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  • 标题:Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
  • 本地全文:下载
  • 作者:Shinshu Katayama ; Jun Shima ; Ken Tonai
  • 期刊名称:Scientific Reports
  • 电子版ISSN:2045-2322
  • 出版年度:2021
  • 卷号:11
  • DOI:10.1038/s41598-021-88608-7
  • 语种:English
  • 出版社:Springer Nature
  • 摘要:Recently, maintaining a certain oxygen saturation measured by pulse oximetry (SpO 2) range in mechanically ventilated patients was recommended; attaching the INTELLiVENT-ASV to ventilators might be beneficial. We evaluated the SpO 2 measurement accuracy of a Nihon Kohden and a Masimo monitor compared to actual arterial oxygen saturation (SaO 2). SpO 2 was simultaneously measured by a Nihon Kohden and Masimo monitor in patients consecutively admitted to a general intensive care unit and mechanically ventilated. Bland–Altman plots were used to compare measured SpO 2 with actual SaO 2. One hundred mechanically ventilated patients and 1497 arterial blood gas results were reviewed. Mean SaO 2 values, Nihon Kohden SpO 2 measurements, and Masimo SpO 2 measurements were 95.7%, 96.4%, and 96.9%, respectively. The Nihon Kohden SpO 2 measurements were less biased than Masimo measurements; their precision was not significantly different. Nihon Kohden and Masimo SpO 2 measurements were not significantly different in the “SaO 2  < 94%” group ( P  = 0.083). In the “94% ≤ SaO 2  < 98%” and “SaO 2  ≥ 98%” groups, there were significant differences between the Nihon Kohden and Masimo SpO 2 measurements ( P  < 0.0001; P  = 0.006; respectively). Therefore, when using automatically controlling oxygenation with INTELLiVENT-ASV in mechanically ventilated patients, the Nihon Kohden SpO 2 sensor is preferable. Trial registration UMIN000027671. Registered 7 June 2017.
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