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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1990-10-4
pubmed:abstractText
The degree of systolic hypotension causing failure and recovery were tested simultaneously with three oximeters (CSI 504US, Nellcor N-200, and Ohmeda 3740) in nine normal male volunteers. Perfusion of the right hand was slowly reduced and restored by 1) elevation of the hand plus systemic hypotension with nitroprusside if needed (EL); 2) clamp compression of the brachial artery (CL); 3) brachial cuff inflation (CU); and 4) intraarterial norepinephrine (NE). With EL, pulse pressure was normal whereas right radial arterial systolic pressure (SP) was 25.3 +/- 12.4 mmHg at failure and 34.1 +/- 13.3 at recovery (mean of three oximeters, n = 189). With CL, pulse pressure fell more than did mean pressure, and failure occurred at 37.3 +/- 9.8 and recovery at 46.8 +/- 17.6 mmHg, n = 84. With CL, threshold of function, defined as the average of failure SP and recovery SP, was 47.1 +/- 13.5, n = 41 for Nellcor, higher than for either CSI (38.7 +/- 14.5, n = 17) or Ohmeda (36.0 +/- 3.4, n = 26) (P less than 0.05). With EL, no difference among instruments was found (mean 29.7 +/- 12.8, n = 189). Threshold was 58.2 +/- 8.4, n = 17 with CU if cuff inflation was slow (filling veins), but recovery was similar to EL after rapid cuff occlusion. With NE, SP threshold was increased to 58.3 +/- 21.0 with CL but only to 41.0 +/- 13.8 with EL.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0003-3022
pubmed:author
pubmed:issnType
Print
pubmed:volume
73
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
532-7
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Pulse oximeter failure thresholds in hypotension and vasoconstriction.
pubmed:affiliation
Department of Anesthesia, University of California, San Francisco 94143-0542.
pubmed:publicationType
Journal Article