The use of pulse oximetry in the pediatric and neonatal intensivc care units has grown tremendously in recent years. Opinions about this growth are divergent. Arriving at a generalized statement about the accuracy of pulse oximeters is difficult, but it has generally been found to be acceptably accurate in most patient populations under most conditions. However, there are limitations to its application. Pulse oximetry accuracy can be adversely affected by elevated levels of certain abnormal hemoglobin varieties as well as motion artifact and low peripheral perfusion. Some authors suggest a caveat against the use of pulse oximetry to prevent hyperoxemia in the neonatal population, whereas others suggest it is an important advancement. The affect of the use of pulse oximetry on respiratory morbidity and mortality has not been established, and suggestions that all mechanically ventilated patients should be continuously monitored are unsubstantiated
Respiratory Care in Children| August 01 1990
Pulse Oximetry: Application in the Pediatric and Neonatal Critical Care Unit
John W. Salyer, RRT, RCP;
*From the Pediatric Respiratory Care Department, Rainbow Babies and Childrens Hospital, Cleveland, Ohio.
Reprint requests to John W. Salyer, RRT, RCP, Pediatric Respiratory Care, Rainbow Babies and Childrens Hospital, 2101 Adelbert Rd, Cleveland, OH 44106.
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AACN Adv Crit Care (1990) 1 (2): 339-347.
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John W. Salyer, David D. Lewis; Pulse Oximetry: Application in the Pediatric and Neonatal Critical Care Unit. AACN Adv Crit Care 1 August 1990; 1 (2): 339–347. doi: https://doi.org/10.4037/15597768-1990-2013
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