Oximeters

Tom Benzoni benzonit at GMAIL.COM
Mon Jan 29 22:45:45 UTC 2018


Which is why EtCO2 monitors are so great; i get breath-by-breath PaCO2.
Only fault there is knowing that you have a lot of latitude with CO2;
permissive hypercapnea using the HCO3 buffering system.
It takes more skill to know when to do nothing, just stand there.
tom

On Mon, Jan 29, 2018 at 4:11 PM, Rory Jaffe <rjaffe at chpso.org> wrote:

> Interpretation is a big issue. Pulse oximetry is very insensitive to
> hypoventilation when a patient is on supplemental O2. Also tends to have
> lots of false alarms--the default limits are not very usable and ideally,
> people would use patient-specific alarm limits.
>
> -----Original Message-----
> From: Grubenhoff, Joe [mailto:Joe.Grubenhoff at CHILDRENSCOLORADO.ORG]
> Sent: Monday, January 29, 2018 8:55 AM
> To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> Subject: [No SPF Record] Re: [IMPROVEDX] Oximeters
>
> Pretty accurate in my experience - the problem may be in how this single
> value is interpreted in the context of the whole clinical picture:
>
>
>
> Effect of Oxygen Desaturations on Subsequent Medical Visits in Infants
> Discharged From the Emergency Department With Bronchiolitis.
>
> Principi T, Coates AL, Parkin PC, Stephens D, DaSilva Z, Schuh S.
>
> JAMA Pediatr. 2016 Jun 1;170(6):602-8. doi: 10.1001/jamapediatrics.2016.
> 0114.
>
>
>
> Effect of oximetry on hospitalization in bronchiolitis: a randomized
> clinical trial.
>
> Schuh S, Freedman S, Coates A, Allen U, Parkin PC, Stephens D, Ungar W,
> DaSilva Z, Willan AR.
>
> JAMA. 2014 Aug 20;312(7):712-8. doi: 10.1001/jama.2014.8637.
>
>
>
>
>
> ´╗┐On 1/29/18, 09:49, "Robert Bell" <0000000296e45ec4-dmarc-
> request at LIST.IMPROVEDIAGNOSIS.ORG> wrote:
>
>
>
>     How accurate are oximeters? Are the errors big enough to make wrong
> decisions?
>
>
>
>     Rob Bell, M. D.
>
>
>
>     Sent from my iPad
>
>     To unsubscribe from the IMPROVEDX:
>
>     mail to:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
>     or click the following link: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>
>
>
>     Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>
>
>
>     For additional information and subscription commands, visit:
>
>     https://urldefense.proofpoint.com/v2/url?u=http-3A__www.
> lsoft.com_resources_faq.asp-234A&d=DwIGaQ&c=hx0HUg_nG-
> xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=
> QIkoLzICpYYYnJV71LxRMewHHWap0B4fISMAF5CYMLo&s=
> XGRvfk3p8CdSeW0N_08vlgmlnHAem_eHK86cKpflQv8&e=
>
>
>
>     https://urldefense.proofpoint.com/v2/url?u=http-3A__LIST.
> IMPROVEDIAGNOSIS.ORG_&d=DwIGaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_
> 1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=QIkoLzICpYYYnJV71LxRMewHHWap0B
> 4fISMAF5CYMLo&s=V7MGXsYV3B04MvAMnWiTC7VuZ993fUaj5SeNz-3c7YQ&e= (with your
> password)
>
>
>
>     Visit the searchable archives or adjust your subscription at:
>
>     https://urldefense.proofpoint.com/v2/url?u=http-3A__list.
> improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FINDEX&d=
> DwIGaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=
> ykcs2wU25yxj5BckI49bSg&m=QIkoLzICpYYYnJV71LxRMewHHWap0B4fISMAF5CYMLo&s=
> rwIjA5J9u4OIzassBupn3eZKTnWOXPfS8FdmLjcnC-I&e=
>
>
>
>     Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
>
>
>
>     To unsubscribe from the IMPROVEDX list, click the following link:<br>
>
>     <a href="https://urldefense.proofpoint.com/v2/url?u=http-
> 3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-
> 3FSUBED1-3DIMPROVEDX-26A-3D1&d=DwIGaQ&c=hx0HUg_nG-
> xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=
> QIkoLzICpYYYnJV71LxRMewHHWap0B4fISMAF5CYMLo&s=
> lyvKwnUZgRPBhfNCIu9JFtzglcSuGjDtA4pR1Q6eZFA&e=" target="_blank">https://
> urldefense.proofpoint.com/v2/url?u=http-3A__list.
> improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FSUBED1-
> 3DIMPROVEDX-26A-3D1&d=DwIGaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_
> 1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=QIkoLzICpYYYnJV71LxRMewHHWap0B
> 4fISMAF5CYMLo&s=lyvKwnUZgRPBhfNCIu9JFtzglcSuGjDtA4pR1Q6eZFA&e=</a>
>
>     </p>
>
>
>
>
>
> ***************
>
> CONFIDENTIALITY NOTICE:  This e-mail, including any attachments, is for
> the sole use of the intended recipient and may contain confidential and
> privileged information.  If you are not an intended recipient, or the
> person responsible for delivering this message to an intended recipient,
> you are hereby notified that reading, copying, using or distributing this
> message is prohibited. If you are not an intended recipient, please contact
> the sender by reply email and destroy all copies of the original message
> from your computer system.
>
> ***************
>
>
>
>
> To unsubscribe from the IMPROVEDX:
>
> mail to:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> or click the following link: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>
>
>
>
>
>
> For additional information and subscription commands, visit:
>
> https://urldefense.proofpoint.com/v2/url?u=http-3A__www.
> lsoft.com_resources_faq.asp-234A&d=DwIGaQ&c=hx0HUg_nG-
> xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=
> QIkoLzICpYYYnJV71LxRMewHHWap0B4fISMAF5CYMLo&s=
> XGRvfk3p8CdSeW0N_08vlgmlnHAem_eHK86cKpflQv8&e=
>
>
>
> https://urldefense.proofpoint.com/v2/url?u=http-3A__LIST.
> IMPROVEDIAGNOSIS.ORG_&d=DwIGaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_
> 1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=QIkoLzICpYYYnJV71LxRMewHHWap0B
> 4fISMAF5CYMLo&s=V7MGXsYV3B04MvAMnWiTC7VuZ993fUaj5SeNz-3c7YQ&e= (with your
> password)
>
>
>
> Visit the searchable archives or adjust your subscription at:
>
> https://urldefense.proofpoint.com/v2/url?u=http-3A__list.
> improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FINDEX&d=
> DwIGaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=
> ykcs2wU25yxj5BckI49bSg&m=QIkoLzICpYYYnJV71LxRMewHHWap0B4fISMAF5CYMLo&s=
> rwIjA5J9u4OIzassBupn3eZKTnWOXPfS8FdmLjcnC-I&e=
>
>
>
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
>
>
>
> To unsubscribe from the IMPROVEDX list, click the following link:<br>
>
> <a href="https://urldefense.proofpoint.com/v2/url?u=http-
> 3A__list.improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-
> 3FSUBED1-3DIMPROVEDX-26A-3D1&d=DwIGaQ&c=hx0HUg_nG-
> xRkKlwWZeJFCbvzzw0Ym5DwdL_1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=
> QIkoLzICpYYYnJV71LxRMewHHWap0B4fISMAF5CYMLo&s=
> lyvKwnUZgRPBhfNCIu9JFtzglcSuGjDtA4pR1Q6eZFA&e=" target="_blank">https://
> urldefense.proofpoint.com/v2/url?u=http-3A__list.
> improvediagnosis.org_scripts_wa-2DIMPDIAG.exe-3FSUBED1-
> 3DIMPROVEDX-26A-3D1&d=DwIGaQ&c=hx0HUg_nG-xRkKlwWZeJFCbvzzw0Ym5DwdL_
> 1FKbReI&r=ykcs2wU25yxj5BckI49bSg&m=QIkoLzICpYYYnJV71LxRMewHHWap0B
> 4fISMAF5CYMLo&s=lyvKwnUZgRPBhfNCIu9JFtzglcSuGjDtA4pR1Q6eZFA&e=</a>
>
> </p>
>
>
>
>
>
>
>
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
>
> To unsubscribe from the IMPROVEDX list, click the following link:<br>
> <a href="http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=
> IMPROVEDX&A=1" target="_blank">http://list.improvediagnosis.org/scripts/
> wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1</a>
> </p>
>






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine


HTML Version:
URL: <../attachments/20180129/8d31833f/attachment.html>


More information about the Test mailing list