Nevertheless, the mentioned parameters were not significantly correlated by the peripheral edema and especially, by the hand (p>0.05).
Conclusion The utilization of ear pulse oximetry with the finger sensor on the fingertip cannot lead to accurate results of the oxygen saturation in the hospitalized patients in the ICU under the mechanical ventilation. However, in case of any reduction in the arterial blood oxygen pressure, the accuracy of the finger pulse oximetry starts to drop out.
Materials & Methods In the analytic comparative study, 60 hospitalized patients under the mechanical ventilation in the ICU of Moddares Hospital in Kashmar Township were studied in 2015. The subjects were selected via available convenience sampling method. One finger pulse oximetry sensor having been attached to the upper part of the ear and the other to the fingertip, the arterial blood sampling was done simultaneously. Data was analyzed by SPSS 22 software using repeated ANOVA and Spearman correlation tests.
Findings Mean oxygen saturation percentage and the heartbeat of ear, fingertip, and arterial blood pulse oximetry were significantly different (p<0.001). In addition, the oxygen saturation percentage of ear, fingertip, and arterial blood pulse oximetry was significantly correlated by the partial pressure of oxygen (PaO2; p=0.001). Nevertheless, the mentioned parameters were not significantly correlated by the peripheral edema and especially, by the hand (p>0.05).
Conclusion The utilization of ear pulse oximetry with the finger sensor on the fingertip cannot lead to accurate results of the oxygen saturation in the hospitalized patients in the ICU under the mechanical ventilation. However, in case of any reduction in the arterial blood oxygen pressure, the accuracy of the finger pulse oximetry starts to drop out.
CITATION LINKS
[1]Ayoubian A, Moazam E, Navid M, Hoseinpourfard M, Izadi M. Evaluation of standards in intensive care units in Isfahan Hospitals, Iran. J Mil Med. 2013;14(4):255-62. [Persian]
[2]Abelha F, Maia P, Landeiro N, Neves A, Barros H. Determinants of outcome in patients admitted to a surgical intensive care unit. Arq Med. 2007;21(5/6):135-43.
[3]Reis Miranda D, Jegres M. Monitoring costs in the ICU: A search for a pertinent methodology. Acta Anaesthesiol Scand. 2012;56(9):1104-13.
[4]Yeaw EM. How position affects oxygenation: Good lung down?. Am J Nurs. 1992;92(3):26-9.
[5]Ballangrud R, Hedelin B, Hall-Lord ML. Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study. Intensive Crit Care Nurs. 2012;28(6):344-54.
[6]Seguin P, Le Rouzo A, Tanguy M, Guillou YM, Feuillu A, Mallédant Y. Evidence for the need of bedside accuracy of pulse oximetry in an intensive care unit. Crit Care Med. 2000;28(3):703-6.
[7]Jubran A. Pulse Oximetry. Intensive Care Med. 2004;30(11):2017-20.
[8]Potter PA, Perry AG. Basic nursing: Essentials for practice. 5th edition. Philadelphia: Mosby; 2007.
[9]Hamber EA, Bailey PL, James SW, Wells DT, Lu JK, Pace NL. Delays in the detection of hypoxemia due to site of pulse oximetry probe placement. J Clin Anesth. 1999;11(2):113-8.
[10]Jubran A. Pulse oximetry. Crit Care. 2015;19(1):272-6.
[11]Severinghaus JW, Spellman MJ Jr. Pulse oximeter failure threshold in hypotension and vasoconstriction. Anesthesiology. 1990;73(3):532-7.
[12]De Jong MJ, Schmelz J, Evers K, Bradshaw P, McKnight K, Bridges E. Accuracy and precision of buccal pulse oximetry. Heart Lung. 2011;40(1):31-40.
[13]Gehring H, Hornberger C, Matz H, Konecny E, Schmucker P. The effects of motion artifact and low perfusion on the performance of a new generation of pulse oximeters in volunteers undergoing hypoxemia. Respir Care. 2002;47(1):48-60.
[14]Barker SJ, Shah NK. The effects of motion on the performance of pulse oximeters in volunteers (revised publication). Anesthesiology. 1997;86(1):101-8.
[15]Haynes JM. The ear as an alternative site for a pulse oximeter finger clip sensor. Respir Care. 2007;52(6):727-9.
[16]Bilan N, Behbahan AG, Abdinia B, Mahallei M. Validity of pulse oximetry in detection of hypoxemia in children: comparison of ear, thumb and toe probe placements. East Mediterr Health J. 2010;16(2):218-22.
[17]Severinghaus JW, Naifeh KH. Accuracy of response of six pulse oximeters to profound hypoxia. Anesthesiology. 1987;67(4):551-8.
[18]Jensen AL, Onyskiw JE, Prasad NG. Meta-analysis of arterial oxygen saturation monitoring by pulse oximetry in adults. Heart lung. 1998;27(6):387-408.
[19]Iyriboz Y, Powers S, Morrow J, Ayers D, Landry G. Accuracy of pulse oximeters in estimating heart rate at rest and during exercise. Br J Sports Med. 1991;25(3):162-64.
[20]Nesseler N, Frénel JV, Launey Y, Morcet J, Mallédant Y, Seguin P. Pulse oximetry and high-dose vasopressors: A comparison between forehead reflectance and finger transmission sensors. Intensive Care Med. 2012;38(10):1718-22.
[21]Barker SJ, Hyatt J, Shah NK, Kao YJ. The effect of sensor malpositioning on pulse oximeter accuracy during hypoxemia. Anesthesiology. 1993;79(2):248-54.
[2]Abelha F, Maia P, Landeiro N, Neves A, Barros H. Determinants of outcome in patients admitted to a surgical intensive care unit. Arq Med. 2007;21(5/6):135-43.
[3]Reis Miranda D, Jegres M. Monitoring costs in the ICU: A search for a pertinent methodology. Acta Anaesthesiol Scand. 2012;56(9):1104-13.
[4]Yeaw EM. How position affects oxygenation: Good lung down?. Am J Nurs. 1992;92(3):26-9.
[5]Ballangrud R, Hedelin B, Hall-Lord ML. Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study. Intensive Crit Care Nurs. 2012;28(6):344-54.
[6]Seguin P, Le Rouzo A, Tanguy M, Guillou YM, Feuillu A, Mallédant Y. Evidence for the need of bedside accuracy of pulse oximetry in an intensive care unit. Crit Care Med. 2000;28(3):703-6.
[7]Jubran A. Pulse Oximetry. Intensive Care Med. 2004;30(11):2017-20.
[8]Potter PA, Perry AG. Basic nursing: Essentials for practice. 5th edition. Philadelphia: Mosby; 2007.
[9]Hamber EA, Bailey PL, James SW, Wells DT, Lu JK, Pace NL. Delays in the detection of hypoxemia due to site of pulse oximetry probe placement. J Clin Anesth. 1999;11(2):113-8.
[10]Jubran A. Pulse oximetry. Crit Care. 2015;19(1):272-6.
[11]Severinghaus JW, Spellman MJ Jr. Pulse oximeter failure threshold in hypotension and vasoconstriction. Anesthesiology. 1990;73(3):532-7.
[12]De Jong MJ, Schmelz J, Evers K, Bradshaw P, McKnight K, Bridges E. Accuracy and precision of buccal pulse oximetry. Heart Lung. 2011;40(1):31-40.
[13]Gehring H, Hornberger C, Matz H, Konecny E, Schmucker P. The effects of motion artifact and low perfusion on the performance of a new generation of pulse oximeters in volunteers undergoing hypoxemia. Respir Care. 2002;47(1):48-60.
[14]Barker SJ, Shah NK. The effects of motion on the performance of pulse oximeters in volunteers (revised publication). Anesthesiology. 1997;86(1):101-8.
[15]Haynes JM. The ear as an alternative site for a pulse oximeter finger clip sensor. Respir Care. 2007;52(6):727-9.
[16]Bilan N, Behbahan AG, Abdinia B, Mahallei M. Validity of pulse oximetry in detection of hypoxemia in children: comparison of ear, thumb and toe probe placements. East Mediterr Health J. 2010;16(2):218-22.
[17]Severinghaus JW, Naifeh KH. Accuracy of response of six pulse oximeters to profound hypoxia. Anesthesiology. 1987;67(4):551-8.
[18]Jensen AL, Onyskiw JE, Prasad NG. Meta-analysis of arterial oxygen saturation monitoring by pulse oximetry in adults. Heart lung. 1998;27(6):387-408.
[19]Iyriboz Y, Powers S, Morrow J, Ayers D, Landry G. Accuracy of pulse oximeters in estimating heart rate at rest and during exercise. Br J Sports Med. 1991;25(3):162-64.
[20]Nesseler N, Frénel JV, Launey Y, Morcet J, Mallédant Y, Seguin P. Pulse oximetry and high-dose vasopressors: A comparison between forehead reflectance and finger transmission sensors. Intensive Care Med. 2012;38(10):1718-22.
[21]Barker SJ, Hyatt J, Shah NK, Kao YJ. The effect of sensor malpositioning on pulse oximeter accuracy during hypoxemia. Anesthesiology. 1993;79(2):248-54.