High-Performance Sport

Introduction: Pulse oximetry is widely used to measure blood oxygens saturation (SpO2) and acclimatization status in order to assess acclimatisation status at altitude and there is evidence suggesting that SpO2 during exercise is more relevant than measurements at rest. But movement, especially of t...

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Autores principales: Tannheimer M, 2, Kirsten J, Treff G, Lechner R
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EN
Publicado: Dynamic Media Sales Verlag 2018
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Acceso en línea:https://doaj.org/article/6f33cf925c5b48f89670b0ea47b59759
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spelling oai:doaj.org-article:6f33cf925c5b48f89670b0ea47b597592021-11-16T19:01:41ZHigh-Performance Sport0344-59252510-526410.5960/dzsm.2018.353https://doaj.org/article/6f33cf925c5b48f89670b0ea47b597592018-11-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archiv/archiv-2018/issue-11/usability-of-pulse-oximetry-during-severe-physical-exercise-at-high-altitude/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Introduction: Pulse oximetry is widely used to measure blood oxygens saturation (SpO2) and acclimatization status in order to assess acclimatisation status at altitude and there is evidence suggesting that SpO2 during exercise is more relevant than measurements at rest. But movement, especially of the hands, can lead to incorrect measurements and artefacts, when the oxymeter is attached to a finger, which in turn might limit the use of pulse oximetry.Key question: We aimedto evaluate the rate of incorrect measurementsduring extreme exercise (ice climbing) in order to assess the applicability of pulse oximetry during activity.Material and Methods: We analyzed an extreme ice-climb to the summit of Les Courtes (3856 m; NE-gully: 800 m; 50) in a male 32-years old mountain guide. The pulse oximeter (PalmSat 2500; Nonin) logsthe measured values for SpO2andpulse every 4 seconds and detects incorrect data, allowingcalculate the proportion of incorrect measurements. Results: During the whole tour 24.8% (1333/5368) of incorrect measurements were detected,34.5% (778/2252) during the ice climb. The highest proportionof incorrect measurementsoccurred during the preparation for the ice-climb, 55.6% (81/145). For a normal alpine activity (total tour without ice-climb and the associated preparation time) the rate of incorrect measurementswas 16.8% (510/3028).Discussion: Even during exercise in extremeconditions like ice-climbing,pulse oximetry provides approx. 33% valid SpO2 values, allowing a meaningful monitoring of blood oxygenation.KEY WORDS: Acute Mountain Sickness, Oxygen Saturation, Moving Artifact, PalmSat 2500, Ice ClimbingTannheimer M2Kirsten JTreff GLechner RDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 69, Iss 11 (2018)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Tannheimer M
2
Kirsten J
Treff G
Lechner R
High-Performance Sport
description Introduction: Pulse oximetry is widely used to measure blood oxygens saturation (SpO2) and acclimatization status in order to assess acclimatisation status at altitude and there is evidence suggesting that SpO2 during exercise is more relevant than measurements at rest. But movement, especially of the hands, can lead to incorrect measurements and artefacts, when the oxymeter is attached to a finger, which in turn might limit the use of pulse oximetry.Key question: We aimedto evaluate the rate of incorrect measurementsduring extreme exercise (ice climbing) in order to assess the applicability of pulse oximetry during activity.Material and Methods: We analyzed an extreme ice-climb to the summit of Les Courtes (3856 m; NE-gully: 800 m; 50) in a male 32-years old mountain guide. The pulse oximeter (PalmSat 2500; Nonin) logsthe measured values for SpO2andpulse every 4 seconds and detects incorrect data, allowingcalculate the proportion of incorrect measurements. Results: During the whole tour 24.8% (1333/5368) of incorrect measurements were detected,34.5% (778/2252) during the ice climb. The highest proportionof incorrect measurementsoccurred during the preparation for the ice-climb, 55.6% (81/145). For a normal alpine activity (total tour without ice-climb and the associated preparation time) the rate of incorrect measurementswas 16.8% (510/3028).Discussion: Even during exercise in extremeconditions like ice-climbing,pulse oximetry provides approx. 33% valid SpO2 values, allowing a meaningful monitoring of blood oxygenation.KEY WORDS: Acute Mountain Sickness, Oxygen Saturation, Moving Artifact, PalmSat 2500, Ice Climbing
format article
author Tannheimer M
2
Kirsten J
Treff G
Lechner R
author_facet Tannheimer M
2
Kirsten J
Treff G
Lechner R
author_sort Tannheimer M
title High-Performance Sport
title_short High-Performance Sport
title_full High-Performance Sport
title_fullStr High-Performance Sport
title_full_unstemmed High-Performance Sport
title_sort high-performance sport
publisher Dynamic Media Sales Verlag
publishDate 2018
url https://doaj.org/article/6f33cf925c5b48f89670b0ea47b59759
work_keys_str_mv AT tannheimerm highperformancesport
AT 2 highperformancesport
AT kirstenj highperformancesport
AT treffg highperformancesport
AT lechnerr highperformancesport
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