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Ann Emerg Med. 1993 Apr;22(4):675-9.

Continuous pulse oximetry during emergency endotracheal intubation.

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  • 1Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee.

Abstract

STUDY OBJECTIVE:

To determine whether continuous pulse oximetry improves the recognition and management of hypoxemia during emergency endotracheal intubation.

DESIGN:

A prospective, serial 14-month study.

SETTING:

Emergency department, Level I trauma center.

TYPE OF PARTICIPANTS:

All adult patients requiring emergency intubation for whom data collection would not compromise patient care.

INTERVENTIONS:

All samples were obtained from a finger site at a five-second sampling interval and stored in computer memory. Patients were intubated by the nasotracheal or orotracheal route.

MEASUREMENTS AND MAIN RESULTS:

One hundred ninety-one consecutive adult patients qualified for the study and 211 intubation attempts were analyzed. Hypoxemia (O2 saturation, less than 90%) occurred during an intubation attempt in 30 of 111 nonmonitored versus 15 of 100 monitored attempts (P < .05), and the duration of severe hypoxemia (O2 saturation, less than 85%) was significantly greater for nonmonitored attempts (P < .05).

CONCLUSION:

Continuous pulse oximetry monitoring reduces the frequency and duration of hypoxemia associated with emergency intubation attempts.

PMID:
8457094
[PubMed - indexed for MEDLINE]
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