Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-23T19:40:48.912Z Has data issue: false hasContentIssue false
  • English
  • Français

Experience of pulse oximetry in children with croup

Published online by Cambridge University Press:  29 June 2007

P. J. Stoney  and
M. K. Chakrabarti
P. J. Stoney*
Affiliation:
Swansea
M. K. Chakrabarti
Affiliation:
Swansea
*
Mr P. J. Stoney, F.R.C.S., Research Fellow, 31 Norway Avenue, Toronto, Ontario M4L 1P7, Canada.
Get access Rights & Permissions [Opens in a new window]

Abstract

We report our experience with 199 patients requiring admission with a diagnosis of croup over an 18 month period. The value of using pulse oximetry to monitor these children was critically examined. Twenty-nine patients with clinically significant stridor were monitored for an average of 12 hours. There was poor correlation of clinical status and respiratory rate with hypoxia as shown by the technique, with frequent dips in oxygen saturation being caused by technical problems such as movement artefact. Pulse oximetry is a useful adjunct to the clinical assessment of croup, but cannot be relied upon solely for monitoring these labile patients.

Keywords

OximetryCroup
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 4 , April 1991 , pp. 295 - 298
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cote, C. J., Goldstein, E. A., Cote, M. A., Hoaglin, D. C., Ryan, J. F. (1988) A single-blind study of pulse oximetry in children with croup. Anesthesiology, 68: 184–188.CrossRefGoogle Scholar
Downes, J. J., Raphaely, R. (1975) Pediatric intensive care. Anesthesiology, 43: 242–250.CrossRefGoogle ScholarPubMed
Gardner, H. G., Powell, K. R., Roden, V. J., Cherry, J. D. (1973) The evaluation of racemic epinephrine in the treatment of infectious croup. Pediatrics, 52: 52–55.CrossRefGoogle ScholarPubMed
Geelhoed, G. C., Landau, L. I., LeSouef, P. N. (1988) Predictive value of oxygen saturation in emergency evaluation of asthmatic children. British Medical Journal, 297: 395–396.CrossRefGoogle ScholarPubMed
Hen, J. Current management of upper airway obstruction (1986) Pediatric Annals, 15: 274–294.CrossRefGoogle ScholarPubMed
Kidd, J. F., Vickers, M. D. (1989) Editorial. Pulse oximeters: essential monitors with limitations. British Journal of Anaesthesia, 62: 355–357.CrossRefGoogle Scholar
Mauro, R. D., Poole, S. R., Lockhart, S. H. (1988) Differentiation of epiglottitis in the child with stridor. American Journal of Diseases of Children, 142: 679–682.Google ScholarPubMed
Mills, J. L., Spackman, T. J.,Borns, P., Mandell, G. A., Schwartz, M. W. (1979) The usefulness of lateral neck roentgenograms in laryngotracheobronchitis. American Journal of Diseases of Children, 133: 1140–1142.Google ScholarPubMed
Newth, C. J. L., Levinson, H., Bryan, A. C. (1972) The respiratory status of children with croup. Journal of Pediatrics, 81: 1068–1073.CrossRefGoogle ScholarPubMed
Taussig, L. M., Castro, O., Beaudry, P. H., Fox, W. W., Bureau, M. (1975) Treatment of laryngotracheobronchitis (croup). Use of intermittent positive pressure breathing and racemic epinephrine. American Journal of Diseases of Children, 129: 790–793.CrossRefGoogle ScholarPubMed
Westley, C. R., Cotton, E. K., Brooks, J. G. (1978) Nebulized racemic epinephrine by IPPB for the treatment of crup. American Journal of Diseases of Children, 132: 484–487.CrossRefGoogle Scholar
Wilkins, C. J., Moores, M., Hanning, C. D. (1989) Comparison of pulse oximeters: effects of vasoconstriction and venous engorgement. British Journal of Anaesthesia, 62: 439–444.CrossRefGoogle ScholarPubMed