Pulse oximetry in bronchiolitis: is it needed?
نویسندگان
چکیده
Infants admitted to health-care centers with acute bronchiolitis are frequently monitored with a pulse oximeter, a noninvasive method commonly used for measuring oxygen saturation. The decision to hospitalize children with bronchiolitis has been largely influenced by pulse oximetry, despite its questionable diagnostic value in delineating the severity of the illness. Many health-care providers lack the appropriate clinical fundamentals and limitations of pulse oximetry. This deficiency in knowledge might have been linked to changes in the management of bronchiolitis. The aim of this paper is to provide the current evidence on the role of pulse oximetry in bronchiolitis. We discuss the history, fundamentals of operation, and limitations of the apparatus. A search of the Google Scholar, Embase, Medline, and PubMed databases was carried out for published articles covering the use of pulse oximetry in bronchiolitis.
منابع مشابه
Impact of pulse oximetry and oxygen therapy on length of stay in bronchiolitis hospitalizations.
BACKGROUND Infants hospitalized with bronchiolitis are frequently monitored with a pulse oximeter. However, there is little consensus on an acceptable lower limit of oxygenation. No previous studies have examined how the use of pulse oximetry and supplemental oxygen therapy affects length of stay. OBJECTIVE To determine the extent to which bronchiolitis hospitalizations are prolonged by a per...
متن کاملPulse oximetry may lead to unnecessary hospital admissions for infants with bronchiolitis and mild hypoxaemia.
Context Viral bronchiolitis is a leading cause for infants to be admitted to hospital. Hospitalisation rates for bronchiolitis increased more than twofold between 1980 and 2000, a period during which pulse oximetry was introduced into routine practice. Practice guidelines from the American Academy of Paediatrics have stressed that oxygen is not required in otherwise stable infants with saturati...
متن کاملMeta-analysis based on standardized effects is unreliable.
1. Schroeder AR, Marmor AK, Pantell RH, Newman TB. Impact of pulse oximetry and oxygen therapy on length of stay in bronchiolitis hospitalizations. Arch Pediatr Adolesc Med. 2004;158;527-530. 2. Mallory MD, Shay DK, Garrett J, Bordley WC. Bronchiolitis management preferences and the influence of pulse oximetry and respiratory rate on the decision to admit. Pediatrics [serial online]. 2003;111:e...
متن کاملPulse oximetry in pediatric practice.
The introduction of pulse oximetry in clinical practice has allowed for simple, noninvasive, and reasonably accurate estimation of arterial oxygen saturation. Pulse oximetry is routinely used in the emergency department, the pediatric ward, and in pediatric intensive and perioperative care. However, clinically relevant principles and inherent limitations of the method are not always well unders...
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Background: Pulse Oximeter monitoring has become so common over previous decades that in some health care units, blood oxygen level is now considered as the fifth vital sign. However, it seems there is still some lack of knowledge and/or experience among medical staff operating pulse oximeter and interpreting its results. The aim of this study was to investigate and compare the knowledge on Pul...
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