儿科护理中的脉搏血氧仪:平衡优势与局限。

Mohammed Al-Beltagi, Nermin Kamal Saeed, Adel Salah Bediwy, Reem Elbeltagi
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引用次数: 0

摘要

背景:脉搏血氧仪已成为医疗保健领域的一项基础技术,可对血氧饱和度和脉搏进行无创监测。目的:全面评估脉搏血氧仪在临床实践中的优势、局限性和挑战,并提出优化使用的建议:方法:进行系统性文献综述,以确定与脉搏血氧仪及其在各种临床环境中的应用相关的研究。根据预先确定的纳入和排除标准筛选出相关文章,并对数据进行综合,以提供对该主题的全面概述:脉搏血氧仪具有诸多优点,包括无创、实时反馈、便携性和成本效益。然而,也发现了一些局限性和挑战,包括运动伪影、外周灌注不良、环境光干扰以及皮肤色素沉着和血红蛋白变异等患者特异性因素。优化脉搏血氧仪使用的建议包括技术进步、教育和培训计划、质量保证协议以及跨学科合作:脉搏血氧仪在现代医疗保健中至关重要,它为了解患者的氧合状态提供了宝贵的信息。尽管脉搏血氧仪存在局限性,但它仍然是在不同临床环境中监测患者不可或缺的工具。通过实施本综述中概述的建议,医疗服务提供者可以提高脉搏血氧仪监测的有效性、可及性和安全性,最终改善患者的治疗效果和护理质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pulse oximetry in pediatric care: Balancing advantages and limitations.

Background: Pulse oximetry has become a cornerstone technology in healthcare, providing non-invasive monitoring of oxygen saturation levels and pulse rate. Despite its widespread use, the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.

Aim: To comprehensively evaluate the advantages, limitations, and challenges of pulse oximetry in clinical practice, as well as to propose recommendations for optimizing its use.

Methods: A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings. Relevant articles were selected based on predefined inclusion and exclusion criteria, and data were synthesized to provide a comprehensive overview of the topic.

Results: Pulse oximetry offers numerous advantages, including non-invasiveness, real-time feedback, portability, and cost-effectiveness. However, several limitations and challenges were identified, including motion artifacts, poor peripheral perfusion, ambient light interference, and patient-specific factors such as skin pigmentation and hemoglobin variants. Recommendations for optimizing pulse oximetry use include technological advancements, education and training initiatives, quality assurance protocols, and interdisciplinary collaboration.

Conclusion: Pulse oximetry is crucial in modern healthcare, offering invaluable insights into patients' oxygenation status. Despite its limitations, pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings. By implementing the recommendations outlined in this review, healthcare providers can enhance the effectiveness, accessibility, and safety of pulse oximetry monitoring, ultimately improving patient outcomes and quality of care.

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