Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2015, Vol. 11 ›› Issue (4): 543 -546. doi: 10.3877/cma.j.issn.1673-5250.2015.04.023

Special Issue:

Review

Application of pulse oximetry screening in pediatrics

Lei Yang   

  1. Emergency Department, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2015-04-15 Revised:2015-05-20 Published:2015-08-01

Pulse oximetry monitoring is used widely in clinical practice, especially in critical daily care, for its convenience and non-invasion. In this review, we summarize the principles and applications of pulse oximetry monitoring in pediatrics, so as to provide detailed information for clinicians.

图1 血液中PaO2与血红蛋白氧饱和度之间的关系曲线注:1 mmHg=0.133 kPa
图2 高海拔区域SpO2的数值范围散点图
[1]
Fouzas SPriftis KNAnthracopoulos MB.Pulse oximetry in pediatric practice[J]. Pediatrics2011128(4):740–752.
[2]
李朝伟,张良才,陈敏.脉搏血氧饱和度仪的原理与临床应用[J].中国医学装备20063(5):22–23.
[3]
Mau MK, Yamasato KS, Yamamoto LG. Normal oxygen saturation values in pediatric patients[J]. Hawaii Med J200564(2):42,44-45.
[4]
Salyer JW.Neonatal and pediatric pulse oximetry[J].Respir Care200348(4):386–396, 397-398.
[5]
Brockmann PE, Poets A, Urschitz MS, et al. Reference values for pulse oximetry recordings in healthy term neonates during their first 5 days of life[J].Arch Dis Child Fetal Neonatal Ed201196(5):F335–F338.
[6]
Ross PANewth CJKhemani RG.Accuracy of pulse oximetry in children[J]. Pediatrics2014133(1):22–29.
[7]
Laman M, Ripa P, Vince JD, et al. Reference values for pulse oximetry in healthy children in coastal Papua New Guinea[J]. P N G Med J200952(1-2):8–12.
[8]
Balasubramanian S, Suresh N, Raeshmi R, et al. Comparison of oxygen saturation levels by pulse oximetry in healthy children aged 1 month to 5 years residing at an altitude of 1 500 metres and at sea level[J]. Ann Trop Paediatr200828(4):267–273.
[9]
Subhi R, Smith K, Duke T. When should oxygen be given to children at high altitude? A systematic review to define altitude-specific hypoxaemia[J]. Arch Dis Child200994(1):6–10.
[10]
Luks AM, Swenson ER. Pulse oximetry at high altitude[J]. High Alt Med Biol201112(2):109–119.
[11]
Kyriacou PA, May JM, Petros AJ. Esophageal SpO2 measurements from a pediatric burns-patient:a case study[J].Conf Proc IEEE Eng Med Biol Soc20132013:1732–1735.
[12]
Taenzer AH, Pyke JB, Mcgrath SP, et al. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers:a before-and-after concurrence study[J]. Anesthesiology2010112(2):282–287.
[13]
Callahan JM. Pulse oximetry in emergency medicine[J]. Emerg Med Clin North Am200826(4):869–879.
[14]
Zur B, Bagci S, Ludwig M, et al. Oxygen saturation in pulse oximetry in hemoglobin anomalies[J]. Klin Padiatr2012224(4):259–265.
[15]
Ewer AK, Furmston AT, Middleton LJ, et al. Pulse oximetry as a screening test for congenital heart defects in newborn infants: a test accuracy study with evaluation of acceptability and cost-effectiveness[J]. Health Technol Assess201216(2):1–184.
[16]
British Thoracic Society Standards of Care Committee.British thoracic society guidelines for the management of community acquired pneumonia in childhood[J].Thorax200257 (Suppl 1):i1–i24.
[17]
Bewick T, Greenwood S, Lim WS.What is the role of pulse oximetry in the assessment of patients with community-acquired pneumonia in primary care?[J]. Prim Care Respir J201019(4):378–382.
[18]
Weitz CA, Garruto RM.A comparative analysis of arterial oxygen saturation among Tibetans and Han born and raised at high altitude[J].High Alt Med Biol20078(1):13–26.
[19]
Laman M, Ripa P, Vince J, et al. Can clinical signs predict hypoxaemia in Papua New Guinean children with moderate and severe pneumonia?[J].Ann Trop Paediatr200525(1):23–27.
[20]
Fu LY, Ruthazer R, Wilson I, et al. Brief hospitalization and pulse oximetry for predicting amoxicillin treatment failure in children with severe pneumonia[J]. Pediatrics2006118(6):e1822–e1830.
[21]
National Asthma Education and Prevention Program.Expert panel report 3 (epr-3): guidelines for the diagnosis and management of asthma-summary report 2007[J].J Allergy Clin Immunol2007120(5 Suppl):S94–S138.
[22]
Pedersen SE, Hurd SS, Lemanske RJ, et al. Global strategy for the diagnosis and management of asthma in children 5 years and younger[J].Pediatr Pulmonol201146(1):1–17.
[23]
Kelly AM, Kerr D, Powell C.Is severity assessment after one hour of treatment better for predicting the need for admission in acute asthma?[J].Respir Med200498(8):777–781.
[24]
Khemani RG, Thomas NJ, Venkatachalam V, et al. Comparison of SpO2 to PaO2 based markers of lung disease severity for children with acute lung injury[J]. Crit Care Med201240(4):1309–1316.
[25]
Thangaratinam S, Brown K, Zamora J, et al. Pulse oximetry screening for critical congenital heart defects in asymptomatic newborn babies: a systematic review and meta-analysis[J]. Lancet2012379(9835):2459–2464.
[26]
Zhao QM, Ma XJ, Ge XL, et al. Pulse oximetry with clinical assessment to screen for congenital heart disease in neonates in China: a prospective study[J]. Lancet2014, 384(9945):747–754.
[27]
Wilson BJ, Cowan HJ, Lord JA,et al.The accuracy of pulse oximetry in emergency department patients with severe sepsis and septic shock: a retrospective cohort study[J]. BMC Emerg Med201010:9.
[28]
Pretto JJ, Roebuck T, Beckert L, et al. Clinical use of pulse oximetry:official guidelines from the Thoracic Society of Australia and New Zealand[J]. Respirology201419(1):38–46.
[29]
Mower WR, Sachs C, Nicklin EL, et al. Pulse oximetry as a fifth pediatric vital sign[J]. Pediatrics199799(5):681–686.
[30]
Bendjelid K. The pulse oximetry plethysmographic curve revisited[J]. Curr Opin Crit Care200814(3):348–353.
[31]
Perlman JM, Wyllie J, Kattwinkel J,et al.Neonatal resuscitation:2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations[J]. Pediatrics2010126(5):e1319–e1344.
[32]
Castillo A, Sola A, Baquero H, et al. Pulse oxygen saturation levels and arterial oxygen tension values in newborns receiving oxygen therapy in the neonatal intensive care unit: is 85% to 93% an acceptable range?[J]. Pediatrics2008121(5):882–889.
[33]
Bohnhorst B, Peter CS, Poets CF. Detection of hyperoxaemia in neonates:data from three new pulse oximeters[J].Arch Dis Child Fetal Neonatal Ed200287(3):F217–F219.
[34]
Finer N, Leone T. Oxygen saturation monitoring for the preterm infant: the evidence basis for current practice[J]. Pediatr Res200965(4):375–380.
[35]
Deuber C, Terhaar M. Hyperoxia in very preterm infants: a systematic review of the literature[J]. J Perinat Neonatal Nurs201125(3):268–274.
[36]
Rice TW, Wheeler AP, Bernard GR, et al. Comparison of the SpO2/FiO2 ratio and the PaO2/FiO2 ratio in patients with acute lung injury or ARDS[J]. Chest2007132(2):410–417.
[37]
Van de Louw A, Cracco C, Cerf C, et al.Accuracy of pulse oximetry in the intensive care unit[J]. Intensive Care Med200127(10):1606–1613.
[38]
Ghayumi SM, Khalafi-Nezhad A, Jowkar Z. Pulse oximeter oxygen saturation in prediction of arterial oxygen saturation in liver transplant candidates[J]. Hepat Mon201414(4):e15449.
[39]
Pedersen T, Moller AM, Hovhannisyan K.Pulse oximetry for perioperative monitoring[J]. Cochrane Database Syst Rev20097(4): CD002013.
[40]
East CE, Colditz PB. Intrapartum oximetry of the fetus[J]. Anesth Analg2007105(6 Suppl):S59–S65.
[41]
Shafique M, Kyriacou PA, Pal SK. Investigation of photoplethysmographic signals and blood oxygen saturation values on healthy volunteers during cuff-induced hypoperfusion using a multimode PPG/SpO2 sensor[J].Med Biol Eng Comput201250(6):575–583.
[42]
Pedersen T, Nicholson A, Hovhannisyan K, et al. Pulse oximetry for perioperative monitoring[J]. Cochrane Database Syst Rev20143: CD002013.
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