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Esophageal pulse oximetry utilizing reflectance photoplethysmography

Kyriacou, P. A., Powell, S., Langford, R. M. & Jones, D. P. (2002). Esophageal pulse oximetry utilizing reflectance photoplethysmography. IEEE Transactions on Biomedical Engineering, 49(11), pp. 1360-1368. doi: 10.1109/TBME.2002.804584


Peripheral perfusion is often poor and barely pulsatile in patients undergoing prolonged major surgery. Hence, the arterial blood oxygen saturation (SpO2) readings from commercial finger pulse oximeters can become unreliable or cease when they are most needed. To overcome this limitation, the esophagus has been investigated as an alternative measurement site, as perfusion may be preferentially preserved centrally. A reflectance esophageal pulse oximeter probe, and a processing system implemented in LabVIEW were developed. The system was evaluated in clinical measurements on 49 cardiothoracic surgery patients. The SpO2 values from the esophagus were in good agreement with arterial blood oxygen saturation (SaO2) values obtained from blood gas analysis and CO-oximetry. The means (+/-SD) of the differences between the esophageal SpO2 and SaO2 results from blood gas analysis and CO-oximetry were 0.02 +/- 0.88% and -0.73 +/- 0.72%, respectively. In five (10.2%) of the patients, the finger pulse oximeter failed for at least 10 min while the esophageal SpO2 readings remained reliable. The results confirm that the esophagus may be used as an alternative monitoring site for pulse oximetry even in patients with compromised peripheral perfusion.

Publication Type: Article
Additional Information: © 2002 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works
Publisher Keywords: Esophagus; pulse oximetry.
Subjects: Q Science > QM Human anatomy
T Technology > TA Engineering (General). Civil engineering (General)
Departments: School of Science & Technology > Engineering
[thumbnail of CRO 2002 P.A. KYRIACOU et al (2002) Esophageal Pulse Oximetry Utilizing Reflectance PPG, IEEE Transactions of Biomedical Eng, 49(11) 1360-1368.pdf]
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