Pulse oximetry and photoplethysmographic waveform analysis of the esophagus and bowel

Current Opinion in Anaesthesiology

Volumn 21, Issue 6, 2008, Pages 779-783

  Phillips, Justin P ^a   Kyriacou, Panayiotis A ^b   Jones, Deric P ^b   Shelley, Kirk H ^c   Langford, Richard M ^a  

^a ST BARTHOLOMEW S HOSPITAL   (United Kingdom)

^b CITY UNIVERSITY   (United Kingdom)

^c YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Bowel; Esophagus; Photoplethysmography; Pulse oximetry; Waveform analysis

Indexed keywords

ARTERIAL OXYGEN SATURATION; BREATHING; EAR LOBE; ELECTRONIC SENSOR; ESOPHAGUS; ESOPHAGUS EXAMINATION; FREQUENCY ANALYSIS; HUMAN; INTESTINE; INTESTINE EXAMINATION; MECHANICAL PROBE; PHOTOELECTRIC PLETHYSMOGRAPHY; PRIORITY JOURNAL; PULSE OXIMETER; PULSE OXIMETRY; REVIEW; WAVEFORM;

BLOOD PRESSURE; ESOPHAGUS; FOREHEAD; FOURIER ANALYSIS; HUMANS; INTESTINES; MONITORING, PHYSIOLOGIC; OXIMETRY; PHOTOPLETHYSMOGRAPHY; RESPIRATION;

EID: 56849102741     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e328317794d     Document Type: Review

References (25)

1. Shelley KH. Photoplethysmography: beyond the calculation of arterial oxygen saturation and heart rate. Anesth Analg 2007; 105 (6 Suppl):S31-S36. This paper provides an excellent easy-to-read introduction to the subject of PPG waveform analysis and discusses the possible directions of future research work. The author points out that potentially valuable clinical information is perhaps being overlooked.
2. Schramm WM, Bartunek A, Gilly H. Effect of local limb temperature on pulse oximetry and the plethysmographic pulse wave. Int J Clin Monit Comput 1997; 14:17-22.
3. Palve H, Vuori A. Minimum pulse pressure and peripheral temperature needed for pulse oximetry during cardiac surgery with cardiopulmonary bypass. J Cardiothorac Vasc Anesth 1991; 5:327-330.
4. Palve H, Vuori A. Pulse oximetry during low cardiac output and hypothermia states immediately after open heart surgery [see comment]. Crit Care Med 1989; 17:66-69.
5. Kyriacou PA, Moye AR, Choi DM, et al. Investigation of the human esophagus as a new monitoring site for blood oxygen saturation. Physiol Meas 2001; 22:223-232.
6. Kyriacou PA, Moye AR, Gregg A, et al. A system for investigating esophageal photoplethysmographic signals in anaesthetised patients. Med Biol Eng Comput 1999; 37:639-643.
7. Kyriacou PA, Powell S, Langford RM, Jones DP. Investigation of esophageal photoplethysmographic signals and blood oxygen saturation measurements in cardiothoracic surgery patients. Physiol Meas 2002; 23:533-545.
8. Kyriacou PA, Powell SL, Jones DP, Langford RM. Evaluation of esophageal pulse oximetry in patients undergoing cardiothoracic surgery. Anaesthesia 2003; 58:422-427.
9. Pal SK, Kyriacou PA, Kumaran S, et al. Evaluation of esophageal reflectance pulse oximetry in major burns patients. Burns 2005; 31:337-341.
10. Kyriacou PA, Wardhaugh A, Jones DP, et al. Investigation of photoplethysmographic signals in neonatal and paediatric patients. Intensive Care Med 2002;28 (Suppl 1):S111.
11. Crerar-Gilbert AJ, Kyriacou PA, Jones DP, Langford RM. Assessment of photoplethysmographic signals for the determination of splanchnic oxygen saturation in humans. Anaesthesia 2002; 57:442-445.
12. Richard C. Tissue hypoxia. How to detect, how to correct, how to prevent? Intensive Care Med 1996; 22:1250-1257.
13. Shelley KH, Dickstein M, Shulman SM. The detection of peripheral venous pulsation using the pulse oximeter as a plethysmograph. J Clin Monit 1993; 9:283-287.
14. Sami HM, Kleinman BS, Lonchyna VA. Central venous pulsations associated with a falsely low oxygen saturation measured by pulse oximetry. J Clin Monit 1991; 7:309-312.
15. Michard F. Changes in arterial pressure during mechanical ventilation. Anesthesiology 2005; 103:419-428.
16. Jardin F. Cyclic changes in arterial pressure during mechanical ventilation. Intensive Care Med 2004; 30:1047-1050.
17. Vieillard-Baron A, Chergui K, Augarde R, et al. Cyclic changes in arterial pulse during respiratory support revisited by Doppler echocardiography. Am J Respir Crit Care Med 2003; 168:671-676.
18. Szold A, Pizov R, Segal E, Perel A. The effect of tidal volume and intravascular volume state on systolic pressure variation in ventilated dogs. Intensive Care Med 1989; 15:368-371.
19. Natalini G, Rosano A, Franceschetti ME, et al. Variations in arterial blood pressure and photoplethysmography during mechanical ventilation. Anesth Analg 2006; 103:1182-1188.
20. Gesquiere MJ, Awad AA, Silverman DG, et al. Impact of withdrawal of 450 ml of blood on respiration-induced oscillations of the ear plethysmographic waveform. J Clin Monit Comput 2007; 21:277-282. A simple and elegant study, which demonstrated a significant increase in respiratory-induced oscillations in the PPG signal in reduced-volume states.
21. Cannesson M, Attof Y, Rosamel P, et al. Respiratory variations in pulse oximetry plethysmographic waveform amplitude to predict fluid responsiveness in the operating room. Anesthesiology 2007; 106:1105-1111. This study showed that respiratory variations in the PPG amplitude can provide a good noninvasive predictor of the response to volume expansion in cardiac surgery patients.
22. Shamir M, Eidelman LA, Roman Y, et al. Pulse oximetry plethysmographic waveform during changes in blood volume. Br J Anaesth 1999; 82:178-181.
23. Shelley KH, Awad AA, Stout RG, Silverman DG. The use of joint time frequency analysis to quantify the effect of ventilation on the pulse oximeter waveform. J Clin Monit Comput 2006; 20:81-87.
24. Johansson A, Oberg PA. Estimation of respiratory volumes from the photoplethysmographic signal. Part I: experimental results. Med Biol Eng Comput 1999; 37:42-47.
25. Rusch TL, Sankar R, Scharf JE. Signal processing methods for pulse oximetry. Comput Biol Med 1996; 26:143-159.