Warley A R, Mitchell J H, Stradling J R
Chest Clinic, Churchill Hospital, Oxford.
Thorax. 1987 Nov;42(11):892-6. doi: 10.1136/thx.42.11.892.
Arterial oxygen saturation values (Sao2) from 60% to 98% were measured by the Ohmeda 3700 pulse oximeter with the three types of probe available and compared with values of oxygen saturation estimated from direct arterial sampling (arterial oxygen and carbon dioxide tensions and pH) on 65 occasions. The response time of the oximeter was measured after a sudden rise in inspired oxygen concentration. Artefact rejection was assessed by arterial compression proximal to the probe site, and by simultaneous recordings of overnight Sao2 on opposite hands. The ability to recreate patterns of oscillating Sao2 from the data stored in the oximeter was also investigated. With the best probe system the oximeter measured Sao2, relative to arterial values estimated from Pao2, with a mean (SD) difference of -0.4% (1.8%). The response time was comparable with those of previous oximeters. It was not possible to generate artefactual dips in excess of 2% Sao2, and the dual overnight recordings rarely showed even small dips on one tracing alone. The stored data can recreate oscillating Sao2 signals with wavelengths down to about 35 seconds, but not below. The Ohmeda 3700 pulse oximeter appears to be suitable for unattended overnight recordings of Sao2.
使用三种可用探头的Ohmeda 3700脉搏血氧仪测量了60%至98%的动脉血氧饱和度值(Sao2),并在65次测量中与直接动脉采样(动脉血氧和二氧化碳分压以及pH值)估算的血氧饱和度值进行了比较。在吸入氧浓度突然升高后测量了血氧仪的响应时间。通过在探头部位近端进行动脉压迫以及同时记录双手的夜间Sao2来评估伪差排除情况。还研究了从血氧仪存储的数据中重现振荡Sao2模式的能力。使用最佳探头系统时,相对于根据Pao2估算的动脉值,血氧仪测量的Sao2平均(标准差)差异为-0.4%(1.8%)。响应时间与之前的血氧仪相当。不可能产生超过2% Sao2的伪差下降,并且夜间的双份记录很少仅在一条记录曲线上显示出即使很小的下降。存储的数据可以重现波长低至约35秒的振荡Sao2信号,但不能低于此值。Ohmeda 3700脉搏血氧仪似乎适用于Sao2的无人值守夜间记录。