2003, Número 3
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Rev Med Hosp Gen Mex 2003; 66 (3)
Oximetría de pulso: A la vanguardia en la monitorización no invasiva de la oxigenación
López-Herranz GP
Idioma: Español
Referencias bibliográficas: 102
Paginas: 160-169
Archivo PDF: 133.95 Kb.
RESUMEN
Una de las misiones importantes del anestesiólogo en la sala quirúrgica es mantener las constantes vitales con seguridad para el paciente. Contar con un equipo de monitorización completo y eficiente permite la vigilancia de la función ventilatoria durante los procedimientos anestésico-quirúrgicos. La oximetría de pulso es un método no invasivo que contribuye a garantizar la seguridad de la anestesia. Es la culminación de una serie de descubrimientos científicos. Desde su comercialización ha ofrecido la vigilancia de la función ventilatoria en una extensa variedad de áreas clínicas y quirúrgicas. En este artículo, se describe la oximetría de pulso convencional, su evolución, principios de funcionamiento, indicaciones, limitaciones y complicaciones. Se presenta una nueva perspectiva, la oximetría de pulso con tecnología de reflectancia, así como las modalidades y aplicaciones futuras.
REFERENCIAS (EN ESTE ARTÍCULO)
http://www.medical.philips.com
http://www.ContinuingEducation.com
Tremper KK, Baker SJ. Pulse oximetry. Anesthesiology 1989; 70: 98-108.
Collins VJ. Vigilancia del estado fisiológico del paciente anestesiado. En: Collins VJ. Anestesiología. México: Nueva Editorial Interamericana, 1983; 52-55.
http://www.anesthesiologynews.com
http://www.personal.u-net.com
http://www.anestesia.com.mx.articulo/nom170
http://tenoch.pquim.unam.mx/académico/qa/lbeer/html
http://us.es/dbiovege/quimica/quimicapract.doc
http://www.jeffline.tju.edu/Education/courses/anesth/docs/library/monitor.html
http://www.optik.uni-erlangen.de
http://www.utmb.edu/ERC/selfstud/pulseoximetry/pulseox.htm
http://usuarios.utr.net/anestesi/clases/oximetria/oximetria.pdf
O´Leary RJ Jr, Landon M, Benumof JL. Bucal pulse oximeter is more accurate than finger pulse oximeter in measuring oxygen saturation. Anesth Analg 1992; 75: 495-498.
Brimacombe J, Keller C, Margreiter J. A pilot study of left tracheal pulse oximetry. Anesth Analg 2000; 91: 1003-1006.
Ortiz FO, Aldrich TK, Nagel RL, Benjamin LJ. Accuracy of pulse oximetry in sickle cell disease. Am J Respir Crit Care Med 1999; 159: 447-451.
http://www.nda.ox.ac.uk/wfsa/html
http://www.rtmagazine.com
Dassel AC, Graaf R, Sikkema M, Meijer A, Zijlstra WG, Aarnoudse JG. Reflectance pulse oximetry at the forehead improves by pressure of the probe. J Clin Monit 1995; 11: 237-244.
Mendelson Y, Cheung PW, Neuman MR, Fleming DG, Cahn SD. Spectrophotometric investigation of pulsatile blood flow for transcutaneous reflectance oximetry. Adv Exp Med Biol 1983; 59: 93-102.
Mendelson Y, Yocum BL. Noninvasive measurement of arterial oxyhemoglobin saturation with a heated and a non-heated skin reflectance pulse oximeter sensor. Biomed Instrum Technol 1991; 25: 472-480.
Cui WJ, Ostrander LE, Lee BY. In vivo reflectance of blood and tissue as a function of light wavelength. IEEE Trans Biomed Eng 1990; 37: 632-639.
Palve H. Reflection and transmission pulse oximetry during compromised peripheral perfusion. J Clin Monit 1992; 18: 12-15.
Letko PM. Fetal pulse oximetry. An adjunt to electronic fetal heart rate. J Obstet Gynecol Neonat Nurs 2000; 29: 37-48.
Henney JE. New system for monitoring intrapartum fetal oxygen saturation. JAMA 2000; 284: 33.
http://www.healthymotherandbaby.com
Lewinsky RM, Fine I. Antepartum fetal pulse oximetry. Eur J Obstet Reproduc Biol 1997; 72: 581-585.
http://www.obgyn.net/fm/articles/oxifirst_faq.htm
http://www.nmr.mgh.harvard.edu/DOT/research/nirs-brain/oximetry.htm
Hernandez-Avila G, Dujovny M, Slavin KV, Luer MS, Nijensohn E, Geremia G et al. Use of transcranial cerebral oximetry to monitor regional cerebral oxygen saturation during neuroendovascular procedures. Am J Neuroradiol 1995; 16: 1618-1625.
http://www.analgesic.anest.ufl.edu/anest2/mahla/snacc/oxim/
Samra SK, Stanley JC, Zelenock GB, Dorje P. An assessment of contributions made by extracranial tissues during cerebral oximetry. J Neurosurg Anesthesiol 1999; 11: 1-5.
Prielipp RC, Scuderi PE, Hines MH, Atlee JL, Butterworth JF. Comparison of a prototype esophageal oximetry probe with two conventional digital pulse oximetry monitors in aortocoronary bypass patients. J Clin Monit Comput 2000; 16: 201-209.
Kyriacou PA, Moye AR, Gregg A, Chot DM, Langford RM, Jones DP. A system for investigating oesophageal photoplethysmographic signals in anesthetised patients. Med Biol Eng Comput 1999; 37: 639-643.
Kyriacou PA, Powell S, Langford RM, Jones DP. Evaluation of esophageal pulse oximetry in patients undergoing cardiothoracic surgery. Anaesthesia 2003; 58: 422-427.
Crerar-Gilbert AJ, Kyriacou PA, Jones DP, Langford RM. Assessment of photoplethysmographic signals for the determination of splanchnic oxygen saturation in humans. Anaesthesia 2002; 57: 442-445.
Gardner GP, La Morte WW, Obi-Tabot ET, Menzoian JO. Transanal intracolonic pulse oximetry as a means of monitoring the adequacy of colonic perfusion. J Surg Res 1994; 57: 537-540.
Koga I, Stiernström H, Wiklund L. Sigmoid colonic reflectance pulse oximetry and tonometry in a porcine experimental hypoperfusion shock model. Acta Anesthesiol Scand 2002; 46: 1212-1216.
deKoch JP, Tarassenko L, Glynn CJ, Hell AR. Reflectance pulse oximetry measurements from the retinal fundus. IEEE Trans Biomed Eng 1993; 40: 817-823.
Crittin M, Schmidt H, Riva CE. Hemoglobin oxygen saturation (sO2) in the human ocular fundus measured by reflectance oximetry: Preliminary data in retinal veins. Klin Monatsbl Augenheilkd 2002; 219: 289-291.
Bach JM, Schwenzer KJ, Srinivas S, Kim D, Tiederman JS. Oximetry of retinal vessel by dual-wavelength imaging: Calibration and influence of pigmentation. J Appl Phisiol 1999; 86: 748-758.
http://www.techlink.msu.montana.edu/techops/pdf
http://www.perinatal.org.uk/isis2001/isiscd/abstracts/6%20-%20Pulse%20Ox/Carbonne.pdf
Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 1977; 198: 1264-1267.
Dougherty G, Barnett NJ, Pettinger SJ. A prototype instrument combining laser Doppler flowmetry and reflection pulse oximetry. Clin Physiol Meas 1992; 13: 105-114.
http://www.medical.philips.com
http://www.ContinuingEducation.com
Tremper KK, Baker SJ. Pulse oximetry. Anesthesiology 1989; 70: 98-108.
Collins VJ. Vigilancia del estado fisiológico del paciente anestesiado. En: Collins VJ. Anestesiología. México: Nueva Editorial Interamericana, 1983; 52-55.
http://www.anesthesiologynews.com
http://www.personal.u-net.com
http://www.anestesia.com.mx.articulo/nom170
http://tenoch.pquim.unam.mx/académico/qa/lbeer/html
http://us.es/dbiovege/quimica/quimicapract.doc
http://www.jeffline.tju.edu/Education/courses/anesth/docs/library/monitor.html
http://www.optik.uni-erlangen.de
http://www.utmb.edu/ERC/selfstud/pulseoximetry/pulseox.htm
http://usuarios.utr.net/anestesi/clases/oximetria/oximetria.pdf
O´Leary RJ Jr, Landon M, Benumof JL. Bucal pulse oximeter is more accurate than finger pulse oximeter in measuring oxygen saturation. Anesth Analg 1992; 75: 495-498.
Brimacombe J, Keller C, Margreiter J. A pilot study of left tracheal pulse oximetry. Anesth Analg 2000; 91: 1003-1006.
Ortiz FO, Aldrich TK, Nagel RL, Benjamin LJ. Accuracy of pulse oximetry in sickle cell disease. Am J Respir Crit Care Med 1999; 159: 447-451.
http://www.nda.ox.ac.uk/wfsa/html
http://www.rtmagazine.com
Dassel AC, Graaf R, Sikkema M, Meijer A, Zijlstra WG, Aarnoudse JG. Reflectance pulse oximetry at the forehead improves by pressure of the probe. J Clin Monit 1995; 11: 237-244.
Mendelson Y, Cheung PW, Neuman MR, Fleming DG, Cahn SD. Spectrophotometric investigation of pulsatile blood flow for transcutaneous reflectance oximetry. Adv Exp Med Biol 1983; 59: 93-102.
Mendelson Y, Yocum BL. Noninvasive measurement of arterial oxyhemoglobin saturation with a heated and a non-heated skin reflectance pulse oximeter sensor. Biomed Instrum Technol 1991; 25: 472-480.
Cui WJ, Ostrander LE, Lee BY. In vivo reflectance of blood and tissue as a function of light wavelength. IEEE Trans Biomed Eng 1990; 37: 632-639.
Palve H. Reflection and transmission pulse oximetry during compromised peripheral perfusion. J Clin Monit 1992; 18: 12-15.
Letko PM. Fetal pulse oximetry. An adjunt to electronic fetal heart rate. J Obstet Gynecol Neonat Nurs 2000; 29: 37-48.
Henney JE. New system for monitoring intrapartum fetal oxygen saturation. JAMA 2000; 284: 33.
http://www.healthymotherandbaby.com
Lewinsky RM, Fine I. Antepartum fetal pulse oximetry. Eur J Obstet Reproduc Biol 1997; 72: 581-585.
http://www.obgyn.net/fm/articles/oxifirst_faq.htm
http://www.nmr.mgh.harvard.edu/DOT/research/nirs-brain/oximetry.htm
Hernandez-Avila G, Dujovny M, Slavin KV, Luer MS, Nijensohn E, Geremia G et al. Use of transcranial cerebral oximetry to monitor regional cerebral oxygen saturation during neuroendovascular procedures. Am J Neuroradiol 1995; 16: 1618-1625.
http://www.analgesic.anest.ufl.edu/anest2/mahla/snacc/oxim/
Samra SK, Stanley JC, Zelenock GB, Dorje P. An assessment of contributions made by extracranial tissues during cerebral oximetry. J Neurosurg Anesthesiol 1999; 11: 1-5.
Prielipp RC, Scuderi PE, Hines MH, Atlee JL, Butterworth JF. Comparison of a prototype esophageal oximetry probe with two conventional digital pulse oximetry monitors in aortocoronary bypass patients. J Clin Monit Comput 2000; 16: 201-209.
Kyriacou PA, Moye AR, Gregg A, Chot DM, Langford RM, Jones DP. A system for investigating oesophageal photoplethysmographic signals in anesthetised patients. Med Biol Eng Comput 1999; 37: 639-643.
Kyriacou PA, Powell S, Langford RM, Jones DP. Evaluation of esophageal pulse oximetry in patients undergoing cardiothoracic surgery. Anaesthesia 2003; 58: 422-427.
Crerar-Gilbert AJ, Kyriacou PA, Jones DP, Langford RM. Assessment of photoplethysmographic signals for the determination of splanchnic oxygen saturation in humans. Anaesthesia 2002; 57: 442-445.
Gardner GP, La Morte WW, Obi-Tabot ET, Menzoian JO. Transanal intracolonic pulse oximetry as a means of monitoring the adequacy of colonic perfusion. J Surg Res 1994; 57: 537-540.
Koga I, Stiernström H, Wiklund L. Sigmoid colonic reflectance pulse oximetry and tonometry in a porcine experimental hypoperfusion shock model. Acta Anesthesiol Scand 2002; 46: 1212-1216.
deKoch JP, Tarassenko L, Glynn CJ, Hell AR. Reflectance pulse oximetry measurements from the retinal fundus. IEEE Trans Biomed Eng 1993; 40: 817-823.
Crittin M, Schmidt H, Riva CE. Hemoglobin oxygen saturation (sO2) in the human ocular fundus measured by reflectance oximetry: Preliminary data in retinal veins. Klin Monatsbl Augenheilkd 2002; 219: 289-291.
Bach JM, Schwenzer KJ, Srinivas S, Kim D, Tiederman JS. Oximetry of retinal vessel by dual-wavelength imaging: Calibration and influence of pigmentation. J Appl Phisiol 1999; 86: 748-758.
http://www.techlink.msu.montana.edu/techops/pdf
http://www.perinatal.org.uk/isis2001/isiscd/abstracts/6%20-%20Pulse%20Ox/Carbonne.pdf
Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 1977; 198: 1264-1267.
Dougherty G, Barnett NJ, Pettinger SJ. A prototype instrument combining laser Doppler flowmetry and reflection pulse oximetry. Clin Physiol Meas 1992; 13: 105-114.
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