Al-Beltagi Mohammed, Saeed Nermin Kamal, Bediwy Adel Salah, Elbeltagi Reem
Department of Pediatric, Faculty of Medicine, Tanta University, Tanta 31511, Alghrabia, Egypt.
Department of Pediatrics, University Medical Center, King Abdulla Medical City, Arabian Gulf University, Manama 26671, Manama, Bahrain.
World J Clin Pediatr. 2024 Sep 9;13(3):96950. doi: 10.5409/wjcp.v13.i3.96950.
Pulse oximetry has become a cornerstone technology in healthcare, providing non-invasive monitoring of oxygen saturation levels and pulse rate. Despite its widespread use, the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.
To comprehensively evaluate the advantages, limitations, and challenges of pulse oximetry in clinical practice, as well as to propose recommendations for optimizing its use.
A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings. Relevant articles were selected based on predefined inclusion and exclusion criteria, and data were synthesized to provide a comprehensive overview of the topic.
Pulse oximetry offers numerous advantages, including non-invasiveness, real-time feedback, portability, and cost-effectiveness. However, several limitations and challenges were identified, including motion artifacts, poor peripheral perfusion, ambient light interference, and patient-specific factors such as skin pigmentation and hemoglobin variants. Recommendations for optimizing pulse oximetry use include technological advancements, education and training initiatives, quality assurance protocols, and interdisciplinary collaboration.
Pulse oximetry is crucial in modern healthcare, offering invaluable insights into patients' oxygenation status. Despite its limitations, pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings. By implementing the recommendations outlined in this review, healthcare providers can enhance the effectiveness, accessibility, and safety of pulse oximetry monitoring, ultimately improving patient outcomes and quality of care.
脉搏血氧饱和度测定法已成为医疗保健领域的一项基础技术,可对血氧饱和度水平和脉搏率进行无创监测。尽管该技术被广泛应用,但为确保准确可靠的患者护理,必须解决其固有的局限性和挑战。
全面评估脉搏血氧饱和度测定法在临床实践中的优势、局限性和挑战,并提出优化其使用的建议。
进行了一项系统的文献综述,以识别与脉搏血氧饱和度测定法及其在各种临床环境中的应用相关的研究。根据预先定义的纳入和排除标准选择相关文章,并综合数据以全面概述该主题。
脉搏血氧饱和度测定法具有诸多优势,包括无创性、实时反馈、便携性和成本效益。然而,也发现了一些局限性和挑战,包括运动伪影、外周灌注不良、环境光干扰以及诸如皮肤色素沉着和血红蛋白变体等患者特异性因素。优化脉搏血氧饱和度测定法使用的建议包括技术进步、教育和培训举措、质量保证方案以及跨学科合作。
脉搏血氧饱和度测定法在现代医疗保健中至关重要,能为患者的氧合状态提供宝贵见解。尽管存在局限性,但脉搏血氧饱和度测定法仍是在各种临床环境中监测患者的不可或缺的工具。通过实施本综述中概述的建议,医疗保健提供者可提高脉搏血氧饱和度测定法监测的有效性、可及性和安全性,最终改善患者结局和护理质量。