Skip to main content

Practical aspects of calibrating fetal pulse oximetry

  • Conference paper
Hypoxische Gefährdung des Fetus sub partu

Abstract

Pulse oximeters are a non-invasive means of estimating a patient’s arterial oxygen saturation, SaO2, by shining computer-controlled light from inexpensive LED’s through the tissue of an earlobe, finger or toe, or by reflecting Hght off the forehead, face, scalp or other well vascularized flat surface. A computer chip serves to coordinate the timing of Hght signals and records the changes in two or more wavelengths of hght. As each monochromatic LED is activated the transmitted light is detected as the amperage generated by a single inexpensive photoreceiving diode. The LEDs should selectively provide monochromatic hght in the region of 660 nm in the red where deoxyhemoglobin has increased absorption and 940 nm in the near infrared where oxyhemoglobin has slightly greater absorption as seen at the top of Fig. 1. The Hght transmitted varies as each pulse of blood flows through the tissue (17).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anonymous. Hazard; Pulse oximeter interference from surgical lighting. Health Devices 1987; 16: 50–51

    Google Scholar 

  2. Aoyagi T (1989) Digest of Special Lecture at Japan Society for Clinical Anesthesia, November 2

    Google Scholar 

  3. Bucher H-U, Fanconi S, Baeckert P, Duc G (1989) Hyperoxemia in newborn infants: detection by pulse oximetry. Pediatrics 84(2): 226–230

    PubMed  CAS  Google Scholar 

  4. Dillon WP et al. (1992) Obstetric care and cesarean birth rates: A program to monitor quality of care. Obstetrics and Gynecology Nov 1992 80(5): 731’35

    CAS  Google Scholar 

  5. Durand M, Ramanathan R (1986) Pulse oximetry for continuous oxygen monitoring in sick newborn infants. J Ped 109(6): 1052–56

    Article  CAS  Google Scholar 

  6. Gravenstein JS, Larkin CR Jr (1994) Equipment competency — we might have a problem [editorial] J of Clinical Monitoring 10: 1–3

    Article  CAS  Google Scholar 

  7. Jennis MS, Peabody JL (1987) Pulse oximetry an alternative method for assessment of oxygenation in newborn infants. Pediatrics 79: 524–28

    PubMed  CAS  Google Scholar 

  8. Johnson N, Johnson VA, Bannister J, Lilford RJ (1990) The effect of caput succedaneum on oxygen saturation measurements. Br J of Obstetrics and Gynaecology 97(6): 493–8

    Article  CAS  Google Scholar 

  9. Kim JM, Arakawa K, Benson KT, Fox DK (1986) Pulse oximetry and circulatory kinetics associated with pulse volume amplitude measured by photoelectric plethysmography. Anesthesia and Analgesia 65:1333–9

    PubMed  CAS  Google Scholar 

  10. Knitza R, Buschman J (1991) Oxycardiotocografie (OCTG). Ein neues Verfahren zur Messung der fetalen Sauerstoffsattigung sub partu. Anwendung der Methode ( Oxycardiotocography. A new procedure for measuring fetal oxygen saturation subpartu. Use of the method.). Gynakologische Rundschau. 31: Suppl. 2: 125–6

    Article  PubMed  Google Scholar 

  11. Lampert R, Brandt L (1993) Einfluss einer Hyperbilirubinemia auf die Messung von oxygeniertem Hamoglobin (O2Hb), Carboxyhamoglobin (COHb) und Methamoglobin (MetHb), mit Mehrwellen-langenoxymetern im gemischtvenosen Blut. ( The effect of hyperbilirubinemia on the measurement of oxygenated hemoglobin (O2Hb), carboxyhemoglobin (COHb) and methemoglobin using multi-wavelength oximeters in mixed venous blood). Anaesthesist 42(10): 702–9

    PubMed  CAS  Google Scholar 

  12. Lawson D, Norley I, Korbon G, et al. (1987) Blood flow limits and pulse oximeter signal detection. Anesthesiology 67: 864–65

    Article  Google Scholar 

  13. Maxwell LG, Harris AP, Sendak MJ, Donham RT (1987) Monitoring the resuscitation of preterm infants in the delivery room using pulse oximetry. Clin Pediatrics 26(1): 18–22

    Article  CAS  Google Scholar 

  14. Mendelsohn, Y etal. (1989) IEEE transactions on biomedical engineering, 36(6) : 625–27, June 1989

    Article  Google Scholar 

  15. Miyasaka K, Katayama M, Kusakawa I, et al. Use of pulse oximetry in neonatal anesthesia. J of Perinatology 7(4): 343–5

    Google Scholar 

  16. Nakajima S, Hirai H,Takase H, Kuse A, Aoyagi S, Kishi M,Yamaguchi K (1975) New pulsed-type earpiece oximeter. Kokyu to Junkan 23: 709–13

    Google Scholar 

  17. Payne JP, Severinghaus JW eds. (1986) Pulse Oximetry. Berlin Heidelberg: Springer-Verlag

    Google Scholar 

  18. Poets CF et al. (1993) Home event recordings of oxygenation, breathing movements, heart rate and rhythm in infants with recurrent life-threatening events. J of Pediatrics 123: 693–701

    Article  CAS  Google Scholar 

  19. Private communications: manufacturer’s R&D engineering groups

    Google Scholar 

  20. Private communication: Nonin Medical, Inc. and Volggyesi GA. Method of Testing the Accuracy of Pulse Oximeters and Device Therefor US Patent No. 5,166,517 Issued Nov. 24,1992

    Google Scholar 

  21. Private communication: Nellcor Medical, Inc

    Google Scholar 

  22. RyanTJ. Development of the Cutaneous Circulation Chap 52 pp 555–565; Brace RA, Fluid Distribution in the Fetus and Neonate Chap 130 pp 1288–1298; Brans YWFetal and Neonatal Body Fluid Composition with Reference to Growth and Development Chap 131 pp 1299–1312 in Fetal and Neonatal Physiology, Vol. I & II, ed. by Polin, RA & Fox, WW; W.B. Saunders Philadelphia, Pennsylvania

    Google Scholar 

  23. Santamaria T, Williams JS (1994) Pulse Oximetry, Medical Device Research Report; 1(2): 8–10 Mar/Apr, 1994 AAMI, Arlington, Va

    Google Scholar 

  24. Severinghaus JW, Naifeh KH (1987) Accuracy of response of six pulse oximeters to profound hypoxia. Anesthesiology 67: 551–558

    Article  PubMed  CAS  Google Scholar 

  25. Severinghaus JW Spellman MJ Jr (1990) Pulse oximeter failure thresholds in hypotension and vasoconstriction. Anesthesiology 73(3): 527–7

    Article  Google Scholar 

  26. Sidi A, Paulus DA, Rush W, et al. (1987) Methylene blue and indocyanine green artifactually lower pulse oximetry readings of oxygen saturation. Studies in dogs. J Clin Monitoring 3: 249–56

    CAS  Google Scholar 

  27. Spitzer AR, Gibson E (1992) Home Monitoring, Apnea and SIDS ed. by Hunt, CE; Clinics in Perinatology 19(4): 910

    Google Scholar 

  28. Thilo EH, Anderson D, Wasserstein ML, Schmidt J, Luckey D (1993) Saturation by pulse oximetry: comparison of the results obtained by instruments of different brands. J of Pediatrics 122(4): 620–6

    Article  CAS  Google Scholar 

  29. Tremper KK, Barker SJ (1989) Pulse Oximetry. Anesthesiology 70: 98–108

    Article  PubMed  CAS  Google Scholar 

  30. Woods AM, Queen JS, Lawson D (1991) Valsalva maneuver in obstetrics: the influence of peripheral circulatory changes on the function of the pulse oximeter. Anesthesia and Analgesia 73(6): 765–71

    Article  PubMed  CAS  Google Scholar 

  31. Yount JE. Impedance Pneumography p.119 in Biophysical Measurement Series — Respiration; SpaceLabs, Inc.; Redmond, Washington, U.S.A.

    Google Scholar 

  32. Yount JE (1989) Devices and Procedures for In-Vitro Calibration of Pulse Oximetry Monitors US Patent No. 4,834,532 Issued May 30

    Google Scholar 

  33. Yount JE et al. Unpublished data included in this paper

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

About this paper

Cite this paper

Yount, J.E. (1994). Practical aspects of calibrating fetal pulse oximetry. In: Knitza, R. (eds) Hypoxische Gefährdung des Fetus sub partu. Steinkopff. https://doi.org/10.1007/978-3-642-95982-0_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-95982-0_7

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-95983-7

  • Online ISBN: 978-3-642-95982-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics