Document Detail

Pulse oximetry in the accident and emergency department.
MedLine Citation:
PMID:  2742667     Owner:  NLM     Status:  MEDLINE    
The early detection and treatment of hypoxia is important to reduce patient morbidity in the accident and emergency department. At present, the commonly used methods all have practical difficulties in the urgent situations that prevail in the department. Pulse oximetry has recently become a method of choice in many anaesthetic and intensive care units for the continuous monitoring of oxygenation and the early detection of hypoxia. As similar conditions prevail in the accident and emergency department, we have attempted to evaluate its ease of use and the quality of information obtained in our department. Patients presenting with chest pain to an accident and emergency department have their oxygen saturation measured by the pulse oximeter finger probe prior to the commencement of oxygen therapy. After 5 min of oxygen therapy, the measurement was repeated. Our result showed that although no patients could be judged as hypoxic on clinical grounds the pulse oximeter showed, within 30 s of admission, that a number had an abnormal oxygen saturation. Continuous monitoring with the probe after the application of low flow oxygen therapy also aided in monitoring their treatment and this improvement was again easily and quickly recorded. Our experience shows that the pulse oximeter may be a useful tool for evaluating hypoxia and oxygen therapy in the accident and emergency department and we feel that we should be one of the groups who should reply in the positive to Zorab's question, 'Who needs pulse oximetry?' (Zorab, 1988).
C J Holburn; M J Allen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of emergency medicine     Volume:  6     ISSN:  0264-4924     ISO Abbreviation:  Arch Emerg Med     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-08-25     Completed Date:  1989-08-25     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8500828     Medline TA:  Arch Emerg Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  137-42     Citation Subset:  IM    
Accident and Emergency Department, Leicester Royal Infirmary, England.
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MeSH Terms
Aged, 80 and over
Anoxia / diagnosis*,  therapy
Blood Gas Monitoring, Transcutaneous / instrumentation*,  methods
Emergency Service, Hospital
Evaluation Studies as Topic
Middle Aged

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