• Most essential monitors for routine use in • Heart Failure anesthesia and intensive care. • Chronic Obstructive Pulmonary Disease • An EASY and PAINLESS test measuring the oxygen ( COPD ) level ( Oxygen Saturation 5th vital sign ) of the • Anemia blood, heart rate and gives an idea of tissue • Lung Cancer perfusion by pulse wave form • Asthma • A clip like device called probe placed on the body • Pneumonia part ( Finger or Ear Lobe ) LIMITATIONS OF PULSE OXIMETRY ( Inaccurate or • Probe : uses light to measure oxygen in the blood unreliable reading ) • Information indicator if patient needs extra oxygen • Poor Circulation Parts of the Oximetry • Cool Skin Temperature • Dark Nail Polish • Low Perfusion State • Anemia • Tobacco Usage • Patient Motion
How Does a Pulse Oximeter
1. Infrared light is absorbed by the oxyhemoglobin while the red light is absorbed by the reduced hemoglobin 2. Amount and type of light transmitted through the tissue is converted to a digital value representing the percentage of hemoglobin saturated with oxygen. 3. Detect HYPOXIA ( too little oxygen to fulfill the needs of the brain and body ) before cyanosis ( bluish discoloration of the skin and mucous membranes ) Indications for Pulse Oximetry • Undergoing surgical procedure under general anesthesia • Undergoing surgical procedure under conscious sedation • Emergency situations : loss of consciousness, trauma • After surgery during recovery phase
Types of Pulse Oximetry
TRANSMISSIVE APPLICATION MODE • Most common application mode • Sensor device placed on the thin part of patient’s body : fingertip or earlobe REFLECTANCE PULSE OXIMETRY • Less common alternative eto transmissive pulse oximetry • Does not require a thin section of the body • Universal application : feet, forehead and chest