The oximeter is used to monitor intensive care patients undergoing oxygen therapy. It indicates pulsed oxygen saturation (SpO2), a reflection of arterial oxygen saturation (SaO2) which enables detection of hypoxemia and hyperoxia, both deleterious state. Current SpO2 recommendations aim to reduce both risk of hypoxemia and hyperoxia. SpO2 is considered the 5th vital sign. Current recommendations for SpO2 targets do not consider the variability of oximeters used in clinical practice. This variability and lack of specification represent an obstacle to an optimal practice of oxygen therapy. Thus, this study aims to compare the SpO2 values of different oximeters (General Electric-GE, Medtronic, Masimo and Nonin) used in clinical practice with the SaO2 reference value obtained by an arterial gas in order to specify the precision and the systematic biases of the oximeters studied. This data will also make it possible to refine the recommendations concerning optimal oxygenation
Study Type
OBSERVATIONAL
Enrollment
200
Several pulse oximeter will be place on patient find few minutes before arterial blood gases. During an arterial blood sample, all SpO2 will be recorded
CHUM
Montreal, Quebec, Canada
RECRUITINGCHU Ste-Justine
Montreal, Quebec, Canada
NOT_YET_RECRUITINGInstitut Universitaire de Cardiologie et de Pneumologie de Québec
Québec, Quebec, Canada
NOT_YET_RECRUITINGDifference between GE oximeter SpO2 value and the SaO2 value on arterial blood gases
Difference between GE oximeter SpO2 and the SaO2 value
Time frame: During procedure (arterial blood gas sample collection)
Difference between Nellcor oximeter SpO2 value and the SaO2 value on arterial blood gases
Difference between Nellcor oximeter SpO2 and the SaO2 value
Time frame: During procedure (arterial blood gassample collection)
Difference between Masimo oximeter SpO2 value and the SaO2 value on arterial blood gases
Difference between Masimo oximeter SpO2 and the SaO2 value
Time frame: During procedure (arterial blood gas sample collection)
Difference between Nonin oximeter SpO2 value and the SaO2 value on arterial blood gases
Difference between Nonin oximeter SpO2 and the SaO2 value
Time frame: During procedure (arterial blood gas sample collection)
Overestimation and underestimation of SaO2
Percent of pairs with overestimation and underestimation of SaO2 for each oximeter.
Time frame: During procedure (arterial blood gas sample collection)
Hypoxemia detection
Ability to detect hypoxemia (SpO2 below 90% and PaO2 \< 60 mmHg)
Time frame: During procedure (arterial blood gas sample collection)
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