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Pulse oximetry inpatient

Daniel M Goldenholz, Amanda Kuhn, Alison Austermuehle, Martin Bachler, Christopher Mayer, Siegfried Wassertheurer, Sara K Inati, William H Theodore
OBJECTIVE: Sudden unexplained death in epilepsy (SUDEP) during inpatient electroencephalography (EEG) monitoring has been a rare but potentially preventable event, with associated cardiopulmonary markers. To date, no systematic evaluation of alarm settings for a continuous pulse oximeter (SpO2 ) has been performed. In addition, evaluation of the interrelationship between the ictal and interictal states for cardiopulmonary measures has not been reported. METHODS: Patients with epilepsy were monitored using video-EEG, SpO2 , and electrocardiography (ECG)...
January 2017: Epilepsia
Ryan R Kroll, J Gordon Boyd, David M Maslove
BACKGROUND: As the sensing capabilities of wearable devices improve, there is increasing interest in their application in medical settings. Capabilities such as heart rate monitoring may be useful in hospitalized patients as a means of enhancing routine monitoring or as part of an early warning system to detect clinical deterioration. OBJECTIVE: To evaluate the accuracy of heart rate monitoring by a personal fitness tracker (PFT) among hospital inpatients. METHODS: We conducted a prospective observational study of 50 stable patients in the intensive care unit who each completed 24 hours of heart rate monitoring using a wrist-worn PFT...
September 20, 2016: Journal of Medical Internet Research
Aubri M Waters, Jason B Caboot, Madeleine M Verhovsek, David P Harper, Melissa A Forouhar
An asymptomatic toddler and his mother consistently demonstrated low transcutaneous pulse oximetry (SpO2) measurements, discordant with normal arterial blood gas analyses while breathing room air. Previous evaluations by medical teams were unable to identify an etiology of their perceived hypoxia. Further investigation revealed that the boy carried an abnormal variant, Hb Grifton or α87(F8)His→Pro; HBA1: c.263A > C (or HBA2), discovered on newborn screening, which was not suspected as the underlying cause of his abnormal pulse oximetry readings until an inpatient admission to our hospital for asymptomatic "hypoxia," where he was found to share these same characteristics with his mother...
August 2016: Hemoglobin
Romain Pichon, Francis Couturaud, Philippe Mialon, Catherine Le Ber-Moy, Loïc Péran, Chantal Lochon, Emmanuel Nowak, Marc Beaumont
BACKGROUND: The validity and reproducibility of the 6-minute stepper test (6MST) have already been demonstrated in patients with chronic obstructive pulmonary disease (COPD). OBJECTIVES: The aim of this study was to evaluate the responsiveness of the 6MST to pulmonary rehabilitation (PR) in patients with COPD, to determine a minimal important difference (MID) for the 6MST, and to compare the 6MST and the 6-minute walk test (6MWT). METHODS: Sixty-two patients with COPD were included in a prospective experimental study...
2016: Respiration; International Review of Thoracic Diseases
Agnes S Meidert, Alexander Lang, Georg Hennig, Patricia Bernasconi, Aurelia Peraud, Josef Briegel, Tanija K Hüttl
An 8-year-old boy suffering from progressive glioblastoma was scheduled for neurosurgery. Prior to induction of anaesthesia pulse oximetry measured 64 % saturation of oxygen (SpO2). Arterial blood gas analysis revealed normal oxygen saturation and normal oxygen partial pressure. After having ruled out technical problems of pulse oximetry the neurosurgical procedure was halted. Meticulous examination of the child's history and medication did not explain a possible interaction of drugs with pulse oximetry. A Chinese herb tea had been given to the child, but was then stopped on the day of admission...
March 25, 2016: Journal of Clinical Monitoring and Computing
Nicholas O'Connor, Michael Paton
No abstract text is available yet for this article.
April 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Kate Reed, Martino F Pengo, Joerg Steier
BACKGROUND: Obstructive sleep apnea (OSA) is the most common form of sleep-disordered breathing frequently associated with obesity. Obese subjects undergoing elective surgical procedures with general anesthesia are potentially at risk if this condition is not identified. Our aim was to assess the prevalence of bariatric patients with undiagnosed OSA following pre-operative assessment and who could benefit from peri-procedural respiratory management. METHODS: Patients who were referred for prospective bariatric surgery were screened using the STOP-BANG questionnaire...
February 2016: Journal of Thoracic Disease
Boris Jung, Aurelien Daurat, Audrey De Jong, Gerald Chanques, Martin Mahul, Marion Monnin, Nicolas Molinari, Samir Jaber
PURPOSE: Although rapid response systems are known to reduce in-hospital cardiac arrest rate, their effect on mortality remains debated. The present study aimed to evaluate the effect of implementing an intensivist-led rapid response team (RRT) on mortality in hospitalized patients. METHODS: An implementation of an intervention and a comparison with retrospective data analysis were performed in the four hospitals of Montpellier regional healthcare centre, in France...
April 2016: Intensive Care Medicine
Steven M Andreoli, Emma Kofmehl, Steven E Sobol
OBJECTIVE: To determine the need for postoperative admission following airway foreign body retrieval by examining the preoperative presentation, operative details, and postoperative recovery. INTRODUCTION: Inpatient admission following foreign body removal is common, however little evidence supports this practice. In the era of cost containment and prudent utilization of hospital resources, careful examination of the postoperative course following airway foreign body removal is required...
September 2015: International Journal of Pediatric Otorhinolaryngology
Shirley Martin, Jennifer Martin, Theresa Seigler
Nurses', respiratory therapists' (RTs), and physicians' concerns about oxygen weaning practices and pulse oximetry use in healthy children during inpatient admissions prompted this multidisciplinary evidence-based project. A nurse-led inter-professional team found lack of consistent oxygen weaning practices and lack of guidelines for nurses or RTs regarding pulse oximetry use with children admitted for acute respiratory illness. The team created and piloted evidence-based oxygen weaning and pulse oximetry protocols...
November 2015: Journal of Pediatric Nursing
Richard Dwyer, Jonas Hedlund, Birgitta Henriques-Normark, Mats Kalin
BACKGROUND: Patients with community-acquired pneumonia (CAP) often require hospitalisation. CRB-65 is a simple and useful scoring system to predict mortality. However, prognostic factors such as underlying disease and blood oxygenation are not included despite their potential to increase the performance of CRB-65. METHODS: The study included 1172 consecutive patients (830 inpatients, 342 outpatients) with CAP. Mortality, sensitivity, specificity, positive predictive value and negative predictive value, and the area under the receiver operating characteristic (ROC) curve with 95% CI were calculated...
2014: BMJ Open Respiratory Research
Richard Sheu, Brijen Joshi, Kane High, Duc Thinh Pham, Renata Ferreira, Frederick Cobey
OBJECTIVES: To describe perioperative management of patients with left ventricular assist devices (LVAD) in noncardiac procedures. DESIGN: Survey of (1) respondent demographic characteristics, (2) anesthetic practices for LVAD patients having endoscopies, and (3) low-risk surgeries requiring general anesthesia. SETTING: Internet-based. PARTICIPANTS: Society of Cardiovascular Anesthesiologists membership. INTERVENTIONS: None...
February 2015: Journal of Cardiothoracic and Vascular Anesthesia
Biniam Kidane, Sami A Chadi, Anthony Di Labio, Fran Priestap, Wael Haddara, Tina Mele, John M Murkin
PURPOSE: Tissue oxygen saturation (StO2) is a noninvasive measure that reflects changes in tissue perfusion. Rapid response teams (RRTs) assess sick inpatients to determine need for intensive care unit (ICU) admission. This determination is subjective based on parameters such as systolic blood pressure, heart rate, and pulse oximetry. Our objective was to determine if parameters readily available at RRT bedside assessment (vital signs and StO2) can predict ICU admission and inhospital mortality...
April 2015: Journal of Critical Care
Suzanne Schuh, Stephen Freedman, Allan Coates, Upton Allen, Patricia C Parkin, Derek Stephens, Wendy Ungar, Zelia DaSilva, Andrew R Willan
IMPORTANCE: Routine use of pulse oximetry has been associated with changes in bronchiolitis management and may have lowered the hospitalization threshold for patients with bronchiolitis. OBJECTIVE: To examine if infants with bronchiolitis whose displayed oximetry measurements have been artificially elevated 3 percentage points above true values experience hospitalization rates at least 15% lower compared with infants with true values displayed. DESIGN, SETTING, AND PARTICIPANTS: Randomized, double-blind, parallel-group trial conducted from 2008 to 2013 in a tertiary-care pediatric emergency department in Toronto, Ontario, Canada...
August 20, 2014: JAMA: the Journal of the American Medical Association
Jeffrey J Pretto, Teanau Roebuck, Lutz Beckert, Garun Hamilton
Pulse oximetry provides a simple, non-invasive approximation of arterial oxygenation in a wide variety of clinical settings including emergency and critical-care medicine, hospital-based and ambulatory care, perioperative monitoring, inpatient and outpatient settings, and for specific diagnostic applications. Pulse oximetry is of utility in perinatal, paediatric, adult and geriatric populations but may require use of age-specific sensors in these groups. It plays a role in the monitoring and treatment of respiratory dysfunction by detecting hypoxaemia and is effective in guiding oxygen therapy in both adult and paediatric populations...
January 2014: Respirology: Official Journal of the Asian Pacific Society of Respirology
Nishant Verma, Rakesh Lodha, S K Kabra
BACKGROUND: Bronchiolitis is one of the major causes for hospital admissions in infants. Managing bronchiolitis, both in the outpatient and inpatient setting remains a challenge to the treating pediatrician. The effectiveness of various interventions used for infants with bronchiolitis remains unclear. NEED AND PURPOSE: To evaluate the evidence supporting the use of currently available treatment and preventive strategies for infants with bronchiolitis and to provide practical guidelines to the practitioners managing children with bronchiolitis...
October 2013: Indian Pediatrics
Cora Peterson, Scott D Grosse, Matthew E Oster, Richard S Olney, Cynthia H Cassell
OBJECTIVES: Clinical evidence indicates newborn critical congenital heart disease (CCHD) screening through pulse oximetry is lifesaving. In 2011, CCHD was added to the US Recommended Uniform Screening Panel for newborns. Several states have implemented or are considering screening mandates. This study aimed to estimate the cost-effectiveness of routine screening among US newborns unsuspected of having CCHD. METHODS: We developed a cohort model with a time horizon of infancy to estimate the inpatient medical costs and health benefits of CCHD screening...
September 2013: Pediatrics
Ying-Hsien Chen, Yen-Hung Lin, Chi-Sheng Hung, Ching-Chang Huang, Deng-Feng Yeih, Pao-Yu Chuang, Yi-Lwun Ho, Ming-Fong Chen
BACKGROUND: Telehealth based on advanced information technology is an emerging health care strategy for managing chronic diseases. However, the cost-effectiveness and clinical effect of synchronous telehealth services in older patients with cardiovascular diseases has not yet been studied. Since 2009, the Telehealth Center at the National Taiwan University Hospital has provided a range of telehealth services (led by a cardiologist and staffed by cardiovascular nursing specialists) for cardiovascular disease patients including (1) instant transmission of blood pressure, pulse rate, electrocardiography, oximetry, and glucometry for analysis, (2) mutual telephone communication and health promotion, and (3) continuous analytical and decision-making support...
2013: Journal of Medical Internet Research
Frances Chung, Pu Liao, Hisham Elsaid, Sazzadul Islam, Colin M Shapiro, Yuming Sun
INTRODUCTION: It is impractical to perform polysomnography (PSG) in all surgical patients suspected of having sleep disordered breathing (SDB). We investigated the role of nocturnal oximetry in diagnosing SDB in surgical patients. METHOD: All patients 18 years and older who visited the preoperative clinics for scheduled inpatient surgery were approached for study participation. Patients expected to have abnormal electroencephalographic findings were excluded. All patients underwent an overnight PSG at home with a portable device and a pulse oximeter...
May 2012: Anesthesia and Analgesia
William J Brady, Kelly K Gurka, Beth Mehring, Mary Ann Peberdy, Robert E O'Connor et al.
CONTEXT: In-hospital cardiac arrest is a significant public health problem with a low probability of patient survival to hospital discharge. OBJECTIVE: We evaluated the survival rates for adults with in-hospital cardiac arrest based on whether the arrest was witnessed and/or monitored. Our hypothesis is that patients with either a witnessed or monitored arrest had improved survival to hospital discharge with intact neurologic function. DESIGN, SETTING, AND PATIENTS: We studied a cohort study of 74,213 patients who suffered in-hospital cardiac arrest from January 1, 2000 through February 1, 2008 at the 369 hospitals participating in the National Registry of Cardiopulmonary Resuscitation...
July 2011: Resuscitation
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