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Validity of pulse oximetry in detection of hypoxaemia in children: comparison of ear, thumb and toe probe placements

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Abstract
This study of paediatric intensive care patients aimed to determine where pulse oximetry probes should be placed to obtain the most accurate and reliable readings of peripheral oxygen saturation [‎SpO[‎2]‎]‎. Using arterial blood gas analysis [‎SaO[‎2]‎]‎ as the gold standard and SpO[‎2]‎ < 92% and SaO[‎2]‎ < 90% as indicators of hypoxaemia, negative predictive values of SpO[‎2]‎ were 96%, 98% and 98% at the ear, thumb and big toe respectively in 110 children, and 93% at all 3 sites in 90 neonates. The highest clinical agreement between SaO[‎2]‎ and SpO[‎2]‎ was for ear probes in children [‎kappa = 0.70]‎ and the lowest was for big toe probes [‎kappa = 0.57 and 0.28 in children and neonates respectively]‎
Citation
Bilan, N., Behbahan, A.G., Abdinia, B. & Mahallei, M. (‎2010)‎. Validity of pulse oximetry in detection of hypoxaemia in children: comparison of ear, thumb and toe probe placements. EMHJ - Eastern Mediterranean Health Journal, 16 (‎2)‎, 218-222, 2010 https://apps.who.int/iris/handle/10665/117846
Journal
EMHJ - Eastern Mediterranean Health Journal, 16 (‎2)‎, 218-222, 2010
Description
218-222
ISSN
1020-3397
Other Identifiers
http://applications.emro.who.int/emhj/V16/02/16_2_2010_0218_0222.pdf
Language
English
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