Document Detail


Toe gangrene in an infant subsequent to application of adult-type pulse oximeter probe for 10 min.
MedLine Citation:
PMID:  20390308     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of ischemic changes after application of an adult pulse oximeter probe in an infant for a short period of only 10 min. To understand the physiology behind this mishap, we studied pressure exerted by the adult pulse oximeter probe on simulated fingers (fluid-filled pouches), which were filled under gravity through the three-way stopcock. A catheter was placed inside the pouch to continuously measure the pressure. The experiment was performed on different sizes of the finger-shaped pouches and by varying the positioning of the pouches in the pulse oximeter. It was observed that pressure exerted by the pulse oximeter was directly proportional to the extent to which it was stretched after placement on the fluid-filled pouches of different sizes. In the fully extended position, the pressure exerted was higher (up to 30 mmHg) than in the fully collapsed position (4 mmHg). Higher pressures were caused by greater stretch of the probe. This could occur due to larger fingers and closer placement of fingers to the hinge of the probe.
Authors:
Jyotsna Punj; Ashok Jaryal; Senthil Mahalingam; Chaitra Mukundan; Ravindra Pandey; Vanlal Darlong; Chandralekha
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of anesthesia     Volume:  24     ISSN:  1438-8359     ISO Abbreviation:  J Anesth     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  630-2     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, RN 5013, Vth Floor, Academic Section, All India Institute of Medical Sciences, New Delhi, India. Jyotsna_punj@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Gangrene / etiology
Humans
Infant
Male
Oximetry / adverse effects*
Pressure
Toes / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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