Evaluation of accuracy of pulse oximetry in dogs.

The accuracy of a pulse oximeter was evaluated over a wide range of arterial oxygen and carbon dioxide tensions, using 2 probes (finger probe and ear probe) and 2 monitoring sites (tongue and tail) in anesthetized dogs. The arterial oxygen saturation of hemoglobin (SaO2) measured directly with a multiwavelength spectrophotometer was compared with saturation estimated by pulse oximetry (SpO2). Linear regression analysis of the pooled data from 399 simultaneous measurements of SpO2 and SaO2 indicated a highly significant correlation of SpO2 with SaO2 (r = 0.97; P less than or equal to 0.0001). Although the mean difference (+/- SD) between SpO2 and SaO2 for pooled data was small (-0.06 +/- 6.8%), SpO2 tended to underestimate high SaO2 values (greater than or equal to 70%) and to overestimate low SaO2 values (less than 70%). When SaO2 values were greater than or equal to 70%, the ear probe applied to the tail was less accurate (produced a significantly greater SpO2-SaO2 difference) than the ear probe on the tongue, or the finger probe at either site. When SaO2 values were less than or equal to 50%, the finger probe applied at the tail was more accurate (produced significantly smaller SpO2-SaO2 differences) than the ear probe at either site. When SaO2 values were less than or equal to 70%, high arterial carbon dioxide tension (greater than or equal to 60 mm of Hg) was associated with greater overestimation of SaO2.     

Accuracy of a third (Dolphin Voyager) versus first generation pulse oximeter (Nellcor N-180) in predicting arterial oxygen saturation and pulse rate in the anesthetized dog

OBJECTIVE: To compare the accuracy of a 3rd (Dolphin Voyager) versus 1st generation pulse oximeter (Nellcor N-180). STUDY DESIGN: Prospective laboratory investigation. ANIMALS: Eight adult dogs. METHODS: In anesthetized dogs, arterial oxygen saturation (SpO(2)) was recorded simultaneously with each pulse oximeter. The oxygen fraction in inspired gas (FiO(2)) was successively reduced from 1.00 to 0.09, with re-saturation (FiO(2) 0.40) after each breathe-down step. After each 3-minute FiO(2) plateau, SpO(2) and pulse rate (PR) were compared with the fractional arterial saturation (SaO(2)) and PR determined by co-oximetry and invasive blood pressure monitoring, respectively. Data analysis included Bland-Altman (B-A) plots, Lin's concordance correlation factor (rho(c)), and linear regression models. RESULTS: Over a SaO(2) range of 33-99%, the overall bias (mean SpO(2) - SaO(2)), precision (SD of bias), and accuracy (A(rms)) for the Dolphin Voyager and Nellcor N-180 were 4.3%, 4.4%, and 6.1%, and 3.2%, 3.0%, and 4.3%, respectively. Bias increased at SaO(2) < 90%, more so with the Dolphin Voyager (from 1.6% to 8.6%) than Nellcor N-180 (from 3.2% to 4.5%). The SpO(2) readings correlated significantly with SaO(2) for both the Dolphin Voyager (rho(c) = 0.94) and Nellcor N-180 (rho(c) = 0.97) (p < 0.001). Regarding PR, bias, precision, and accuracy (A(rms)) for the Dolphin Voyager and Nellcor N-180 were -0.5, 4.6, and 4.6 and 1.38, 4.3, and 4.5 beats minute(-1), respectively. Significant correlation existed between pulse oximeter and directly measured PR (Dolphin Voyager: rho(c) = 0.98; Nellcor N-180: rho(c) = 0.99) (p < 0.001). CONCLUSIONS AND CLINICAL RELEVANCE: In anesthetized dogs with adequate hemodynamic function, both instruments record SaO(2) relatively accurately over a wide range of normal saturation values. However, there is an increasing overestimation at SaO(2) < 90%, particularly with the Dolphin Voyager, indicating that 3rd generation pulse oximeters may not perform better than older instruments. The 5.4-fold increase in bias with the Dolphin Voyager at SaO(2) < 90% stresses the importance of a 93-94% SpO(2) threshold to ensure an arterial saturation of >or=90%. In contrast, PR monitoring with both devices is very reliable.     

A Comparison of 2 Pluse Oximeters in Dogs

Readings from 2 veterinary pulse oximeters (SDI Vet-Ox #4402 and Nellcor N-20V) were compared in 6 isoflurane-anesthetized dogs. Simultaneous readings Of S_p0₂were recorded from 2 sites (toe and ear) over a range of inspired oxygen concentrations (15-100%), and compared to directly measured S_aO₂ readings. Greater variability of readings was obtained from the Vet-Ox, which failed to give readings 25% of the time. The bias (mean S_aO₂-S_p0₂) and precision (SD of bias) were calculated from the data for each oximeter. For the Vet-Ox, bias (precision) from the toe was +4.O (5.2) and from the ear +1.7 (2.2). The bias (precision) for N-20V readings from the toe was +1.6 (1.5) and from the ear +0.7 (1.5). Generally, both oximeters tended to underestimate S_aO₂; however, both overestimated at the lowest P_a0₂ values. Pearscn cowelation coeefficients were 0.81 for the Vet-Ox and 0.94 for the N-20V for the combined data, including value from probes placed on the toe and ear at all inspired oxygen concentrations. In the two locatiom from which readings were obtained, the 2 units performed quite differently.     

Evaluation of accuracy of pulse oximetry in newborn calves

In human medicine, pulse oximetry is widely used to measure non-invasively and accurately the percentage of oxygen saturation of arterial haemoglobin (SpO(2)). Recently, pulse oximetry has been used in calves, but its accuracy has not been evaluated in newborn calves. The purpose of this study was to evaluate the accuracy of a pulse oximeter in newborn calves by comparing SpO(2) with arterial oxyhaemoglobin saturation (SaO(2)) obtained by use of a blood gas analyser. Fifty-five newborn calves were investigated from birth to 20 days old. Pulse oximetry readings and arterial blood samples were performed 5, 15, 30, 45, 60 min, 2, 3, 6, 12, 24 h and 1 and 3 weeks after birth. The transmission-type sensors of the pulse oximeter were fixed at the recommended site in the bovine species (at the base of the calf tail, where the skin had been shaved and was not pigmented) and arterial blood samples were withdrawn from the subclavian artery and analysed for SaO(2). Five-hundred paired data of SaO(2) and mean SpO(2)(mSpO(2)) were collected. Linear regression of the pooled data indicated a highly significant correlation of mSpO(2) with SaO(2) (r = 0.87;P< 0.001; mSpO(2) = 15.8 + 0.84 SaO(2)). The overall data bias value was positive (+2.1%), which indicated that the pulse oximeter tended to overestimate the SaO(2). The bias value for each SaO(2) category tended to become higher for lower ranges of SaO(2). Precision was also lower when SaO(2) values were low. The lower the SaO(2) value, the higher the positive bias (overestimation) and the lower the precision. These results suggest that pulse oximetry provides a relatively accurate non-invasive, immediate and portable method to monitor SaO(2) and to evaluate objectively the pulmonary function effectiveness in newborn calves during their adaptation to extra-uterine life.     

Evaluation of Transmittance and Reflectance Pulse Oximetry in a Canine Model of Hypotension and Desaturation

Ten, anesthetized dogs were instrumented with three pulse oximeter probes; two lingual transmittance probes and one rectal reflective probe. Arterial oxygen desaturation was produced by decreasing the inspired oxygen concentration. Hypotension was produced with an infusion of nitroprusside. Simultaneous pulse oximeter readings (SpO₂) were compared to co-oximeter measured arterial saturation (SaO₂) collected over a range of SaO₂ (50–100%) and mean arterial pressures (40–100mmHg). Each of the monitors and means of evaluating SpO₂ studied provided accurate SpO₂ measurements over a range of mean arterial pressure from 40–100mmHg. All of the monitors tested tended to overestimate the SaO₂ when the arterial saturation was less than 70%.     

Evaluation of Masimo signal extraction technology pulse oximetry in anaesthetized pregnant sheep

ObjectiveEvaluation of the accuracy of Masimo signal extraction technology (SET) pulse oximetry in anaesthetized late gestational pregnant sheep.Study designProspective experimental study.AnimalsSeventeen pregnant Merino ewes.MethodsAnimals included in study were late gestation ewes undergoing general anaesthesia for Caesarean delivery or foetal surgery in a medical research laboratory. Masimo Radical-7 pulse oximetry (SpO₂) measurements were compared to co-oximetry (SaO₂) measurements from arterial blood gas analyses. The failure rate of the pulse oximeter was calculated. Accuracy was assessed by Bland &; Altman's (2007) limits of agreement method. The effect of mean arterial blood pressure (MAP), perfusion index (PI) and haemoglobin (Hb) concentration on accuracy were assessed by regression analysis.ResultsForty arterial blood samples paired with SpO₂ and blood pressure measurements were obtained. SpO₂ ranged from 42 to 99% and SaO₂ from 43.7 to 99.9%. MAP ranged from 24 to 82 mmHg, PI from 0.1 to 1.56 and Hb concentration from 71 to 114 g L^?1. Masimo pulse oximetry measurements tended to underestimate oxyhaemoglobin saturation compared to co-oximetry with a bias (mean difference) of ?2% and precision (standard deviation of the differences) of 6%. Accuracy appeared to decrease when SpO₂ was <75%, however numbers were too small for statistical comparisons. Hb concentration and PI had no significant effect on accuracy, whereas MAP was negatively correlated with SpO₂ bias.Conclusions and clinical relevanceMasimo SET pulse oximetry can provide reliable and continuous monitoring of arterial oxyhaemoglobin saturation in anaesthetized pregnant sheep during clinically relevant levels of cardiopulmonary dysfunction. Further work is needed to assess pulse oximeter function during extreme hypotension and hypoxaemia.     

Agreement of SpO2, SaO2 and ScO2 in anesthetized cynomolgus monkeys (Macaca fascicularis)

Objective To assess the agreement between three measurements of arterial oxygen saturation (SpO₂, SaO₂ and ScO₂) in anesthetized cynomolgus monkeys. Study Design Prospective study. Animals Eleven mature, male cynomolgus monkeys (Macaca fasicularis). Methods Monkeys were anesthetized with intramuscular ketamine followed by intravenous propofol. The trachea of each was intubated and the lungs ventilated. Arterial oxygen saturation was measured with a Nonin 8500 V pulse oximeter, using a lingual clip on the cheek. Arterial blood samples were taken from an indwelling catheter. Inspired oxygen concentration was varied from 12 to 20%, and 88 paired arterial blood samples and saturation measurements were taken. Arterial oxygen saturation in the blood samples was measured using a cooximeter. The saturation was also calculated from the arterial oxygen tension using the Adair equation. The results were compared using Bland and Altman's method. Results The pulse oximeter readings were 2.7% higher than that of the cooximeter, with a limit of agreement of ?3.9 to 9.3%. The pulse oximeter readings were 1.8% higher than the calculated saturation, with a limit of agreement of ?6.5% to 10.1%. The cooximeter readings were 0.9% lower than the calculated saturation, with a limit of agreement of ?5.6% to 3.8%. Conclusions The agreement between SpO₂ and other measurements of arterial oxygen saturation in this study is typical for this technique. The bias and limits of agreement are consistent with reports in other species. Clinical relevance The Nonin 8500 V is a useful pulse oximeter for clinical use in primates.     

An evaluation of pulse oximeters in dogs, cats and horses

Objective Evaluation of five pulse oximeters in dogs, cats and horses with sensors placed at five sites and hemoglobin saturation at three plateaus. Study design Prospective randomized multispecies experimental trial. Animals Five healthy dogs, cats and horses. Methods Animals were anesthetized and instrumented with ECG leads and arterial catheters. Five pulse oximeters (Nellcor Puritan Bennett‐395, NPB‐190, NPB‐290, NPB‐40 and Surgi‐Vet V3304) with sensors at five sites were studied in a 5 × 5 Latin square design. Ten readings (SpO₂) were taken at each of three hemoglobin saturation plateaus (98, 85 and 72%) in each animal. Arterial samples were drawn concurrently and hemoglobin saturation was measured with a co‐oximeter. Accuracy of saturation measurements was calculated as the root mean squared difference (RMSD), a composite of bias and precision, for each model tested in each species. Results Accuracy varied widely. In dogs, the RMSD for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 2.7, 2.2, 2.4, 1.7 and 2.7% respectively. Failure to produce readings for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 0, 0, 0.7, 0, and 20%, respectively. The Pearson correlation coefficients for the tongue, toe, ear, lip and prepuce or vulva were 0.95, 0.97, 0.69, 0.87 and 0.95, respectively. In horses, the RMSD for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 3.1, 3.0, 4.7, 3.3 and 2.1%, respectively while rates of failure to produce readings were 10, 21, 0, 17 and 60%, respectively. The Pearson correlation coefficients for the tongue, nostril, ear, lip and prepuce or vulva were 0.98, 0.94, 0.88, 0.93 and 0.94, respectively. In cats, the RMSD for all data for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 5.9, 5.6, 7.9, 7.9 and 10.7%, respectively while failure rates were 0, 0.7, 0, 20 and 32%, respectively. The correlation coefficients for the tongue, rear paw, ear, lip and front paw were 0.54, 0.79,.0.64, 0.49 and 0.57, respectively. For saturations above 90% in cats, the RMSD for the NPB‐395, NPB‐190, NPB‐290, NPB‐40 and V3304 were 2.6, 4.4, 4.0, 3.5 and 4.8%, respectively, while failure rates were 0, 1.7, 0, 25 and 43%, respectively. Conclusions and clinical relevance Accuracy and failure rates (failure to produce a reading) varied widely from model to model and from species to species. Generally, among the models tested in the clinically relevant range (90–100%) RMSD ranged from 2–5% while failure rates were highest in the V3304.     

Monitoring of the oxygen saturation of horses during halothane anesthesia using pulse oximetry in the nasal septum]

The use of pulse oximetry for on-line monitoring of oxygen saturation of arterial blood using a probe on the nasal septum is described in the horse. When compared to the results of blood gas analysis an excellent correlation between the two methods for measuring oxygen saturation is found. Nevertheless a discrepancy between the values for oxygen saturation provided by either method is found. This can lead to misinterpretation of oxygen saturation values generated by the pulse oximeter. The cause of this discrepancy is not clear but differences in measuring principle, presence of dyshemoglobins and differences in absorption characteristics of hemoglobin are to be ruled out as major contributors. Contrary to findings in several other animal species occasionally double counting of pulse frequency by the pulse oximeter is seen.     

Cardiopulmonary and anesthetic effects of medetomidine-ketamine-butorphanol and antagonism with atipamezole in servals (Felis serval).

Seven (three male and four female) 4-7-yr old captive servals (Felis serval) weighing 13.7 +/- 2.3 kg were used to evaluate the cardiopulmonary and anesthetic effects of combined intramuscular injections of medetomidine (47.4 +/- 10.3 microg/kg), ketamine (1.0 +/- 0.2 mg/kg), and butorphanol (0.2 +/- 0.03 mg/kg). Inductions were smooth and rapid (11.7 +/- 4.3 min) and resulted in good muscle relaxation. Significant decreases in heart rate (85 +/- 12 beats/min) at 10 min after injection and respiratory rate (27 +/- 10 breaths/min) at 5 min after injection continued throughout the immobilization period. Rectal temperature and arterial blood pressure did not change significantly. The PaO2 decreased significantly, and PaCO2 increased significantly during immobilization but remained within clinically acceptable limits. Hypoxemia (PaO2 < 60 mm Hg) was not noted, and arterial blood oxygen saturation (SaO2) was greater than 90% at all times. Relative arterial oxygen saturation (SpO2) values, indicated by pulse oximetry, were lower than SaO2 values. All animals could be safely handled while sedated. Administration of atipamezole (236.8 +/- 51.2 microg/kg half i.v. and half s.c.), an alpha2 antagonist, resulted in rapid (4.1 +/- 3 min to standing) and smooth recoveries.     

Blood oxygen concentration of fast-growing and slow-growing broiler chickens, and chickens with ascites from right ventricular failure.

Percent hemoglobin oxygen saturation was measured with a pulse oximeter in 6-week-old slow-growing (light) and fast-growing (heavy) male broiler chickens and those with ascites from right ventricular failure (RVF). Pulse rate and percent oxygen saturation were read from the ulnar artery just proximal to the carpus. Percent oxygen saturation was significantly (P less than or equal to 0.0001) higher in light chickens (mean 91.6%) than in heavy chickens (mean 86.0%), and the percent oxygen saturation was significantly (P less than or equal to 0.0001) higher in both groups with normal hearts than in the group with RVF from valvular insufficiency (mean 62.1%). All RVF chickens and those with normal hearts were confirmed at necropsy. Light chickens were males with leg deformity or stunting and were 20-50% lighter than the heavy chickens.     

Assessment of pulse co-oximetry technology after in vivo adjustment in anaesthetized dogs

ObjectiveTo compare values of haemoglobin concentration (SpHb), arterial haemoglobin saturation (SpO₂) and calculated arterial oxygen content (SpOC), measured noninvasively with a pulse co-oximeter before and after in vivo adjustment (via calibration of the device using a measured haemoglobin concentration) with those measured invasively using a spectrophotometric-based blood gas analyser in anaesthetized dogs.Study designProspective observational clinical study.AnimalsA group of 39 adult dogs.MethodsIn all dogs after standard instrumentation, the dorsal metatarsal artery was catheterised for blood sampling, and a pulse co-oximeter probe was applied to the tongue for noninvasive measurements. Paired data for SpHb, SpO₂ and SpOC from the pulse co-oximeter and haemoglobin arterial oxygen saturation (SaO₂) and arterial oxygen content (CaO₂) from the blood gas analyser were obtained before and after in vivo adjustment. Bland–Altman analysis for repeated measurements was used to evaluate the bias, precision and agreement between the pulse co-oximeter and the blood gas analyser. Data are presented as mean differences and 95% limits of agreement (LoA).ResultsA total of 39 data pairs were obtained before in vivo adjustment. The mean invasively measured haemoglobin–SpHb difference was –2.7 g dL^?1 with LoA of –4.9 to –0.5 g dL^?1. After in vivo adjustment, 104 data pairs were obtained. The mean invasively measured haemoglobin–SpHb difference was –0.2 g dL^?1 with LoA of –1.1 to 0.6 g dL^?1. The mean SaO₂–SpO₂ difference was 0.86% with LoA of –0.8% to 2.5% and that between CaO₂–SpOC was 0.66 mL dL^–1 with LoA of –2.59 to 3.91 mL dL^–1.ConclusionsBefore in vivo adjustment, pulse co-oximeter derived values overestimated the spectrophotometric-based blood gas analyser haemoglobin and CaO₂ values. After in vivo adjustment, the accuracy, precision and LoA markedly improved. Therefore, in vivo adjustment is recommended when using this device to monitor SpHb in anaesthetised dogs.     

Evaluation of Pulse Oximetry as a Continuous Monitoring Technique in Critically Ill Dogs in the Small Animal Intensive Care Unit

To assess the clinical applicability of pulse oximetry in the intensive care setting, a comparison was made of arterial hemoglobin saturation values determined by in vitro oximetry (SaO₂) and pulse oximetry (SpO₂) in 21 critically ill dogs. Single SaO₂ measurements were compared to simultaneously obtained SpO₂ readings. The correlation between these two methods was statistically significant (r = 0.8944, p = 0.0001). In addition, heart rates read by the pulse oximeter were compared to simultaneously obtained electrocardiograms (ECG). The correlation between these two methods was statistically significant (r = 0.9966, p = 0.0001). The pulse oximeter was easy to use, and recorded trends in oxygenation virtually instantaneously. Pulse oximetry appears to be an accurate and practical technique for the continuous non-invasive monitoring of oxygenation in critically ill dogs in the intensive care unit.     

Appraisal of the ‘penumbra effect’ using lingual pulse oximetry in anaesthetized dogs and cats

ObjectiveFactors described as contributors to the ‘penumbra effect’ in relation to pulse oximetry include optical shunting, circulatory anastomoses and probe parallelity. This study aimed to clarify the main underlying mechanism involved.Study designProspective clinical trial.AnimalsA total of 30 dogs and 15 cats (client-owned).MethodsIn anaesthetized dogs and cats, a pulse oximeter probe was placed on the tongue to measure haemoglobin oxygen saturation (SpO₂) and perfusion index. In 15 dogs, the probe was positioned at the root (baseline) of the tongue, then at 0.5 and 1 cm rostral to it, to investigate the effect of circulatory anastomoses on SpO₂ values. In cats (which do not have lingual arteriovenous anastomoses), the probe was positioned at the root and apex of the tongue. To assess the effect of probe parallelity on SpO₂ values in dogs, two lines were drawn parallel to the planes of the light-emitting diode and the detector surfaces and the intersection angle calculated using ImageMeter Pro, Google Play. In a further 15 dogs, the probe was placed at the tongue edge (0% optical shunt), with 50% optical shunt, then with the 50% optical shunt shielded. Data were analysed using Friedman’s test, Student t test and Pearson’s correlation coefficient (p < 0.05).ResultsIn dogs, SpO₂ values were significantly higher at 1.0 cm than at baseline (p < 0.0001). In cats, there were no significant differences in SpO₂ values at each location. There was no significant difference in SpO₂ between 0% and 50% optical shunt in dogs. SpO₂ had a moderate negative correlation with tongue thickness and negligible correlation with intersection angle.Conclusions and Clinical relevanceCirculatory anastomoses are probably responsible for observed changes in SpO₂ as the probe is placed towards an extremity, rather than optical shunting or probe parallelity.     

Practicality, Usefulness, and Limits of Pulse Oximetry in Critical Small Animal Patients

Pulse oximetry holds the promise of wide application for monitoring and assessing pulmonary function in small animal patients. Although the saturation as read by pulse oximetry (SpO2) has previously been shown to be accurate in healthy dogs, its accuracy and usefulness have not been demonstrated in critical small animal patients. The present study assessed the accuracy and usefulness of a pulse oximeter (Ohmeda Biox 3740, Ohmeda, Louisville, CO) in a small animal intensive care unit. The instrument yielded readings in 48 of 51 attempts in 33 animals (25 dogs, 8 cats). Criteria were developed to reject spurious readings; when these criteria were applied, the actual calculated SaO2 differed from the SpO2 by O.26 +2.2%, with a correlation of 0.87 (p<0.0001). The 95% confidence interval was +4.4%, comparable to the accepted level in humans. No ill effects from SpO2 were apparent in the patients, and the instrument was useful in monitoring the progress of critical animals. However, uncritical use of the oximeter could have led to gross patient mismanagement, as SpO2 readings as much as 29% different from SaO2 were sometimes obtained.     

Reliability of pulse oximetry at four different attachment sites in immobilized white rhinoceros (Ceratotherium simum)

ObjectivesTo determine the reliability of peripheral oxygen haemoglobin saturation (SpO₂), measured by a Nonin PalmSAT 2500A pulse oximeter with 2000T transflectance probes at four attachment sites (third eyelid, cheek, rectum and tail), by comparing these measurements to arterial oxygen haemoglobin saturation (SaO₂), measured by an AVOXimeter 4000 co-oximeter reference method in immobilized white rhinoceros (Ceratotherium simum).Study designRandomized crossover study.AnimalsA convenience sample of eight wild-caught male white rhinoceros.MethodsWhite rhinoceros were immobilized with etorphine (0.0026 ± 0.0002 mg kg^–1, mean ± standard deviation) intramuscularly, after which the pinna was aseptically prepared for arterial blood sample collection, and four pulse oximeters with transflectance probes were fixed securely to their attachment sites (third eyelid, cheek, rectum and tail). At 30 minutes following recumbency resulting from etorphine administration, the animals were given either butorphanol (0.026 ± 0.0001 mg kg^–1) or an equivalent volume of saline intravenously. At 60 minutes following recumbency, insufflated oxygen (15 L minute^–1 flow rate) was provided intranasally. In total, the SpO₂ paired measurements from the third eyelid (n = 80), cheek (n = 67), rectum (n = 59) and tail (n = 76) were compared with near-simultaneous SaO₂ measurements using Bland-Altman to assess bias (accuracy), precision, and the area root mean squares (ARMS) method.ResultsCompared with SaO₂, SpO₂ measurements from the third eyelid were reliable (i.e., accurate and precise) above an SaO₂ range of 70% (bias = 1, precision = 3, ARMS = 3). However, SpO₂ measurements from the cheek, rectum and tail were unreliable (i.e., inaccurate or imprecise).Conclusions and clinical relevanceA Nonin PalmSAT pulse oximeter with a transflectance probe inserted into the space between the third eyelid and the sclera provided reliable SpO₂ measurements when SaO₂ was > 70%, in immobilized white rhinoceros.     

Pulse Oximetry For Estimation Of Oxygenation In Dogs With Experimental Pneumothorax

The purpose of this study was the evaluation of pulse oximetry for estimating the oxygen saturation of hemoglobin (S_pO₂) in dogs with pneumothorax. Values for measured by pulse oximetry with transducers on the tongues and toes of six dogs were compared with saturation values (S_aO₂) computed from arterial oxygen tensions (P_aO₂) during experimentally induced pneumothorax (30,45, and 60 ml/kg of ambient air in the pleural space). Values for S_pO₂, S_aO₂, and P_aO₂ decreased with increasing volume of air. Compared to computed S_aO₂ values, S_pO₂ values obtained from the tongue tended to be less variable than those obtained from the toe, but both locations gave valuable information. Pulse oximetry appears to be a useful, relatively inexpensive method of estimating hemoglobin saturation in dogs with experimentally induced pneumothorax, and it appears to have clinical application in management of critical or traumartized dogs.     

Evaluation of the reliability of pulse oximetry,at different attachment sites,to detect hypoxaemia in immobilized impala (Aepyceros melampus)

ObjectiveEvaluation of the reliability of pulse oximetry at four different attachment sites compared to haemoglobin oxygen saturation measured by a co-oximeter and calculated by a blood gas analyser in immobilized impala.Study designRandomized crossover study.AnimalsA total of 16 female impala.MethodsImpala were immobilized with etorphine or thiafentanil alone, or etorphine in combination with a novel drug. Once immobilized, arterial blood samples were collected at 5 minute intervals for 30 minutes. Then oxygen was insufflated (5 L minute⁻¹) intranasally at 40 minutes and additional samples were collected. A blood gas analyser was used to measure the arterial partial pressure of oxygen and calculate the oxygen haemoglobin saturation (cSaO₂); a co-oximeter was used to measure the oxygen haemoglobin saturation (SaO₂) in arterial blood. Pulse oximeter probes were attached: under the tail, to the pinna (ear) and buccal mucosa (cheek) and inside the rectum. Pulse oximeter readings [peripheral oxygen haemoglobin saturation (SpO₂) and pulse quality] were recorded at each site and compared with SaO₂ and cSaO₂ using Bland-Altman and accuracy of the area root mean squares (A_rms) methods to determine the efficacy. P value < 0.05 was considered significant.ResultsPulse quality was ‘good’ at each attachment site. SpO₂ measured under the tail was accurate and precise but only when SaO₂ values were above 90% (bias = 3, precision = 3, A_rms = 4). The ear, cheek and rectal probes failed to give accurate or precise readings (ear: bias = −4, precision = 14, A_rms = 15; cheek: bias = 12, precision = 11, A_rms = 16; and rectum: bias = 5, precision = 12, A_rms = 13).Conclusions and clinical relevanceIn order to obtain accurate and precise pulse oximetry readings in immobilized impala, probes must be placed under the tail and SaO₂ must be above 90%. Since SaO₂ values are usually low in immobilized impala, pulse oximeter readings should be interpreted with caution.     

A comparison of systolic blood pressure measurement obtained using a pulse oximeter, and direct systolic pressure measurement in anesthetized sows.

Systolic blood pressure measurement obtained with a pulse oximeter has been compared to values obtained by other indirect methods in man. Direct pressure measurement is subject to less error than indirect techniques. This study was designed to compare systolic pressure values obtained using a pulse oximeter, with values obtained by direct arterial pressure measurement. The pulse oximeter waveform was used as an indication of perfusion. A blood pressure cuff was applied proximal to the pulse oximeter probe. The cuff was inflated until the oximeter waveform disappeared, this value was recorded as the systolic pressure at the disappearance of the waveform (SPD). The cuff was inflated to a pressure > 200 mmHg, then gradually deflated until the waveform reappeared, this value was recorded as the systolic pressure at reappearance of the waveform (SPR). The average of the two values, SPD and SPR, was calculated and recorded as SPA. The study was performed in sows (n = 21) undergoing cesarean section under epidural anesthesia and IV sedation. A total of 280 measurements were made of SPD, SPR and SPA. Regression analysis of SPA and direct measurement revealed a correlation coefficient (r) of 0.81. Calculation of mean difference (bias) and standard deviation of the bias (precision) for direct pressure--SPA revealed a value of 1.3 +/- 12.1. When compared with direct measurement, the correlation of this technique was similar to that recorded for other indirect techniques used in small animals. This indicates that this technique would be useful for following systolic pressure trends.(ABSTRACT TRUNCATED AT 250 WORDS)     

Steady-state response characteristics of a pulse oximeter on equine intestine

The steady-state response characteristics of a pulse oximeter were evaluated on intestinal segments of seven clinically normal halothane-anesthetized horses. Arterial oxygen tension greater than 200 mm of Hg, end tidal carbon dioxide from 30 to 35 mm of Hg, and systemic mean arterial pressure greater than 70 mm of Hg were maintained throughout the recording periods. Values for percentage of pulse oximeter oxygen saturation, pulsatile blood flow, and percentage of signal strength were recorded from jejunum, ileum, cecum, left ventral colon, left dorsal colon, and descending colon. Probe placement on intestinal segments was recorded as over or not over visible subserosal or transmural vessels. There was no significant difference between median values on the basis of vessel codes for pulse oximeter oxygen saturations, pulsatile flow, and signal strength. Median values recorded for pulse oximeter oxygen saturation were 93% from jejunum and ileum and 95% from cecum, left ventral colon, left dorsal colon, and descending colon; median values for pulsatile flow were 576 from jejunum, 560 from ileum, 560 from cecum, 574 from left ventral colon, 578 from left dorsal colon, and 560 from descending colon; median values for signal strength were 50% from jejunum, 67.5% from ileum, 60% from cecum, 75% from left ventral colon, 50% from left dorsal colon, and 52.5% from descending colon. Median values obtained from each anatomic location were not significantly different for pulsatile flow or signal strength. Median pulse oximetry oxygen values recorded from jejunum and ileum were significantly lower than values obtained from other intestinal segments.(ABSTRACT TRUNCATED AT 250 WORDS)