• Title/Summary/Keyword: $SpO_2$ (Oxygen Saturation)

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Optimal oxygen saturation in premature infants

  • Chang, Mea-Young
    • Clinical and Experimental Pediatrics
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    • v.54 no.9
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    • pp.359-362
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    • 2011
  • There is a delicate balance between too little and too much supplemental oxygen exposure in premature infants. Since underuse and overuse of supplemental oxygen can harm premature infants, oxygen saturation levels must be monitored and kept at less than 95% to prevent reactive oxygen species-related diseases, such as retinopathy of prematurity and bronchopulmonary dysplasia. At the same time, desaturation below 80 to 85% must be avoided to prevent adverse consequences, such as cerebral palsy. It is still unclear what range of oxygen saturation is appropriate for premature infants; however, until the results of further studies are available, a reasonable target for pulse oxygen saturation ($SpO_2$) is 90 to 93% with an intermittent review of the correlation between $SpO_2$ and the partial pressure of arterial oxygen tension ($PaO_2$). Because optimal oxygenation depends on individuals at the bedside making ongoing adjustments, each unit must define an optimal target range and set alarm limits according to their own equipment or conditions. All staff must be aware of these values and adjust the concentration of supplemental oxygen frequently.

A Design and Implementation of SpO2 Wearable Device for Companion Animals in PPG Signals

  • Kim, Woo-Chan;Chang, Jin-Wook;Kwon, Hoon;Lee, Won Joo;Kwak, Ho-Young
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.11
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    • pp.191-198
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    • 2022
  • The most basic thing to measure the condition of a companion animal is to check the breathing and pulse. There are several methods to measure the breathing and pulse of a companion animal, and the PPG method is generally used to measure the oxygen saturation (SpO2) in a companion animal. However, since the input PPG signal is inputted with various information as well as oxygen saturation, it is necessary to separate and extract oxygen saturation information from the PPG signal in order to measure the oxygen saturation. Therefore, in this paper, a wearable measuring device for companion animals that can be measured by applying the PPG method was designed and implemented, and an algorithm for separating oxygen saturation information from the PPG signal input through the wearable measuring device was proposed.

Effects of Abdominal Breathing Practice on Oxygen Saturation and Pulserate for Insomnia in Middle-aged Women (복식호흡 수련이 중년여성의 불면증 산소포화도와 맥박에 미치는 영향)

  • Jeon, Gesam;Kim, Yeon Woo;Lee, Ji Kwan
    • Journal of Naturopathy
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    • v.11 no.2
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    • pp.116-122
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    • 2022
  • Background: Studies on the effect of abdominal or thoracic breathing therapy on sleep or blood oxygen concentration are still scarce. Purpose: This study was to examine the effect on blood oxygen saturation and pulse variability, changes in the severity of insomnia, changes in wakefulness before sleep, and dysfunctional beliefs and attitudes toward the Korean version of sleep in women in their 50s after healing with abdominal breathing and thoracic breathing. We investigated the effect. Methods: Subjects were investigated before and after the change of breathing (breathing) therapy for 12 weeks, 3 times a week, and 36 breaths perweek. Results: It wa evaluated respiratory healing as having no significance in the pulse rate change. However, oxygen saturation was significant in the experimental group, increasing to 93.60 SpO2% before the respiratory rally and 96.5 SpO2% after respiratory recovery (p < .002). In addition, the insomnia severity scale and dysfunctional beliefs about sleep significantly decreased after respiratory rally than before (p < .000). Conclusions: It evaluated that respiratory therapy for the subjects is beneficial to health as it is effective for insomnia, pulse, and oxygen saturation.

Development of communication module for the wireless transmission of oxygen saturation(SpO2) and display software (산소 포화도의 무선 전송을 위한 통신모듈 및 디스플레이 소프트웨어 개발)

  • Han, Young-Oh
    • Journal of Digital Contents Society
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    • v.11 no.2
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    • pp.277-282
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    • 2010
  • In this paper, the wireless transmission module is developed to transmit oxygen saturation(SpO2) signal, acquired from bio-signal measuring module, to PC. This wireless transmission module is designed with closed type protocol instead of open type protocol such as a zigbee or a bluetooth, considering of the security of personal medical informations. The display software is also developed to display transmitted SpO2 signals by various type data and graph without information loss for a emergency transfer.

Comparison of Arterial Oxygen Saturation Measured by Pulse Oximetry at Different Sensor Sites in Neurocritical Patients (신경계 중환자의 측정부위별 맥박 산소포화도의 비교)

  • Jeon, Min-Jeong;Hwang, Sun-Kyung
    • Journal of Korean Critical Care Nursing
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    • v.16 no.1
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    • pp.1-14
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    • 2023
  • Purpose : This study aimed to compare peripheral pulse oxygen saturation (SpO2) values, measured at different monitoring sites, and arterial oxygen saturation (SaO2) of neurocritical patients. Methods : The study included 110 patients admitted to the neurosurgical intensive care unit of a university hospital. The patients' SpO2 values were measured in their index fingers, both second toes, both earlobes, and foreheads, using the patient monitoring system. These values were compared with the standard value of SaO2 measured using a blood gas analyzer. Data were analyzed using descriptive values, Pearson's correlation coefficients, Lin's concordance correlation coefficients (CCC), and Bland-Altman plots. Result : Regardless of the measuring site, SpO2 was correlated with the paired measurements of SaO2 (r=.40~.60, p<.001, CCC range=.40~.58). No significant bias in paired measurements of SpO2 and SaO2 was observed at all sites (-0.06~0.19%, p>.05). SpO2 values at the left finger and right earlobe had the narrowest range, with a 95% limits of agreement (LOA) (left finger -3.04~2.93% and right earlobe -3.18~2.79%). SpO2 at the index finger, on the side without an arterial catheter, had a narrower range of 95% LOA than that of the opposing finger (-3.00~2.97% vs. -3.73~3.26%). Conclusion : SpO2 at the finger without an arterial catheter had the highest level of precision. This study suggests using the index finger, on the side without an arterial catheter, for pulse oximetry in neurocritical patients.

Quantitative analysis of the effect of fraction of inspired oxygen on peripheral oxygen saturation in healthy volunteers

  • Kang, Bong Jin;Kim, Myojung;Bang, Ji-Yeon;Lee, Eun-Kyung;Choi, Byung-Moon;Noh, Gyu-Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.2
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    • pp.73-81
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    • 2020
  • Background: The international organization for standardization (ISO) 80601-2-61 dictates that the accuracy of a pulse oximeter should be assessed by a controlled desaturation study. We aimed to characterize the relationship between the fraction of inspired oxygen (FiO2) and peripheral oxygen saturation (SpO2) using a turnover model by retrospectively analyzing the data obtained from previous controlled desaturation studies. Materials and Methods: Each volunteer was placed in a semi-Fowler's position and connected to a breathing circuit to administer the hypoxic gas mixture containing medical air, oxygen, nitrogen, and carbon dioxide. Volunteers were exposed to various levels of induced hypoxia over 70-100% arterial oxygen saturation (SaO2). The study period consisted of two rounds of hypoxia and the volunteers were maintained in room air between each round. FiO2 and SpO2 were recorded continuously during the study period. A population pharmacodynamic analysis was performed with the NONMEM VII level 4 (ICON Development Solutions, Ellicott City, MD, USA). Results: In total, 2899 SpO2 data points obtained from 20 volunteers were used to determine the pharmacodynamic characteristics. The pharmacodynamic parameters were as follows: kout = 0.942 1/min, Imax = 0.802, IC50 = 85.3%, γ = 27.3. Conclusion: The changes in SpO2 due to decreases in FiO2 well explained by the turnover model with inhibitory function as a sigmoidal model.

Measurement of Blood Oxygen Saturation System and LavVIEW Program Using Broad-band Light Source (광대역 광원을 이용한 혈중 산소포화도의 측정 시스템 및 랩뷰 프로그램)

  • Cui, Jin Shi;Shin, Dong Ho;Song, Chul Gyu
    • Journal of Korea Multimedia Society
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    • v.18 no.2
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    • pp.128-137
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    • 2015
  • Blood oxygen saturation ($SpO_2$) is so important to be called bio-signal of the fifth. The measurement of blood oxygen saturation based on broad-ban light source has advantages of simple testing facility and easy understanding. This paper proposes a LabVIEW program which measures blood oxygen saturation based on broad-band light source. It combines LabVIEW and MATLAB, utilizing different light absorptions of oxyhemoglobin and deoxyhemoglobin in the visual wavelength range of 450nm-750nm to determine blood oxygen saturation. In order to improve accuracy through reducing the impact of hand shaking, the probe is fixed to the motor stage and then move a constant distance between the probe and the sample to be measured. Experimental results show that the proposed method noticeably increases the accuracy and saves time compared with the conventional methods.

Comparison of Arterial Oxygen Saturation According to Clinical Characteristics with Obstructive Sleep Apnea Syndrome (폐쇄성수면무호흡증후군의 임상양상에 따른 동맥혈산소포화도의 비교)

  • Jin, Bok-Hee;Chang, Kyung-Soon
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.2
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    • pp.129-134
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    • 2008
  • Obstructive sleep apnea syndrome (OSAS) is occurred by apnea by the obstruction of upper trachea while sleeping, followed by repetitive drop on arterial oxygen saturation ($SpO_2$). Therefore, the present study was focused on relation between $SpO_2$ of while having difficulty in breathing and clinical characteristics of OSAS while sleeping. The study took place at Ewha women university Mokdong hospital with 149 subjects (male 121, female 28) who were examined for polysomnography (PSG) from May 2007 to February 2008. All subjects were adhered to electrodes and sensors to measure electroencephalogram (EEG), electrooculogram (EOG), chin & leg electromyogram (EMG), airflow at nasal and oral cavities, breathing movement of chest and abdominal snoring sound and $SpO_2$. Lowest $SpO_2$ in male was meaningfully low with higher body mass index (BMI), louder snoring sound and thick neck circumference (p<0.01). While mean $SpO_2$ based on the degree of AHI did not show significant difference, lowest $SpO_2$ was significantly low with high AHI (p<0.001). Also, lowest $SpO_2$ was closely correlated with BMI (r=-00.343, p<0.001), snoring sound (r=0.177, p<0.05), apnea index (r=-0.589, p<0.001), hypopnea index (r=-0.336, p<0.001) and apnea-hypopnea index (r=-0.664, p<0.001). $SpO_2$ was closely related to clinical characteristics of OSAS, like male, BMI, snoring sound and neck circumference. Also, polysomnography accompanied by recent development of sleep study is considered as critical test to diagnose OSAS, decide the severity of illness, and evaluate the treatment plan.

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Automatic Control of Fraction of Inspired Oxygen in Neonatal Oxygen Therapy using Fuzzy Logic Control

  • Chanyagorn, Pornchai;Kiratiwudhikul, Phattaradanai
    • IEIE Transactions on Smart Processing and Computing
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    • v.5 no.2
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    • pp.107-116
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    • 2016
  • Premature babies of less than 37 weeks gestation might require oxygen therapy as an integral part of treatment and respiratory support. Because of their under-developed lungs, these so-called "preemies" might contract respiratory distress syndrome (RDS). To treat RDS, neonatal oxygen therapy is administered, where controlled oxygen gas is measured as a fraction of inspired oxygen ($FiO_2$). However, exposure to high oxygen content during long treatment could cause oxygen intoxication, which might cause permanent blindness due to retinopathy of prematurity (ROP), whereas insufficient oxygen exposure could cause severe hypoxia. A doctor would use oxygen saturation ($SpO_2$) data and prescribe a dose of $FiO_2$ to maintain $SpO_2$ within a suitable range. One objective is to maintain $SpO_2$ within the acceptable range using $FiO_2$ that is as low as possible. Adjustment of $FiO_2$ would normally be done by nurses every 15 to 30 minutes, which might not be safe in many situations. An error in $FiO_2$ adjustment during a manual procedure could be as large as +/- 2.5%. This paper presents a system that can determine an $FiO_2$ value suitable to the current $SpO_2$ and that automatically adjusts $FiO_2$ with an error clearance of +/- 0.25%.

The Effects of Open Endotracheal Suctioning(ETS) and Close ETS on Oxygen Saturation and Heart Rate in Premature Infants with Respiratory Distress Syndrome (개방형과 폐쇄형 기관지 흡인술이 호흡곤란 미숙아의 산소포화도와 심박동수에 미치는 영향에 대한 비교연구)

  • 김미순;안영미;박인옥;최숙자;유미영
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.529-539
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    • 1998
  • Prematurity is the main cause for respiratory distress syndrome (RDS) in neonates. The goal in the treatment of RDS is to maintain respiration with adequate oxygenation. ETS needs to be performed to remove lung secretions in the ventilated premature infants with RDS. Oxygen saturation(SpO$_2$) and heart rate(HR) were compared in 22 premature infants with RDS using two types of ETS : open ETS versus close ETS. The results showed there was no significant difference in the SpO$_2$ and HR responses between open ETS and close ETS. The SpO$_2$ and HR returned to the baseline within 1 minute after suctioning. But in some case, there was a significantly greater incidence in the decrease of SpO$_2$ below 90% occured in the open ETS than in the close ETS. It implies that closed ETS may be beneficial to the premature infants who tend to develop desaturation easily.

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