[Monitoring of bronchoscopy in artificially ventilated patients using peripheral pulse oximetry--a useful monitoring method?].
In the present study, flexible bronchoscopy was monitored by means of peripheral pulse oximetry in 62 artificially ventilated patients of a surgical intensive-care ward. The study was designed to establish whether falls of arterial oxygen saturation due to bronchoscopy can be detected at an early stage and whether they can possibly be influenced by an appropriate investigation technique. 270 comparative measurements of hemoglobin oxygen saturation were carried out; the oxygen saturation directly measured in the arterial blood served as reference value. The statistical analysis revealed a correlation of r = 0.85. In ten patients, there was an impairment of respiratory function and hypoxemia due to bronchoscopy. In all cases, this could be detected in good time from the fall of oxygen saturation. Pulmonary impairment was partially prevented or further impairment was avoided by an appropriate technique of investigation.
Konrad
F
F
Universitätsklinik für Anästhesiologie, Klinikum der Universität Ulm.
Wiedeck
H
H
Diatzko
Y
Y
Kilian
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001999:Bronchoscopy; D002283:Carcinoma, Bronchogenic / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008875:Middle Aged; D010092:Oximetry; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications / Q000097:blood; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000097:blood; D012131:Respiratory Insufficiency / Q000097:blood
D010100:Oxygen
Uberwachung der Bronchoskopie bei Beatmungspatienten mittels peripherer Pulsoximetrie--ein nützliches Monitoring?