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American Journal of Critical Care. 2005;14: 26-37
Copyright © 2005 by the American Association of Critical-Care Nurses.
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CE Article

New-Generation Pulse Oximetry in the Care of Critically Ill Patients

By Karen K. Giuliano, RN, PhD and Thomas L. Higgins, MD, MBA. From the Boston College William F. Connell School of Nursing, Chestnut Hill, Mass (KKG), Philips Medical Systems, Andover, Mass (KKG), the Adult Critical Care Division, Baystate Medical Center, Springfield, Mass (TLH), and Tufts University School of Medicine, Boston, Mass (TLH).

Objective To review the published, peer-reviewed studies to date on use of the new-generation pulse oximeters, which are manufactured with algorithms to filter out patients’ body motions, and describe the application of new-generation pulse oximetry in clinical practice in critical care.

Methods MEDLINE was used to locate appropriate articles on pulse oximetry for the years 1995 to 2003. Each article was examined for scientific merit, content, and applicability to clinical practice.

Results A total of 17 relevant articles on the clinical performance of the new-generation pulse oximeters were reviewed, and the data were organized into a table.

Conclusions The combination of studies done in both clinical and laboratory settings did not provide any strong and convincing evidence that the performance of any single new-generation device was superior to that of any other new-generation device. However, the clinical performance of all the new-generation pulse oximetry devices was better than that of earlier devices.

Notice to CE enrollees:
A closed-book, multiple-choice examination following this article tests your understanding of the following objectives:
  1. Compare and analyze new-generation pulse oximeters with conventional devices
  2. Describe the devices that showed superior clinical performance in the studies involving adults in the postanesthesia care unit, critical care unit, and operating room
  3. Describe the devices that showed superior clinical performance in the studies involving children and neonates




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M. Fernandez, K. Burns, B. Calhoun, S. George, B. Martin, and C. Weaver
Evaluation of a New Pulse Oximeter Sensor
Am. J. Crit. Care., March 1, 2007; 16(2): 146 - 152.
[Abstract] [Full Text] [PDF]




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Copyright © 2005 by the American Association of Critical-Care Nurses.