Book contents
- Modern Monitoring in Anesthesiology and Perioperative Care
- Modern Monitoring in Anesthesiology and Perioperative Care
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Statistics Used to Assess Monitors and Monitoring Applications
- Chapter 2 Multimodal Neurological Monitoring
- Chapter 3 Cerebral Oximetry
- Chapter 4 The Oxygen Reserve Index
- Chapter 5 Point-of-Care Transesophageal Echocardiography
- Chapter 6 Point-of-Care Transthoracic Echocardiography
- Chapter 7 Point-of-Care Lung Ultrasound
- Chapter 8 Point-of-Care Ultrasound: Determination of Fluid Responsiveness
- Chapter 9 Point-of-Care Abdominal Ultrasound
- Chapter 10 Noninvasive Measurement of Cardiac Output
- Chapter 11 Assessing Intravascular Volume Status and Fluid Responsiveness: A Non-Ultrasound Approach
- Chapter 12 Assessment of Extravascular Lung Water
- Chapter 13 Point-of-Care Hematology
- Chapter 14 Assessment of Intraoperative Blood Loss
- Chapter 15 Respiratory Monitoring in Low-Intensity Settings
- Chapter 16 The Electronic Health Record as a Monitor for Performance Improvement
- Chapter 17 Future Monitoring Technologies: Wireless, Wearable, and Nano
- Chapter 18 Downside and Risks of Digital Distractions
- Index
- Plate Section (PDF Only)
- References
Chapter 4 - The Oxygen Reserve Index
Published online by Cambridge University Press: 28 April 2020
Book contents
- Modern Monitoring in Anesthesiology and Perioperative Care
- Modern Monitoring in Anesthesiology and Perioperative Care
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Statistics Used to Assess Monitors and Monitoring Applications
- Chapter 2 Multimodal Neurological Monitoring
- Chapter 3 Cerebral Oximetry
- Chapter 4 The Oxygen Reserve Index
- Chapter 5 Point-of-Care Transesophageal Echocardiography
- Chapter 6 Point-of-Care Transthoracic Echocardiography
- Chapter 7 Point-of-Care Lung Ultrasound
- Chapter 8 Point-of-Care Ultrasound: Determination of Fluid Responsiveness
- Chapter 9 Point-of-Care Abdominal Ultrasound
- Chapter 10 Noninvasive Measurement of Cardiac Output
- Chapter 11 Assessing Intravascular Volume Status and Fluid Responsiveness: A Non-Ultrasound Approach
- Chapter 12 Assessment of Extravascular Lung Water
- Chapter 13 Point-of-Care Hematology
- Chapter 14 Assessment of Intraoperative Blood Loss
- Chapter 15 Respiratory Monitoring in Low-Intensity Settings
- Chapter 16 The Electronic Health Record as a Monitor for Performance Improvement
- Chapter 17 Future Monitoring Technologies: Wireless, Wearable, and Nano
- Chapter 18 Downside and Risks of Digital Distractions
- Index
- Plate Section (PDF Only)
- References
Summary
Pulse oximetry was one of the most quickly and widely adopted bedside monitors in the operating room and intensive care unit. Improvements to it over time have increased its reliability and extended its applications. Advanced warning of critical oxygen desaturation, especially during airway management, is a goal of a new pulse oximetry function termed “oxygen reserve index.” This function in its current state of development would alarm when the SpO2 is> 99% and predict the decrease to an SpO2 < 98% in a time frame (e.g., 30–-40 seconds) that might impact management. This chapter reviews this function, the clinical investigations published thus far, and the possible benefits and difficulties in utilizing such an alarm.
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- Publisher: Cambridge University PressPrint publication year: 2020
References
American Society of Anesthesiologists: standards for basic intraoperative monitoring. Anesth Patient Safety Newslett 1987;2(1):1–8.Google Scholar
Moller, JT, Johannessen, NW, Espersen, H, et al. Randomized evaluation of pulse oximetry in 20,802 patients. Anesthesiology 1993;78:436–53.Google Scholar
Milner, QJ, Mathews, RG. An assessment of the accuracy of pulse oximeters. Anaesthesia 2012;67:396–401.Google Scholar
Chan, ED, Chan, MM, Chan, MM. Pulse oximetry: understanding its basic principles facilitates appreciation of its limitations. Respir Medicine 2013;107:789–99.Google Scholar
Peppard, PE, Ward, NR, Morrell, MJ. The impact of obesity on oxygen desaturation during sleep-disordered breathing. Am J Respir Crit Care Med 2009;180;788–93.CrossRefGoogle ScholarPubMed
Leibowitz, AB. Persistent preoxygenation efforts before tracheal intubation in the intensive care unit are of no use: who would have guessed? Crit Care Med 2009;37(1):335–6.Google Scholar
Jaber, S, Amraoui, J, Lefrant, JY, et al. Clinical practice and risk factors for immediate complication of endotracheal intubation in the intensive care unit: a prospective multiple-center study. Crit Care Med 2006;34;2355–61.CrossRefGoogle ScholarPubMed
Szmuk, P, Steiner, JW, Olomu, PN, Curuz, JD, Sessler, D. Oxygen reserve index – a new, noninvasive method of oxygen reserve measurement. October 14, 2014 American Society of Anesthesiologists Annual Meeting, New Orleans, LA Abstract BOC12.Google Scholar
Vos, JJ, Willems, CH, Van Amsterdam, K, et al. Oxygen reserve index: validation of a new variable. Anesth Analg 2019:129(s):409–15.CrossRefGoogle ScholarPubMed
Szmuk, P, Steiner, JW, Olomu, PN, Ploski, RP, Sessler, DI, Ezri, T. Oxygen reserve index: a novel noninvasive measure of oxygen reserve – A pilot study. Anesthesiology 2016;124(4):779–84.Google Scholar
Applegate, RL II, Dorotta, IL, Wells, B, Juma, D, Applegate, PM. The relationship between oxygen reserve index and arterial partial pressure of oxygen during surgery. Anesth Analg 2016;123(3):626–33.Google Scholar
Lee, L, Singh, A, Applegate, R, Fleming, N. Oxygen Reserve Index: An Early Warning for Desaturation in Critically Ill Patients. Proceedings from the 2017 IARS Annual Meeting, Washington, DC. Abstract #A1406.Google Scholar
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