Abstract
The pulse oximeter, a widely used noninvasive monitor of arterial oxygen saturation, has numerous applications in anesthesiology and critical care. Although pulse oximetry is considered sufficiently accurate for many clinical purposes, there are significant limitiations on the accuracy and availability of pulse oximetry data. This article reviews both the clinical uses of the pulse oximeter and the limitations on its performance. The pulse oximeter is generally acknowledged to be one of the most important advances in the history of clinical monitoring.
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Comroe JH, Botelho S. The unreliability of cyanosis in the recognition of arterial anoxemia. Am J Med Sci 1947;214:1–6
Lundsgaard C, Van Slyke DD. Cyanosis. Medicine 1921;2:1–76
Severinghaus JW, Astrup PB. History of blood gas analysis: VI. Oximetry. J Clin Monit 1986;2:270–288
Taylor MB, Whitwam JG. The current status of pulse oximetry: clinical value of continuous noninvasive oxygen saturation monitoring. Anaesthesia 1986;41:943–949
Griffiths DM, Ilsley AH, Runciman WB. Pulse meters and pulse oximeters. Anaesth Intensive Care 1988;16:49–53
Barker SJ, Tremper KK. Pulse oximetry: applications and limitations. Int Anesthesiol Clin 1987;25(3):155–175
Wukitsch MW, Petterson MT, Tobler DR, Pologe JA. Pulse oximetry: analysis of theory, technology, and practice. J Clin Monit 1988;4:290–301
Aoyagi T, Kishi M, Yamaguchi K, Watanabe S. Improvement of the earpiece oximeter. In: Abstracts of the Japanese Society of Medical Electronics and Biological Engineering, 1974;90–91. (Jap)
Severinghaus JW, Honda Y. History of pulse oximetry. Int Anesthesiol Clin 1987;25(4):205–214
Mackenzie N. Comparison of a pulse oximeter with an ear oximeter and an in-vitro oximeter. J Clin Monit 1985;1:156–160
Astrup P, Severinghaus JW. The history of blood gases, acids and bases. Copenhagen: Munksgaard, 1986
Stokes GG. On the reduction and oxygenation of the colouring matter of the blood. London, Edinburgh, Dublin Philosophical Magazine 1864;28:391
Hoppe-Seyler F. Uber die chemischen und optischen Eigenschafter des Blutfarbstoffs. Arch Pathol Anat Physiol 1864;29:233–251. (Ger)
Hufner G. Über die Bedeutung der in der vorigen Abhandlung vorgettragenen Lehre für die Spectroskopie und Photometrie des Blutes. Arch Physiol 1890;31:28–30. (Ger)
Matthes K. Untersuchungen über die Sauerstoffsätting-ungen des menschlichen Arterienblutes. Arch Exp Pathol Pharmacol 1935;176:683–696. (Ger)
Nicolai L. Über Sichtbarmachung, Verlauf und chemische Kinetik der Oxyhemoglobinreduktion im lebenden Gewebe, besonders in der menschlichen Haut. Arch Ges Physiol 1932;229:372–389. (Ger)
Millikan GA, Pappenheimer JR, Rawson AJ, Hervey JP. Continuous measurement of oxygen saturation in man. Am J Physiol 1941;133:390
McClure RD, Behrmann VG, Hartman FW. The control of anoxemia during surgical anesthesia with the aid of an oxyhemograph. Ann Surg 1948;128:685–707
Goldie EAG. Device for continuous indication of oxygen saturation of circulating blood in man. J Sci Instrum 1942;19:23
Squire JR. Instrument for measuring quantity of blood and its degree of oxygenation in the web of the hand. Clin Sci 1940;4:331–339
Millikan GA. Oximeter, instrument for measuring continuously oxygen saturation of arterial blood in man. Rev Sci Instrum 1942;13:434
Muller O, Weis E. Über die Topographie, die Entstenhung und die Bedeutung des menschlichen Sphygmograms. Deutsches Arch Klin Med 1911;105:321. (Ger)
Hertzman AB. Photoelectric plethysmograph of the fingers and toes in man. Proc Soc Exp Biol Med 1937;37:529
Whitcher C, New W, Bacon BE. Perianesthetic oxygen saturation vs. skill of the anesthetist. Anesthesiology 1982;57:A172. Abstract
Tremper KK. Monitoring with transcutaneous Po2 and pulse oximetry devices. In: A panel summary: monitoring of oxygen. Can J Anaesth 1987;34:56–63
Yelderman M, New W. Evaluation of pulse oximetry. Anesthesiology 1983;59:349–352
Yelderman M, Corenmen J. Real time oximetry. In: Prakash O, ed. Computing in anesthesia and intensive care. Boston/The Hague: Martinus Nijhoff, 1983:328–341
Neuman MR. Pulse oximetry: physical principles, technical realization and present limitations. Adv Exp Med Biol 1987;220:135–144
Pologe JA. The theory and principles of pulse oximetry. J Perinatol 1987;7:320–322
Pologe JA. Pulse oximetry: technical aspects of machine design. Int Anesthesiol Clin 1987;25(3):137–153
Huch A, Huch R, König V, et al. Limitations of pulse oximetry. Lancet 1988;1:357–358. Letter
Shimada Y, Yoshiya I, Oka N, Hamaguri K. Effects of multiple scattering and peripheral circulation on arterial oxygen saturation measured with a pulse-type oximeter. Med Biol Eng Comput 1984;22:475–478
Sarnquist F, Todd C, Whitcher C. Accuracy of a new non-invasive oxygen saturation monitor. Anesthesiology 1980;53:S163
Payne JP, Severinghaus JW. Pulse oximetry. Dorchester: Springer-Verlag, 1986:92–93
Pasterkamp H, Daien D. The use of a personal computer for trend data analysis with the Ohmeda 3700 pulse oximeter. J Clin Monit 1988;4:215–222
Brazy JE, Lewis DV, Mitnick MH, Jobsis vander Vleit FF. Noninvasive monitoring of cerebral oxygenation in preterm infants: preliminary observations. Pediatrics 1985;75:217
New W. Pulse oximetry. J Clin Monit 1985;1:126–129
Jennis MS, Peabody JL. Pulse oximetry: an alternative method for the assessment of oxygenation in newborn infants. Pediatrics 1987;79:524–528
Southall DP, Bignall S, Stebbens VA, et al. Pulse oximeter and transcutaneous arterial oxygen measurements in neonatal and paediatric intensive care. Arch Dis Child 1987;62:882–888
American Society of Anesthesiologists. Standards for basic intra-operative monitoring. American Society of Anesthesiologists Newsletter 1986;50:12–13
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA 1986;256:1017–1020
Hornbein TF. The setting of standards of care. JAMA 1986;256:1040–1041
Smith NT. Foreword. Int Anesthesiol Clin 1987;25(3):vii-xiv
Cohen DE, Downes JJ, Raphaely RC. What difference does pulse oximetry make? Anesthesiology 1988;68:181–183
Rubsamen DS. Anesthesia, oxymetry [sic] and the evolving care standard. [Berkeley, CA] Professional Liability Newsletter 1984;15(6):2–4
Faculty of Anaesthetists, Royal College of Surgeons of England. General professional training guide. London: Faculty of Anaesthetists, Royal College of Surgeons of England, 1987
Zorab JSM. Who needs pulse oximetry? Br Med J 1988;296:658–659
Cass NM, Crosby WM, Holland RB. Minimal monitoring standards. Anaesth Intens Care 1988;16:110–113
Webster TA. Now that we have pulse oximeters and capnographs, we don't need precordial and esophageal stethoscopes. J Clin Monit 1987;3:191–192
Petty C: We do need precordial and esophageal stethoscopes. J Clin Monit 1987;3:192–193
Payne JP, Severinghaus JW. Pulse oximetry. Dorchester: Springer-Verlag, 1986:154
Coté CJ, Goldstein EA, Coté MA, et al. A single-blind study of pulse oximetry in children. Anesthesiology 1988;68:184–188
Desiderio DP, Shah NK, Loughlin CJ, Bedford RF. Pulse oximetry during thoracic surgery: not the “gold standard” for oxygenation. Anesth Analg 1988;67:S47. Abstract
Barker SJ, Tremper KK, Hyatt J, Heitzmann H. Comparison of three oxygen monitors in detecting endobronchial intubation. J Clin Monit 1988;4:240–243
Raemer DB, Warren DL, Morris R, et al. Hypoxemia during ambulatory gynecologic surgery as evaluated by the pulse oximeter. J Clin Monit 1987;3:244–248
Tyler IL, Tantisira B, Winter PM, Motoyama EK. Continuous monitoring of arterial oxygen saturation with pulse oximetry during transfer to the recovery room. Anesth Analg 1984;64:1108–1112
McKay WPS, Noble WH. Critical incidents detected by pulse oximetry during anaesthesia. Can J Anaesth 1988;35:265–269
Dautzenberg B, Gallinari C, Moreau A, Sors C. The advantages of real-time oximetry over intermittent arterial blood gas analyses in a chest department. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:63–65
King T, Simon RH. Pulse oximetry for tapering supplemental oxygen in hospitalized patients: evaluation of a protocol. Chest 1987;92:713–716
Cooper JB, Cullen DJ, Nemeskal R, et al. Effects of information feedback and pulse oximetry on the incidence of anesthesia complications. Anesthesiology 1987;67:686–694
Elling A, Hanning CD. Oxygenation during preoperative transportation. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:161–164
Blair I, Holland R, Lau W, et al. Oxygen saturation during transfer from operating room to recovery after anaesthesia. Anaesth Intensive Care 1987;15:147–150
Graham TM, Chang KSK, Stevens WC. Arterial oxygen desaturation and effect of supplemental O2 during transit from OR to PAR utilizing a pulse oximeter. Anesth Analg 1986;65:S62. Abstract
Kataria BK, Harnik EV, Mitchard R, et al. Postoperative arterial oxygen saturation in the pediatric population during transportation. Anesth Analg 1988;67:280–282
Vijayakumar HR, Metriyakool K, Jewell MR. Effects of 100% oxygen and a mixture of oxygen and air on oxygen saturation in the immediate postoperative period in children. Anesth Analg 1987;66:181–184
Morris RW, Buschman A, Warren DL, et al. The prevalence of hypoxemia detected by pulse oximetry during recovery from anesthesia. J Clin Monit 1988;4:16–20
Motoyama EK, Glazener CH. Hypoxemia after general anesthesia in children. Anesth Analg 1986;65:267–272
(Deleted in press)
Viitanen A, Salmenpera M, Heinonen J. Noninvasive monitoring of oxygenation during one-lung ventilation: a comparison of transcutaneous oxygen tension measurement and pulse oximetry. J Clin Monit 1987;3:90–95
Brodsky JB, Shulman MS, Swan M, Mark JBD. Pulse oximetry during one-lung ventilation. Anesthesiology 1985;63:212–214
Hensley FA, Dodson DL, Martin DE, et al. Oxygen saturation during placement of invasive monitoring in the premedicated, unanesthetized cardiac patient. Anesthesiology 1986;65:A22. Abstract
Slogoff S, Keats AS. Does perioperative myocardial ischemia lead to postoperative myocardial infarction? Anesthesiology 1985;62:107–114
Dodson SR, Hensley FA, Martin DE, et al. Continuous oxygen saturation monitoring during cardiac catheterization in adults. Chest 1988;94:28–31
Kurki T, Smith NT, Sanford T, Head N. Pulse oximetry and finger blood pressure measurement during open heart surgery. Anesth Analg 1988;67:S123. Abstract
Deckardt R, Fembacher PM, Schneider KTM, Graeff H. Maternal arterial oxygen saturation during labor and delivery: pain-dependent alterations and effects on the newborn. Obstet Gynecol 1987;70:21–25
Calvin S, Jones OW, Knieriem K, Weinstein L. Oxygen saturation in the supine hypotensive syndrome. Obstet Gynecol 1988;71:872–877
Quance D. Amniotic fluid embolism: detection by pulse oximetry. Anesthesiology 1988;68:951–952
Choi HJ, Little MS, Fujita RA, et al. Pulse oximetry for monitoring during ward analgesia: epidural morphine versus parenteral narcotics. Anesthesiology 1986;65:A371. Abstract
Prakash O. Oximetry in the weaning of the ventilator patient. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:119–124
Adams LP, Foret MD. Monitoring oxygen saturation levels in patients undergoing long-term home oxygen therapy using a portable oximeter. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:179–180
Jones J, Heiselman D, Cannon L, Gradisek R. Continuous emergency department monitoring of arterial saturation in adult patients with respiratory distress. Ann Emerg Med 1988;17:463–468
Rasanen J, Downs JB, DeHaven B. Titration of continuous positive airway pressure by real-time dual oximetry. Chest 1987;92:853–856
Rasanen J, Downs JB, Malec DJ, et al. Real-time continuous estimation of gas exchange by dual oximetry. Intensive Care Med 1988;14:118–122
Brouwers JW. Pulse oximeters, one lung disease and the Rotabed. Anesth Analg 1987;66:1346–1347. Letter
Narang VPS. Utility of the pulse oximeter during cardiopulmonary resuscitation. Anesthesiology 1986;65:239–240. Letter
Herschman Z, Frost EAM, Goldiner PL. Pulse oximetry during shoulder arthroscopy. Anesthesiology 1986;65:565
Nowak GS, Moorthy SS, McNiece WL. Use of pulse oximetry for assessment of collateral arterial flow. Anesthesiology 1986;64:527. Letter
Hovagim AA, Katz RI, Poppers PJ. Pulse oximetry for evaluation of radial and ulnar blood flow. Anesth Analg 1988;67:S94. Abstract
Matsuki A. A modified Allen's test using a pulse oxymeter [sic]. Anaesth Intensive Care 1988;16:126–131. Letter
Lauer KK, Cheng EY, Stommel KA, et al. Pulse oximetry evaluation of the palmar circulation. Anesth Analg 1988;67:S129. Abstract
Raju R. The pulse oximeter and the collateral circulation. Anaesthesia 1986;41:781–782. Letter
Introna RPS, Silverstein PI. A new use for the pulse oximeter. Anesthesiology 1986;65:342. Letter
Graham B, Paulus DA, Caffee HH. Pulse oximetry for vascular monitoring in upper extremity replantation surgery. J Hand Surg 1986;11A:687–692
Korbon GA, Wills MH, D'Lauro F, Lawson D. Systolic blood pressure measurement: Doppler vs. pulse oximeter. Anesthesiology 1987;67:A188. Abstract
Wallace CT, Baker JD, Alpert CC, et al. Comparison of blood pressure measurement by Doppler and by pulse oximetry techniques. Anesth Analg 1987;66:1018–1019
Lawson D, Norley I, Korbon G, et al. Blood flow limits and pulse oximeter signal detection. Anesthesiology 1987;67:599–603
Gibbs N, Handal J, Nentwig MK. Pulse oximetry during shoulder arthroscopy. Anesthesiology 1987;67:150–151. Letter
Kurki TS, Sanford TJ, Smith NT, et al. Effects of radial artery cannulation on the function of finger blood pressure and pulse oximetry monitors. Anesthesiology (in press)
Ferrara JJ, Dyess DL, Lasecki M, et al. Surface oximetry: a new method to evaluate intestinal perfusion. Am Surg 1988;54:10–14
Stolar CJH, Randolph JG. Evaluation of ischemic bowel viability with a fluorescent technique. J Pediatr Surg 1978;13:221–225
Morgan BC, Crawford EW, Guntheroth WG. The hemodynamic effects of changes in blood volume during intermittent positive-pressure ventilation. Anesthesiology 1969;30:297–305
Partridge BL. Use of pulse oximetry as a noninvasive indicator of intravascular volume status. J Clin Monit 1987;3:263–268
Fait CD, Wetzel RC, Dean JM, et al. Pulse oximetry in critically ill children. J Clin Monit 1985;1:232–235
Fanconi S, Doherty P, Edmonds JF, et al. Pulse oximetry in pediatric intensive care: comparison with measured saturations and transcutaneous oxygen tension. J Pediatr 1985;107:362–366
Ramanathan R, Durand M, Larrazabal C. Pulse oximetry in very low birth weight infants with acute and chronic lung disease. Pediatrics 1987;79:612–617
Wasunna A, Whitelaw AGL. Pulse oximetry in preterm infants. Arch Dis Child 1987;62:957–958
Durand M, Ramanathan R. Pulse oximetry for continuous oxygen monitoring in sick newborn infants. J Pediatr 1986;109:1052–1056
Peabody JL, Jennis MS, Emery JR. Pulse oximetry: an alternative to transcutaneousPCO 2 in sick newborns. Adv Exp Med Biol 1987;220:145–150
Hay WW, Brockway J, Eyzaguirre M. Application of the Ohmeda Biox 3700 pulse oximeter to neonatal oxygen monitoring. Adv Exp Med Biol 1987;220:151–158
Gussack GS, Tacchi EJ. Pulse oximetry in the management of pediatric airway disorders. Southern Med J 1987;80:1381–1384
Lazzell VA, Jopling MW. Accuracy of pulse oximetry in cyanotic congenital heart disease. Anesthesiology 1987;67:A169
Stow PJ, Burrows FA, Lerman J, Roy WL. Arterial oxygen saturation following premedication in children with cyanotic congenital heart disease. Can J Anaesth 1988;35:63–66
Ridley SA. A comparison of two pulse oximeters: assessment of accuracy at low arterial saturation in paediatric surgical patients. Anaesthesia 1988;43:136–140
Boxer RA, Gottesfeld I, Singh S, et al. Noninvasive pulse oximetry in children with cyanotic congenital heart disease. Crit Care Med 1987;15:1062–1064
Doherty P. The advantages of pulse oximetry during paediatric anaesthesia. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:101–104
O'Brien D, Hammond KB. Interpretation of biochemical values. In: Kempe CH, Silver HK, O'Brien D, eds. Current pediatric diagnosis and treatment. Los Altos, CA: Lange, 1976:997–1023
Conley CL. Hereditary persistence of fetal hemoglobin. Blood 1963;21:261
Zwart A, Buursma A, Oeseburg B, Zijlstra WG. Determination of hemoglobin derivatives with the IL-282 CO-Oximeter as compared with a manual spectro-photometric five-wavelength method. Clin Chem 1981;27:1903–1907
Cornelissen PJH, van Woensel CLM, van Oel WC, de Jong PA. Correction factors for hemoglobin derivatives in fetal blood, as measured with the IL-282 CO-Oximeter. Clin Chem 1983;29:1555–1556. Letter
Bunn HF, Forget BG, Ranney HM. Human hemoglobins. Philadelphia: WB Saunders, 1977
Harris AP, Sendak MJ, Donham RT, et al. Absorption characteristics of human fetal hemoglobin at wave-lengths used in pulse oximetry. J Clin Monit 1988;4:175–177
Pologe JA, Raley DM. Effects of fetal hemoglobin on pulse oximetry. J Perinatol 1987;7:324–326
Anderson JV. The accuracy of pulse oximetry in neonates: effects of fetal hemoglobin and bilirubin. J Perinatol 1987;7:323
Hodgson AJ. Is co-oximetry a reliable standard for pulse oximetry in the neonate? J Perinatol 1987;7:327–328
Barber RE, Lee J, Hamilton WK. Oxygen toxicity in man: a prospective study in patients with irreversible brain damage. N Engl J Med 1970;283:1478
James LS, Lanman JT. History of oxygen therapy and retrolental fibroplasia. Pediatrics 1976;57(suppl):591–642
Cunningham MD, Shook LA, Tomazic T. Clinical experience with pulse oximetry in managing oxygen therapy in neonatal intensive care. J Perinatol 1987;7:333–335
Dear PRF. Monitoring oxygen in the newborn: saturation or partial pressure. Arch Dis Child 1987;62:879–881
Fanconi S. Pulse oximetry and transcutaneous oxygen tension for detection of hypoxemia in critically ill infants and children. Adv Exp Med Biol 1987;220:159–164
Wilkinson AR, Phibbs RH, Gregory GA. Continuous measurement of oxygen saturation in sick newborn infants. J Pediatr 1978;93:1016–1019
Hay WW. Physiology of oxygenation and its relation to pulse oximetry in neonates. J Perinatol 1987;7:309–319
Deckardt R, Steward DJ. Noninvasive arterial hemoglobin saturation versus transcutaneous oxygen tension monitoring in the preterm infant. Crit Care Med 1984;12:935–939
Baeckert P, Bucher HU, Fallenstein F, et al. Is pulse oximetry reliable in detecting hyperoxemia in the neonate? Adv Exp Med Biol 1987;220:165–169
Bossi E, Meister B, Pfenninger J. Comparison between transcutaneousPCO 2 and pulse oximetry for monitoring O2 treatment in neonates. Adv Exp Med Biol 1987;220:171–176
Hodgson A, Horbar J, Sharp G, et al. The accuracy of the pulse oximeter in neonates. Adv Exp Med Biol 1987;220:177–179
Peabody JL. Historical perspective of noninvasive monitoring. J Perinatol 1987;7:306–308
Wiswell TE. Pulse oximetry versus transcutaneous oxygen monitoring in perinatology applications. J Perinatol 1987;7:331–332
Miyasaka K. Use of non-invasive oximetry during the induction of anaesthesia in children. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:95–100
Friesen RH. Pulse oximetry during pulmonary artery surgery. Anesth Analg 1985;64:376
Norman EA. Pulse oximetry during repair of congenital diaphragmatic hernia. Br J Anaesth 1986;58:934–935. Letter
Morgan MEI, Durbin GM. Pulse oximetry in neonatal care. Arch Dis Child 1986;61:1247. Letter
Brooks TD, Gravenstein N. Pulse oximetry for early detection of hypoxemia in anesthetized infants. J Clin Monit 1985;1:135–137
Harris AP, Sendak MJ, Donham RT. Changes in arterial oxygen saturation immediately postpartum in the human neonate. J Pediatr 1986;109:526–529
Sendak MJ, Harris AP, Donham RT. Use of pulse oximetry to assess arterial oxygen saturation during newborn resuscitation. Crit Care Med 1986;14:739–740
House JT, Schultheis RR, Gravenstein N. Continuous neonatal evaluation in the delivery room by pulse oximetry. J Clin Monit 1987;3:96–100
Josten KU. Oximetry. Br J Anaesth 1986;58:248–249. Letter
Lear GH, Levene S, McKenzie SA. Who needs pulse oximetry? Br Med J 1988;296:1002–1003. Letter
Glaser R, Fisher DM. Respiratory monitoring for children undergoing radiation therapy. Anesthesiology 1985;63:123–124. Letter
Severinghaus JW. History, status and future of pulse oximetry. Adv Exp Med Biol 1987;220:3–8
Kim SK, Baidwan BS, Petty TL. Clinical evaluation of a new finger oximeter. Crit Care Med 1984;12:910–912
Mihm FG, Halperin BD. Noninvasive detection of profound arterial desaturation using a pulse oximetry device. Anesthesiology 1985;62:85–87
Tytler JA, Seeley HF. The Nellcor N-101 pulse oximeter: a clinical evaluation in anaesthesia and intensive care. Anaesthesia 1986;41:302–305
Dautzenberg B, Gallinari C, Moreau A, Sors C. The advantages of real-time oximetry over intermittent arterial blood gas analyses in a chest department. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:63–65
Chapman KR, Liu FLW, Watson RM, Rebuck AS. Range of accuracy of two-wavelength oximetry. Chest 1986;89:540–542
Lynn AM, Bosenberg A. Pulse oximetry during cardiac catheterization in children with congenital heart disease. J Clin Monit 1986;2:230–233
Lafeber HN, Fetter WPF, v. d. Wiel AR, Jansen TC. Pulse oximetry and transcutaneous oxygen tension in hypoxemic neonates and infants with bronchopulmonary dysplasia. Adv Exp Med Biol 1987;220:181–186
Kagle DM, Alexander CM, Berko RS, et al. Evaluation of the Ohmeda 3700 pulse oximeter: steady-state and transient response characteristics. Anesthesiology 1987;66:376–380
Severinghaus JW, Naifeh KH. Accuracy of response of six pulse oximeters to profound hypoxia. Anesthesiology 1987;67:551–558
Sidi A, Rush W, Gravenstein N, et al. Pulse oximetry fails to accurately detect low levels of arterial hemoglobin oxygen saturation in dogs. J Clin Monit 1987;3:257–262
Warley ARH, Mitchell JH, Stradling JR. Evaluation of the Ohmeda 3700 pulse oximeter. Thorax 1987;42:892–896
Walsh MC, Noble LM, Carlo WA, Martin RJ. Relationship of pulse oximetry to arterial oxygen tension in infants. Crit Care Med 1987;15:1102–1105
Sendak MJ, Harris AP, Donham RT. Accuracy of pulse oximetry during arterial oxyhemoglobin desaturation in dogs. Anesthesiology 1988;68:111–114
Mendelson Y, Kent JC, Shahnarian A, et al. Evaluation of the Datascope Accusat pulse oximeter in healthy adults. J Clin Monit 1988;4:59–63
Cecil WT, Thorpe KJ, Fibuch EE, Tuohy GF. A clinical evaluation of the accuracy of the Nellcor N-100 and Ohmeda 3700 pulse oximeters. J Clin Monit 1988;4:31–36
Fanconi S. Reliability of pulse oximetry in hypoxic infants. Pediatrics 1988;112:424–427
Nickerson BG, Sarkisian C, Tremper K. Bias and precision of pulse oximeters and arterial oximeters. Chest 1988;93:515–517
Taylor MB, Whitwam JG. The accuracy of pulse oximeters: a comparative clinical evaluation of five pulse oximeters. Anaesthesia 1988;43:229–232
Gabrielczyk MR, Buist RJ. Pulse oximetry and postoperative hypothermia. Anaesthesia 1988;43:402–404
Anderson JA, Kafer ER. Evaluation of the accuracy of four pulse oximeters during outpatient dental anesthesia. Anesth Analg 1988;67:S2. Abstract
Weingarten AE, Neuman GG, Segal B, et al. Pulse oximetry to determine oxygenation in a patient with pseudohypoxemia. Anesth Analg 1988;67:711–712. Letter
Glantz SA. Primer of biostatistics. New York: McGraw-Hill, 1987:215–228
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:29
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1:307–310
Fallenstein F, Baeckert P, Huch R. Comparison of invivo response times between pulse oximetry and transcutaneousPCO 2 monitoring. Adv Exp Med Biol 1987;220:191–194
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:45
Evans ML, Geddes LA. An assessment of blood vessel vasoactivity using photoplethysmography. Med Instrum 1988;22:29–32
Jobes DR, Nicolson SC. Monitoring of arterial hemoglobin oxygen saturation using a tongue sensor. Anesth Analg 1988;67:186–188
Cheng EY, Hopwood MB, Kay J. Forehead pulse oximetry compared with finger pulse oximetry and arterial blood gas measurement. J Clin Monit 1988;4:223–226
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:69
Kim JM, Arakawa K, Benson KT, Fox DK. Pulse oximetry and circulatory kinetics associated with pulse volume amplitude measured by photoelectric plethysmography. Anesth Analg 1986;65:1333–1339
Lee SE, Tremper KK, Barker SJ. Effects of anemia on pulse oximetry and continuous mixed venous oxygen saturation monitoring in dogs. Anesth Analg 1988;67:S130. Abstract
Barker SJ, Tremper KK. The effect of carbon monoxide inhalation on pulse oximetry and transcutaneousPCO 2. Anesthesiology 1987;66:677–679
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:90
Barker SJ, Tremper KK, Hufstedler S, et al. The effects of carbon monoxide inhalation on noninvasive oxygen monitoring. Anesth Analg 1986;65:S12. Abstract
Eisenkraft JB. Pulse oximeter desaturation due to methemoglobinemia. Anesthesiology 1988;68:279–282
Barker SJ, Tremper KK, Hyatt J, Zaccari J. Effects of methemoglobinemia on pulse oximetry and mixed venous oximetry. Anesthesiology 1987;67:A171. Abstract
Drabkin DL. Spectrophotometric studies. XIV. The crystallographic and optical properties of the hemoglobin of man in comparison with those of other species. J Biol Chem 1946;164:703–723
Operator's manual. IL-282 CO-oximeter, 79282. Lexington, MA: Instrumentation Laboratory, 1977
Kessler MR, Eide T, Humayun B, Poppers PJ. Spurious pulse oximeter desaturation with methylene blue injection. Anesthesiology 1986;65:435–436
Gorman ES, Shnider MR. Effect of methylene blue on the absorbance of solutions of haemoglobin. Br J Anaesth 1988;60:439–444
Scheller MS, Unger RJ, Kelner MJ. Effects of intravenously administered dyes on pulse oximetry readings. Anesthesiology 1986;65:550–552
Sidi A, Paulus DA, Rush W, et al. Methylene blue and indocyanine green artifactually lower pulse oximetry readings of oxygen saturation. Studies in dogs. J Clin Monit 1987;3:249–256
Eisenkraft JB. Methylene blue and pulse oximetry readings: spuriouser and spuriouser! Anesthesiology 1988;68:171. Letter
Eide TR, Poppers PJ. Reply to a letter. Anesthesiology 1988;68:171–172
Unger RJ, Scheller MS. More on dyes and pulse oximeters. Anesthesiology 1987;67:148–149. Letter
Eide TR, Humayun-Scott B, Poppers PJ. Reply to a letter. Anesthesiology 1987;67:149
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:192
Chandhary BA, Burk NK. Ear oximetry in clinical practice. Am Rev Respir Dis 1978;117:173
Costarino AT, Davis DA, Keon TP. Falsely normal saturation reading with the pulse oximeter. Anesthesiology 1987;67:830–831
Hanowell L, Eisele JH, Downs D. Ambient light affects pulse oximeters. Anesthesiology 1987;67:864–865. Letter
Brooks TD, Paulus DA, Winkle WE. Infrared heat lamps interfere with pulse oximeters. Anesthesiology 1984;61:630. Letter
Block FE. Interference in a pulse oximeter from a fiberoptic light source. J Clin Monit 1987;3:210–211
Abbott MA. Monitoring oxygen saturation levels in the early recovery phase of general anaesthesia. In: Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:165–172
Nellcor, Inc. Pulse oximetry reference note No 5. Hayward, CA: Nellcor, Inc, 1987
Siegel MN, Gravenstein N. Preventing ambient light from affecting pulse oximetry. Anesthesiology 1987;67:280. Letter
Zablocki AD, Rasch DK. A simple method to prevent interference with pulse oximetry by infrared heating lamps. Anesth Analg 1987;66:915. Letter
Samuels SI, Shochat SJ. A new technique for stabilizing the oxygen saturation monitor probe in infants and children. Anesth Analg 1986;65:209. Letter
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:67
Emery JR. Skin pigmentation as an influence on the accuracy of pulse oximetry. J Perinatol 1987;7:329–330
Payne JP, Severinghaus JW, eds. Pulse oximetry. Dorchester: Springer-Verlag, 1986:107
Block FE, Detko GJ. Minimizing interference and false alarms from electrocautery in the Nellcor N-100 pulse oximeter. J Clin Monit 1986;2:203–205
Talke P, Nichols RJ, Traber DL. Evaluation of pulse oximetry for intraoperative blood pressure measurement and vital sign monitoring during patient transport via Life Flight. Anesth Analg 1988;67:S229. Abstract
Kataria BK, Lampkins R. Nail polish does not affect pulse oximeter saturation. Anesth Analg 1986;65:819. Letter
Rubin AS. Nail polish color can affect pulse oximeter saturation. Anesthesiology 1988;68:825. Letter
Coté CJ, Goldstein EA, Fuchsman WH, Hoaglin DJ. The effect of nail polish on pulse oximetry. Anesth Analg 1988;67:683–686
Miyasaka K, Katayama M, Kusakawa I, et al. Use of pulse oximetry in neonatal anesthesia. J Perinatol 1987;7:343–345
Miyasaka K, Ohata J. Burn, erosion, and “sun” tan with the use of pulse oximetry in infants. Anesthesiology 1987;67:1008–1009
Berge KH, Lanier WL, Scanlon PD. Ischemic digital skin necrosis: a complication of the reusable Nellcor pulse oximeter probe. Anesth Analg 1988;67:712–713. Letter
Sloan TB. Finger injury by an oxygen saturation monitor probe. Anesthesiology 1988;68:936–938
Foltz BD. Another technique for extending the life of oximetry monitoring probes. Anesth Analg 1987;66:373–374. Letter
Alpert CC, Cooke JE. Extending the life of oximetry monitoring probes. Anesth Analg 1986;65:826–827. Letter
Yoder RD. Preservation of pulse oximeter sensors. Anesthesiology 1988;68:308. Letter
Racys V, Nahrwold ML. Reusing the Nellcor pulse oximeter probe: is it worth the savings? Anesthesiology 1987;66:713. Letter
Kao YJ, Badgwell JM. Reusing the Nellcor pulse probe: clarification. Anesthesiology 1987;67:866. Letter
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Kelleher, J.F. Pulse oximetry. J Clin Monitor Comput 5, 37–62 (1989). https://doi.org/10.1007/BF01618369
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DOI: https://doi.org/10.1007/BF01618369