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Journal of Clinical Monitoring and Computing

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01-06-2016 | Original Research

Respiratory variations in the photoplethysmographic waveform amplitude depend on type of pulse oximetry device

Authors: Lars Øivind Høiseth, Ingrid Elise Hoff, Ove Andreas Hagen, Knut Arvid Kirkebøen, Svein Aslak Landsverk

Published in: Journal of Clinical Monitoring and Computing | Issue 3/2016

Abstract

Respiratory variations in the photoplethysmographic waveform amplitude predict fluid responsiveness under certain conditions. Processing of the photoplethysmographic signal may vary between different devices, and may affect respiratory amplitude variations calculated by the standard formula. The aim of the present analysis was to explore agreement between respiratory amplitude variations calculated using photoplethysmographic waveforms available from two different pulse oximeters. Analysis of registrations before and after fluid loads performed before and after open-heart surgery (aortic valve replacement and/or coronary artery bypass grafting) with patients on controlled mechanical ventilation. Photoplethysmographic (Nellcor and Masimo pulse oximeters) and arterial pressure waveforms were recorded. Amplitude variations induced by ventilation were calculated and averaged over ten respiratory cycles. Agreements for absolute values are presented in scatterplots (with least median square regression through the origin, LMSO) and Bland–Altman plots. Agreement for trending presented in a four-quadrant plot. Agreement between respiratory photoplethysmographic amplitude variations from the two pulse oximeters was poor with LMSO ΔPOP_Nellc = 1.5 × ΔPOP_Mas and bias ± limits of agreement 7.4 ± 23 %. Concordance rate with a fluid load was 91 %. Agreement between respiratory variations in the photoplethysmographic waveform amplitude calculated from the available signals output by two different pulse oximeters was poor, both evaluated by LMSO and Bland–Altman plot. Respiratory amplitude variations from the available signals output by these two pulse oximeters are not interchangeable.

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Title: Respiratory variations in the photoplethysmographic waveform amplitude depend on type of pulse oximetry device
Authors: Lars Øivind Høiseth
Ingrid Elise Hoff
Ove Andreas Hagen
Knut Arvid Kirkebøen
Svein Aslak Landsverk
Publication date: 01-06-2016
Publisher: Springer Netherlands
Published in: Journal of Clinical Monitoring and Computing / Issue 3/2016
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-015-9720-9

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Respiratory variations in the photoplethysmographic waveform amplitude depend on type of pulse oximetry device

Abstract

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Abstract

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