Problems with evaluating readings of pulse oximeters used at home during the ongoing COVID-19 pandemic

IF 0.5 Q4 OPTICS

Photonics Letters of Poland Pub Date : 2021-03-31 DOI:10.4302/PLP.V13I1.1093

A. Cysewska-Sobusiak

{"title":"Problems with evaluating readings of pulse oximeters used at home during the ongoing COVID-19 pandemic","authors":"A. Cysewska-Sobusiak","doi":"10.4302/PLP.V13I1.1093","DOIUrl":null,"url":null,"abstract":"The author presents the problems related to pulse oximetry, taking into account both the current state-of-the-art as well as her own long-standing experience in this field. The COVID-19 pandemic continues and has raised interest in home application of pulse oximeters due to their potential benefit, which may be warning of a drop in blood oxygenation due to lower respiratory capacity. However, it should be emphasized that these devices have limitations, both of a physiological and technical nature, and some problems related to the reliability and scope of the measurements still remain unresolved. Phenomena which limit processing reliability of the quantity to be sensed, i.e., the oxygen saturation SaO2%, are presented. Specific groups of affecting factors are distinguished in an approach of their contribution to the measurement uncertainty components. Full Text: PDF References J.W. Severinghaus, \"Crediting six discoverers of oxygen\", Adv. Exp. Med. Biol. 812 (2014). CrossRef F.A. Duck, \"Physical properties of tissue: a comprehensive reference book\" (San Diego, Academia Press 1990). CrossRef J.G. Webster, \"Design of pulse oximeters\" (Bristol, IOP Publishing Ltd 1997). CrossRef A.A. Alian and K.H Shelley, \"Photoplethysmography\", Anesthesiology 28, 4 (2014). CrossRef N. Moukaddam and A. Shah, \"Psychiatrists beware! The impact of COVID-19 and pandemics on mental health\", Psychiatric Times 37, 3 (2020). CrossRef S.S. Morse, Proc Nat. Acad Sci 104, 18 (2007). CrossRef W.A. Schrading, B. McCafferty, J. Grove, and D.B. Page, \"Portable, consumer‐grade pulse oximeters are accurate for home and medical use: Implications for use in the COVID‐19 pandemic and other resource‐limited environments\", JACP Open, 1 (2020). CrossRef K.E.J. Philip, B. Bennet, S. Fuller, et al., \"Working accuracy of pulse oximetry in COVID-19 patients stepping down from intensive care: a clinical evaluation \", BMJ Open Resp. Res. 7 (2020). CrossRef S. Seifi, A. Khatony, G. Moradi, A. Abdi, and F. Najafi, \"Accuracy of pulse oximetry in detection of oxygen saturation in patients admitted to the intensive care unit of heart surgery: comparison of finger, toe, forehead and earlobe probes\", BMC Nursing 17, 15 (2018). CrossRef A. Cysewska-Sobusiak, \"A modern approach to the determination of expanded uncertainty in noninvasive blood oximetry\", Measurement 25 (1999). CrossRef A. Cysewska-Sobusiak, \"The importance of the combined teaching and research work in the education of biomedical engineering\", Biocybernetics and Biomedical Engineering 22, 4 (2002). CrossRef A. Cysewska-Sobusiak, \"Noninvasive optoelectronic monitoring of the living tissues vitality\", 3rd Int. Workshop on Robot Motion and Control, Nov. 2002 (2002). CrossRef A. Cysewska-Sobusiak, \"Examples of acquisition and application of biooptical signals\", Phot. Lett. Poland 11, 2 (2019). CrossRef","PeriodicalId":20055,"journal":{"name":"Photonics Letters of Poland","volume":"13 1","pages":"19-21"},"PeriodicalIF":0.5000,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Photonics Letters of Poland","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4302/PLP.V13I1.1093","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OPTICS","Score":null,"Total":0}

引用次数: 0

Abstract

The author presents the problems related to pulse oximetry, taking into account both the current state-of-the-art as well as her own long-standing experience in this field. The COVID-19 pandemic continues and has raised interest in home application of pulse oximeters due to their potential benefit, which may be warning of a drop in blood oxygenation due to lower respiratory capacity. However, it should be emphasized that these devices have limitations, both of a physiological and technical nature, and some problems related to the reliability and scope of the measurements still remain unresolved. Phenomena which limit processing reliability of the quantity to be sensed, i.e., the oxygen saturation SaO2%, are presented. Specific groups of affecting factors are distinguished in an approach of their contribution to the measurement uncertainty components. Full Text: PDF References J.W. Severinghaus, "Crediting six discoverers of oxygen", Adv. Exp. Med. Biol. 812 (2014). CrossRef F.A. Duck, "Physical properties of tissue: a comprehensive reference book" (San Diego, Academia Press 1990). CrossRef J.G. Webster, "Design of pulse oximeters" (Bristol, IOP Publishing Ltd 1997). CrossRef A.A. Alian and K.H Shelley, "Photoplethysmography", Anesthesiology 28, 4 (2014). CrossRef N. Moukaddam and A. Shah, "Psychiatrists beware! The impact of COVID-19 and pandemics on mental health", Psychiatric Times 37, 3 (2020). CrossRef S.S. Morse, Proc Nat. Acad Sci 104, 18 (2007). CrossRef W.A. Schrading, B. McCafferty, J. Grove, and D.B. Page, "Portable, consumer‐grade pulse oximeters are accurate for home and medical use: Implications for use in the COVID‐19 pandemic and other resource‐limited environments", JACP Open, 1 (2020). CrossRef K.E.J. Philip, B. Bennet, S. Fuller, et al., "Working accuracy of pulse oximetry in COVID-19 patients stepping down from intensive care: a clinical evaluation ", BMJ Open Resp. Res. 7 (2020). CrossRef S. Seifi, A. Khatony, G. Moradi, A. Abdi, and F. Najafi, "Accuracy of pulse oximetry in detection of oxygen saturation in patients admitted to the intensive care unit of heart surgery: comparison of finger, toe, forehead and earlobe probes", BMC Nursing 17, 15 (2018). CrossRef A. Cysewska-Sobusiak, "A modern approach to the determination of expanded uncertainty in noninvasive blood oximetry", Measurement 25 (1999). CrossRef A. Cysewska-Sobusiak, "The importance of the combined teaching and research work in the education of biomedical engineering", Biocybernetics and Biomedical Engineering 22, 4 (2002). CrossRef A. Cysewska-Sobusiak, "Noninvasive optoelectronic monitoring of the living tissues vitality", 3rd Int. Workshop on Robot Motion and Control, Nov. 2002 (2002). CrossRef A. Cysewska-Sobusiak, "Examples of acquisition and application of biooptical signals", Phot. Lett. Poland 11, 2 (2019). CrossRef

查看原文本刊更多论文

正在进行的COVID-19大流行期间评估家中使用的脉搏血氧仪读数的问题

作者提出了与脉搏血氧仪有关的问题，同时考虑到当前最先进的技术以及她自己在这一领域的长期经验。2019冠状病毒病大流行仍在继续，由于脉搏血氧仪的潜在益处，它可能警告由于呼吸能力降低而导致血液氧合下降，因此引起了人们对家庭应用脉搏血氧仪的兴趣。然而，应该强调的是，这些装置在生理和技术上都有局限性，而且与测量的可靠性和范围有关的一些问题仍然没有解决。提出了限制待测量(即氧饱和度SaO2%)处理可靠性的现象。通过对测量不确定度分量的贡献来区分特定的影响因素组。J.W. Severinghaus，“氧气的六个发现者”，《科学与实验》，2014年第812期。CrossRef F.A. Duck，“组织的物理特性:一本综合参考书”(圣地亚哥，学术出版社，1990)。CrossRef J.G. Webster，“脉搏血氧计的设计”(Bristol, IOP Publishing Ltd 1997)。CrossRef a.a.a alianand K.H Shelley，“光电容积脉搏波”，麻醉学28,4(2014)。CrossRef N. Moukaddam和A. Shah，“精神病医生要小心!《新冠肺炎疫情对心理健康的影响》，《精神病学杂志》，2020年第37期，第3期。[交叉参考]莫尔斯，科学学报，104,18(2007)。CrossRef西澳Schrading, b . McCafferty j .格罗夫和D.B. cooper页面,“便携式,消费者优先级脉搏血氧仪是准确的为家庭和医疗用途:用于影响COVID检测19大流行和其他资源有限的环境”,JACP开放,1(2020)。K.E.J. Philip, B. Bennet, S. Fuller，等，“脉搏血氧仪在COVID-19重症监护患者中的工作准确性:临床评估”，英国医学杂志开放版。Res. 7(2020)。* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *CrossRef A. Cysewska-Sobusiak，“无创血氧饱和度扩展不确定度测定的现代方法”，Measurement 25(1999)。CrossRef A. Cysewska-Sobusiak， "生物医学工程教育中教学与研究相结合的重要性"，《生物控制论与生物医学工程》22,4(2002)。[10] [a] .“生物组织活力的无创光电监测”，第3期。机器人运动与控制研讨会，2002年11月(2002)。CrossRef A. Cysewska-Sobusiak，“生物光信号的采集与应用”，vol . 11 - 11列托人。波兰11,2(2019)。CrossRef

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Photonics Letters of Poland OPTICS-

CiteScore

1.40

自引率

0.00%

发文量