Original Articles
Pulse Oximetry and Capnography in Lung Function Laboratories
J. Giner
, P. Casan
Corresponding author
jginer@hsp.santpau.es
Correspondence: Dr. J. Giner. Unitat de Funció Pulmonar. Hospital de la Santa Creu i de Sant Pau. Avda. Antoni M. Claret, 167. 08025 Barcelona. España
Correspondence: Dr. J. Giner. Unitat de Funció Pulmonar. Hospital de la Santa Creu i de Sant Pau. Avda. Antoni M. Claret, 167. 08025 Barcelona. España
Unitat de Funció Pulmonar, Departament de Pneumologia, Hospital de la Santa Creu i de Sant Pau, Facultat de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain
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Hernández Hernández, J.A. Tapias del Pozo, P. Moreno Canelo, A. Rodríguez Puebla, S. Paniagua Tejo, J.C. Sánchez Marcos" "autores" => array:6 [ 0 => array:3 [ "preGrado" => "Dr." "nombre" => "J.R." "apellidos" => "Hernández Hernández" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Tapias del Pozo" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Moreno Canelo" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Rodríguez Puebla" ] 4 => array:2 [ "nombre" => "S." "apellidos" => "Paniagua Tejo" ] 5 => array:2 [ "nombre" => "J.C." "apellidos" => "Sánchez Marcos" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906603078?idApp=UINPBA00003Z" "url" => "/15792129/0000004000000007/v1_201305150100/S1579212906603078/v1_201305150100/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Pulse Oximetry and Capnography in Lung Function Laboratories" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "311" "paginaFinal" => "314" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Giner, P. Casan" "autores" => array:2 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "J." "apellidos" => "Giner" "email" => array:1 [ 0 => "jginer@hsp.santpau.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Casan" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unitat de Funció Pulmonar, Departament de Pneumologia, Hospital de la Santa Creu i de Sant Pau, Facultat de Medicina, Universitat Autònoma de Barcelona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. J. Giner. Unitat de Funció Pulmonar. Hospital de la Santa Creu i de Sant Pau. Avda. Antoni M. Claret, 167. 08025 Barcelona. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-10-29" "fechaAceptado" => "2004-02-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153500" "palabras" => array:4 [ 0 => "Pulse oximetry" 1 => "Capnography" 2 => "Oxyhemoglobin" 3 => "PaCO<span class="elsevierStyleInf">2</span>" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153501" "palabras" => array:4 [ 0 => "Pulsioxímetro" 1 => "Capnógrafo" 2 => "Oxihemoglobina" 3 => "PaCO<span class="elsevierStyleInf">2</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO compare values reflecting oxyhemoglobin saturation obtained by pulse oximetry (SpO<span class="elsevierStyleInf">2</span>) and values for end-tidal carbon dioxide pressure (PETCO<span class="elsevierStyleInf">2</span>) obtained by capnography with direct measures of gas saturation values and pressures (PaO<span class="elsevierStyleInf">2</span> and PaCO<span class="elsevierStyleInf">2</span>) in arterial blood gas samples.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">: We studied 57 consecutive patients ranging in age from 34 to 83 years—16 of whom were smokers—who presented for lung function testing.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean (SD) SpO<span class="elsevierStyleInf">2</span> was 95% (2.4%), and oxygen saturation measured directly in arterial blood samples was 95.1% (2.3%) (<span class="elsevierStyleItalic">P</span> = NS). The mean PETCO<span class="elsevierStyleInf">2</span> was 37.9 (5.3) mm Hg and PaCO<span class="elsevierStyleInf">2</span> by arterial blood gas analysis was 40.6 (5.4) mm Hg (<span class="elsevierStyleItalic">P</span> <.0001). The correlation between the 2 measurements of oxygen saturation (SpO<span class="elsevierStyleInf">2</span> and direct assessment) was 0.806 (<span class="elsevierStyleItalic">P</span> <.0001), and the correlation between PETCO<span class="elsevierStyleInf">2</span> and PaCO<span class="elsevierStyleInf">2</span> was 0.845 (<span class="elsevierStyleItalic">P</span> <.0001). The mean difference between the 2 expressions of oxygen saturation was 0.08% (1.46%) and between PETCO<span class="elsevierStyleInf">2</span> and PaCO<span class="elsevierStyleInf">2</span> was 2.7 (2.9) mm Hg.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Both measurement devices (pulse oximeter and capnograph) are appropriate for use in a lung function laboratory. The difference between PETCO<span class="elsevierStyleInf">2</span> and the PaCO<span class="elsevierStyleInf">2</span> should be kept in mind.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Comparar los valores de oxihemoglobina, obtenidos mediante un pulsioxímetro, y de presión arterial de anhídrido carbónico (PaCO<span class="elsevierStyleInf">2</span>) al final de la espiración, medida con un capnógrafo, con los obtenidos a partir de una muestra de sangre arterial (oxihemoglobina y PaCO<span class="elsevierStyleInf">2</span>).</p> <span class="elsevierStyleSectionTitle">Pacientes Y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio se realizó en 57 pacientes consecutivos —16 de ellos fumadores— que acudieron para un estudio de la función pulmonar, de entre 34 y 83 años años de edad.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El valor medio (± desviación estándar) de la oxihemoglobina por pulsioximetría fue del 95 ± 2,4% y en sangre arterial del 95,1 ± 2,3% (p = NS). El valor medio de la PaCO<span class="elsevierStyleInf">2</span> al final de la espiración, medida por el capnógrafo, fue de 37,9 ± 5,3 mmHg y el de la PaCO<span class="elsevierStyleInf">2</span> en sangre arterial de 40,6 ± 5,4 mmHg (p < 0,0001). El coeficiente de correlación entre las 2 determinaciones de oxihemoglobina fue de 0,806 (p < 0,0001) y entre la PaCO<span class="elsevierStyleInf">2</span> al final de la espiración y la PaCO<span class="elsevierStyleInf">2</span> en sangre arterial fue de 0,845 (p < 0,0001). La media de las diferencias entre ambos valores de oxihemoglobina fue del 0,08 ± 1,46%, y entre la PaCO<span class="elsevierStyleInf">2</span> al final de la espiración y la PaCO<span class="elsevierStyleInf">2</span> fue de 2,7 ± 2,9 mmHg.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">Ambos equipos de lectura (pulsioxímetro y capnógrafo) han demostrado ser correctos para su uso en el laboratorio de función pulmonar. Deben tenerse en cuenta las diferencias apreciadas entre la PaCO<span class="elsevierStyleInf">2</span> al final de la espiración y la PaCO<span class="elsevierStyleInf">2</span> arterial.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "JE Cotes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:5 [ "titulo" => "Lung function. Assessment and application in medicine" "paginaInicial" => "263" "paginaFinal" => "298" "edicion" => "5th ed." "serieFecha" => "1993" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L Martin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "All you really need to know to interpret arterial blood gases?" "fecha" => "1992" "editorial" => "Lea & Febiger" "editorialLocalizacion" => "Philadelphia" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Normativa de la gasometría arterial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "AGN Agustí" 1 => "F Burgos" 2 => "P Casan" 3 => "M Perpiñá" 4 => "R Rodríguez-Roisin" 5 => "L Sánchez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1998" "volumen" => "34" "paginaInicial" => "142" "paginaFinal" => "153" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9611639" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "DG Altman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Practical statistics for medical research" "fecha" => "1991" "editorial" => "Chapman & Hall" "editorialLocalizacion" => "London" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulse oximetry in smokers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J Gómez" 1 => "S Mota" 2 => "P Casan" 3 => "J Sanchis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Respir Med" "fecha" => "1998" "volumen" => "92" "paginaInicial" => "454" "paginaFinal" => "460" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9692105" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004000000007/v1_201305150100/S157921290660308X/v1_201305150100/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004000000007/v1_201305150100/S157921290660308X/v1_201305150100/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921290660308X?idApp=UINPBA00003Z" ]
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