Document Detail

Use of a pulse oximeter for determination of systolic blood pressure in a helicopter air ambulance.
MedLine Citation:
PMID:  10137496     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Traditional methods of determining blood pressure may be unreliable (auscultation or palpation) or unavailable (direct arterial cannulation) in the air medical environment. The authors investigated the combination of a pulse oximeter with a standard sphygmomanometer (blood pressure) cuff as an alternative method. METHOD: The pulse oximeter is applied to a finger on the same upper extremity on which a standard blood pressure cuff had been applied. A baseline blood pressure was obtained by palpation or an automated blood pressure device. One minute later, the systolic blood pressure (SBP) was determined by inflating the blood pressure cuff until the pulsatile display on the pulse oximeter was obliterated. This was taken as the systolic blood pressure. RESULTS: Complete data were obtained on 116 patients, with 223 data pairs. The SBP as obtained by the baseline method was strongly correlated with the SBP obtained by the pulse oximeter display obliteration method (r = 0.90, p < 0.001). CONCLUSION: The obliteration of the wave form display on a pulse oximeter is an accurate, convenient, inexpensive and readily available alternative method of determining SBP.
J Mohler; S C Hart
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Air medical journal     Volume:  13     ISSN:  1067-991X     ISO Abbreviation:  Air Med. J.     Publication Date:    1994 Nov-Dec
Date Detail:
Created Date:  1994-12-27     Completed Date:  1994-12-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9312325     Medline TA:  Air Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  479-82     Citation Subset:  H    
Care Flight, Reno, NV.
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MeSH Terms
Air Ambulances / statistics & numerical data*
Blood Pressure Determination / methods*,  statistics & numerical data
Data Collection
Monitoring, Physiologic / methods,  statistics & numerical data
Oximetry / statistics & numerical data,  utilization*

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

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