Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study

Abstract Recently, maintaining a certain oxygen saturation measured by pulse oximetry (SpO2) range in mechanically ventilated patients was recommended; attaching the INTELLiVENT-ASV to ventilators might be beneficial. We evaluated the SpO2 measurement accuracy of a Nihon Kohden and a Masimo monitor...

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Autores principales:	Shinshu Katayama, Jun Shima, Ken Tonai, Kansuke Koyama, Shin Nunomiya
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b56b877f037347dcb9a42cfd749cb215
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spelling	oai:doaj.org-article:b56b877f037347dcb9a42cfd749cb2152021-12-02T16:55:46ZAccuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study10.1038/s41598-021-88608-72045-2322https://doaj.org/article/b56b877f037347dcb9a42cfd749cb2152021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88608-7https://doaj.org/toc/2045-2322Abstract Recently, maintaining a certain oxygen saturation measured by pulse oximetry (SpO2) range in mechanically ventilated patients was recommended; attaching the INTELLiVENT-ASV to ventilators might be beneficial. We evaluated the SpO2 measurement accuracy of a Nihon Kohden and a Masimo monitor compared to actual arterial oxygen saturation (SaO2). SpO2 was simultaneously measured by a Nihon Kohden and Masimo monitor in patients consecutively admitted to a general intensive care unit and mechanically ventilated. Bland–Altman plots were used to compare measured SpO2 with actual SaO2. One hundred mechanically ventilated patients and 1497 arterial blood gas results were reviewed. Mean SaO2 values, Nihon Kohden SpO2 measurements, and Masimo SpO2 measurements were 95.7%, 96.4%, and 96.9%, respectively. The Nihon Kohden SpO2 measurements were less biased than Masimo measurements; their precision was not significantly different. Nihon Kohden and Masimo SpO2 measurements were not significantly different in the “SaO2 < 94%” group (P = 0.083). In the “94% ≤ SaO2 < 98%” and “SaO2 ≥ 98%” groups, there were significant differences between the Nihon Kohden and Masimo SpO2 measurements (P < 0.0001; P = 0.006; respectively). Therefore, when using automatically controlling oxygenation with INTELLiVENT-ASV in mechanically ventilated patients, the Nihon Kohden SpO2 sensor is preferable. Trial registration UMIN000027671. Registered 7 June 2017.Shinshu KatayamaJun ShimaKen TonaiKansuke KoyamaShin NunomiyaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shinshu Katayama Jun Shima Ken Tonai Kansuke Koyama Shin Nunomiya Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
description	Abstract Recently, maintaining a certain oxygen saturation measured by pulse oximetry (SpO2) range in mechanically ventilated patients was recommended; attaching the INTELLiVENT-ASV to ventilators might be beneficial. We evaluated the SpO2 measurement accuracy of a Nihon Kohden and a Masimo monitor compared to actual arterial oxygen saturation (SaO2). SpO2 was simultaneously measured by a Nihon Kohden and Masimo monitor in patients consecutively admitted to a general intensive care unit and mechanically ventilated. Bland–Altman plots were used to compare measured SpO2 with actual SaO2. One hundred mechanically ventilated patients and 1497 arterial blood gas results were reviewed. Mean SaO2 values, Nihon Kohden SpO2 measurements, and Masimo SpO2 measurements were 95.7%, 96.4%, and 96.9%, respectively. The Nihon Kohden SpO2 measurements were less biased than Masimo measurements; their precision was not significantly different. Nihon Kohden and Masimo SpO2 measurements were not significantly different in the “SaO2 < 94%” group (P = 0.083). In the “94% ≤ SaO2 < 98%” and “SaO2 ≥ 98%” groups, there were significant differences between the Nihon Kohden and Masimo SpO2 measurements (P < 0.0001; P = 0.006; respectively). Therefore, when using automatically controlling oxygenation with INTELLiVENT-ASV in mechanically ventilated patients, the Nihon Kohden SpO2 sensor is preferable. Trial registration UMIN000027671. Registered 7 June 2017.
format	article
author	Shinshu Katayama Jun Shima Ken Tonai Kansuke Koyama Shin Nunomiya
author_facet	Shinshu Katayama Jun Shima Ken Tonai Kansuke Koyama Shin Nunomiya
author_sort	Shinshu Katayama
title	Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
title_short	Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
title_full	Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
title_fullStr	Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
title_full_unstemmed	Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study
title_sort	accuracy of two pulse-oximetry measurements for intellivent-asv in mechanically ventilated patients: a prospective observational study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b56b877f037347dcb9a42cfd749cb215
work_keys_str_mv	AT shinshukatayama accuracyoftwopulseoximetrymeasurementsforintelliventasvinmechanicallyventilatedpatientsaprospectiveobservationalstudy AT junshima accuracyoftwopulseoximetrymeasurementsforintelliventasvinmechanicallyventilatedpatientsaprospectiveobservationalstudy AT kentonai accuracyoftwopulseoximetrymeasurementsforintelliventasvinmechanicallyventilatedpatientsaprospectiveobservationalstudy AT kansukekoyama accuracyoftwopulseoximetrymeasurementsforintelliventasvinmechanicallyventilatedpatientsaprospectiveobservationalstudy AT shinnunomiya accuracyoftwopulseoximetrymeasurementsforintelliventasvinmechanicallyventilatedpatientsaprospectiveobservationalstudy
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Accuracy of two pulse-oximetry measurements for INTELLiVENT-ASV in mechanically ventilated patients: a prospective observational study

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