- 期刊
探討脈動式氧合測量器於小兒加護病房臨床應用的限制
Detection of the Clinical Limitation for Pulse Oximetry in PICU
摘要
Pulse oximetry is a widely used monitoring technique in operation room, intensive care units, and other areas. In light of some clinical limitations that have been noted in pulse oximetry in PICU. Our aim of this descriptive study was to detect the limitation of pulse oximetry. Data analyzed with a paired t-test showed a statistically significant difference between the SpO2 and SaO2 values (t=5.984, p＜.01). The Pearson correlation coefficient between pulse oximetry (SpO2) and direct blood oxygen saturation (SaO2) measurement was 0.920 (p＜.01). For the difference between SpO2 and SaO2, significant correlations were noted with hematocrit (Hct), bilirubin level, hemoglobin level, arterial oxygen partial pressure (PaO2), arterial carbon dioxide partial pressure (PaCO2), arterial blood of acid-base level (PH), NTG use, and PGE1 use. No significant correlations were noted with patient temperature, calcium level, position of pulse oximetry, and vasoconstrictor use. The data showed that the ability of pulse oximetry is limited. We must understand the limitation of pulse oximetry, then we can predict patient conditions, and improve the quality of nursing care.
並列摘要
Pulse oximetry is a widely used monitoring technique in operation room, intensive care units, and other areas. In light of some clinical limitations that have been noted in pulse oximetry in PICU. Our aim of this descriptive study was to detect the limitation of pulse oximetry. Data analyzed with a paired t-test showed a statistically significant difference between the SpO2 and SaO2 values (t=5.984, p＜.01). The Pearson correlation coefficient between pulse oximetry (SpO2) and direct blood oxygen saturation (SaO2) measurement was 0.920 (p＜.01). For the difference between SpO2 and SaO2, significant correlations were noted with hematocrit (Hct), bilirubin level, hemoglobin level, arterial oxygen partial pressure (PaO2), arterial carbon dioxide partial pressure (PaCO2), arterial blood of acid-base level (PH), NTG use, and PGE1 use. No significant correlations were noted with patient temperature, calcium level, position of pulse oximetry, and vasoconstrictor use. The data showed that the ability of pulse oximetry is limited. We must understand the limitation of pulse oximetry, then we can predict patient conditions, and improve the quality of nursing care.
延伸閱讀
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