Cited by 49Non-Invasive Vital Sign MonitoringHemodynamic Monitoring and TherapyRespiratory Support and Mechanisms

COVID-19: Pulse oximeters in the spotlight

Open access
Michard, Frederic, Shelley, Kirk, L’Her, Erwan·2021·Journal of Clinical Monitoring and Computing

Abstract

From home to intensive care units, innovations in pulse oximetry are susceptible to improve the monitoring and management of patients developing acute respiratory failure, and particularly those with the coronavirus disease 2019 (COVID-19). They include self-monitoring of oxygen saturation (SpO 2) from home, continuous wireless SpO 2 monitoring on hospital wards, and the integration of SpO 2 as the input variable for closed-loop oxygen administration systems. The analysis of the pulse oximetry waveform may help to quantify respiratory efforts and prevent intubation delays. Tracking changes in the peripheral perfusion index during a preload-modifying maneuver may be useful to predict preload responsiveness and rationalize fluid therapy.

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  • The main reason for the upsurge of publications in 2021 may be attributed to the increase of pulse oximetry for triage in patients because of the COVID-19 pandemic and recent concern about accuracy across all skin types.

    “The main reason for this surge may be attributed to the increase of this technique for triage in patients because of the current COVID-19 pandemic [12,13,14,15,16,17], and also because of the recent concern about the accuracy of these devices across all skin types [20,57,58,59,60,61].”

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References 16 · Cited by 49

Authors
Michard, F., Shelley, K., & L’Her, E.
Affiliations
Yale University (US)
Venue
Journal of Clinical Monitoring and Computing
Published
2020-06-23
Volume
35
Issue
1
Pages
11-14
ISSN
  • 1387-1307 (ISSN-L)
  • 1573-2614
OpenAlex
W3036350378
Cited by
49
References
16
Citations by year
2026: 3 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 15 · 2021: 9 · 2020: 4 · 2018: 1
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Monitoring and Computing (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Keywords
COVID-19 pandemic, pulse oximetry, oxygen saturation, respiratory effort, perfusion index, fluid responsiveness, fluid therapy
MeSH terms
COVID-19, SARS-CoV-2, Critical Care, Fluid Therapy, Home Care Services, Humans, Monitoring, Physiologic, Oximetry, Oxygen, Oxygen Inhalation Therapy, Respiratory Insufficiency, Work of Breathing, Monitoring, Ambulatory, Pandemics

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