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Medline ® Abstract for Reference 66

of 'Pulse oximetry in adults'

The desaturation response time of finger pulse oximeters during mild hypothermia.
MacLeod DB, Cortinez LI, Keifer JC, Cameron D, Wright DR, White WD, Moretti EW, Radulescu LR, Somma J
Anaesthesia. 2005;60(1):65.
Pulse oximeters may delay displaying the correct oxygen saturation during the onset of hypoxia. We investigated the desaturation response times of pulse oximeter sensors (forehead, ear and finger) during vasoconstriction due to mild hypothermia and vasodilation caused by glyceryl trinitrate. Ten healthy male volunteers were given three hypoxic challenges of 3 min duration under differing experimental conditions. Mild hypothermia increased the mean response time of finger oximeters from 130 to 215 s. Glyceryl trinitrate partly offset this effect by reducing the response time from 215 to 187 s. In contrast, the response times of the forehead and ear oximeters were unaffected by mild hypothermia, but the difference between head and finger oximeters was highly significant (p<0.0001). The results suggest that the head oximeters provide a better monitoring site for pulse oximeters during mild hypothermia.
Department of Anaesthesiology, Duke University Medical Center, Durham, NC, USA. david.macleod@duke.edu