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Cited by 36Non-Invasive Vital Sign MonitoringHemodynamic Monitoring and TherapyMechanical Circulatory Support Devices

Central venous pulsations associated with a falsely low oxygen saturation measured by pulse oximetry

Sami, Hafez M., Kleinman, Bruce S., Lonchyna, Vassyl A.·1991·Journal of Clinical Monitoring
DOI 10.1007/bf01619351
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Abstract

Venous pulsations are thought, but to our knowledge have never been demonstrated, to result in underestimation of oxygen saturation measured by pulse oximetry (SpO2); however, to our knowledge, this has never been demonstrated. A patient with ischemic cardiomyopathy requiring intra-aortic balloon counterpulsation (IABC) had to withstand a temporary cessation of IABC (period I), during which she had marked central venous pulsations and a pulse oximeter bias of -18%. After IABC was reinstituted (period II), the venous pulsations disappeared and the bias was reduced to 0%. Cardiac output, systemic vascular resistance, and temperature during both periods were comparable. Pulmonary vascular resistance, however, was much lower during period II. We postulate that the bias was caused by venous pulsations significantly contributing to the AC, or variable component, of light absorption.

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Crossref · 10.1007/bf01619351

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5 of 5 references verified0 citation errors · 0 not checkable

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  • Pulse oximetry values were both lower in cases where CVP contributed to the signal.

    “The pulse oximetry values were both lower in cases where CVP contributed to the signal.”

    From Sources of inaccuracy in photoplethysmography for continuous cardiovascular monitoring (2021) · cites this paper as [127]

  • Shelley et al. and Sami et al. both demonstrated the influence of the venous signal on SpO2, showing that forehead and earlobe pulse oximeters produced a significantly biased variable component of the PPG determined to originate from central venous pressure (CVP).

    “Shelley et al. and Sami et al. both demonstrated the influence of the venous signal on SpO2, showing that forehead and earlobe pulse oximeters (respectively) produced a significantly biased variable component of the PPG determined to originate from central venous pressure (CVP) [125,127].”

    From Sources of inaccuracy in photoplethysmography for continuous cardiovascular monitoring (2021) · cites this paper as [127]

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Related

Authors
Sami, H. M., Kleinman, B. S., & Lonchyna, V. A.
Affiliations
Loyola University Chicago (US)
Venue
Journal of Clinical Monitoring
Publisher
Springer Science and Business Media LLC
Published
1991-10
Volume
7
Issue
4
Pages
309-312
ISSN
  • 1387-1307 (ISSN-L)
  • 0748-1977
  • 1573-2614
DOI
10.1007/bf01619351
OpenAlex
W2058795083
Cited by
36
References
5
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2014: 2 · 2013: 3 · 2012: 1
FWCI
0.86
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Clinical Monitoring and Computing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Physical Sciences › Engineering › Biomedical Engineering › Mechanical Circulatory Support Devices
Keywords
pulse oximetry, intra-aortic balloon pump, ischemic cardiomyopathy, pulmonary vascular resistance, cardiac output
MeSH terms
Aged, Carbon Dioxide, Catheterization, Peripheral, Catheterization, Swan-Ganz, Central Venous Pressure, Coronary Disease, Femoral Artery, Heart Rate, Humans, Intra-Aortic Balloon Pumping, Male, Oximetry, Oxygen, Pulmonary Artery, Pulse, Vascular Resistance, Counterpulsation, Monitoring, Intraoperative

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