Ear oximetry during combined hypoxia and exercise

Smyth, R. J.; D'Urzo, A. D.; Slutsky, A. S.; Galko, B. M.; Rebuck, A. S.

doi:10.1152/jappl.1986.60.2.716

Cited by 80Cardiovascular and exercise physiologyNon-Invasive Vital Sign MonitoringHigh Altitude and Hypoxia

Ear oximetry during combined hypoxia and exercise

Smyth, R. J., D'Urzo, A. D., Slutsky, A. S., Galko, B. M., Rebuck, A. S.·1986·Journal of Applied Physiology

DOI 10.1152/jappl.1986.60.2.716

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Abstract

Ear oximetry is widely used to detect arterial O2 desaturation during exercise in patients with cardiopulmonary disease. Although oximeters have been evaluated for accuracy, response time, and the influence of skin pigmentation, tests of their reliability have not been reported during strenuous exercise. Accordingly, we compared arterial O2 saturation (Sao2) measurements obtained by Hewlett-Packard (HP, model 47201A) and Biox II oximeters with those determined directly from arterial blood in six healthy volunteers during progressive exercise while rebreathing hypoxic gas mixtures. The relationship between the HP oximeter value and blood Sao2 was described by the equation: HP = 0.93 (Sao2) + 5.37 and for the Biox II: Biox = 0.55 (Sao2) + 38.97. With these equations, at a blood Sao2 value of 90%, the underestimation by both oximeters was less than 2%. At a blood value of 70%, the HP oximeter overestimated blood Sao2 by 0.7%, whereas the Biox II showed an overestimation of 10.7%. Below blood Sao2 of 83%, the Biox II tended to overestimate blood Sao2 by an amount greater than the error of the instrument, whereas the HP estimations were within the error of the instrument over all levels of blood Sao2 studied. We conclude that the HP oximeter provides valid estimates of Sao2 during exercise but that the Biox II oximeter, although reflecting qualitative changes in oxygenation that occur during exercise, does not provide accurate records of the degree of desaturation.

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Crossref · 10.1152/jappl.1986.60.2.716

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Two recent diagnostic studies provide evidence on clinical implications resulting from the bias in pulse oximetry for blood oxygen saturation levels.
“Two recent diagnostic studies provide evidence on clinical implications resulting from the bias in pulse oximetry for blood oxygen saturation levels [7, 57].”
From The effects of skin pigmentation on the accuracy of pulse oximetry in measuring oxygen saturation: a systematic review and meta-analysis (2022) · cites this paper as [57]
At least two studies used diagnostic accuracy design and only presented proportions of participants with specific ranges of SpO2 in relation to specific SaO2 values, rather than SpO2 and SaO2 data.
“At least two studies used diagnostic accuracy design and only presented proportions of participants with specific ranges of SpO2 in relation to specific SaO2 values, again rather than SpO2 and SaO2 data [7, 57].”
From The effects of skin pigmentation on the accuracy of pulse oximetry in measuring oxygen saturation: a systematic review and meta-analysis (2022) · cites this paper as [57]

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Diffusion Capacity and Oxygen Desaturation Effects on Exercise in Patients with Cystic Fibrosis
Lebecque, P., Lapierre, J. G., Lamarre, A. P., et al. (1987) · CHEST Journal · doi:10.1378/chest.91.5.693 · Cited by 59 · see citing works
Relationship between airway obstruction, desaturation during exercise and nocturnal hypoxaemia in cystic fibrosis patients
Versteegh, F. G. A., Bogaard, J., Raatgever, J., et al. (1990) · European Respiratory Journal · doi:10.1183/09031936.93.03010068 · Cited by 55 · see citing works
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Arterial hypoxemia and performance during intense exercise
Koskolou, M. D., & McKenzie, D. C. (1994) · European Journal of Applied Physiology · doi:10.1007/bf00599246 · Cited by 53 · see citing works
Acute hypoxic ventilatory response and exercise-induced arterial hypoxemia in men and women
Guenette, J. A., Diep, T. T., Koehle, M. S., Foster, G. E., Richards, J. C., & Sheel, A. W. (2004) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2004.07.004 · Cited by 52 · see citing works
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Gavin, T. P., Derchak, P. A., & Stager, J. M. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199802000-00004 · Cited by 49 · see citing works
The effect of exercise modality on exercise-induced hypoxemia
Gavin, T. P., & Stager, J. M. (1999) · Respiration Physiology · doi:10.1016/s0034-5687(99)00012-2 · Cited by 48 · see citing works
Accuracy of pulse oximetry during intense exercise under severe hypoxic conditions
Benoit, H. C., Costes, F., Féasson, L., et al. (1997) · European Journal of Applied Physiology · doi:10.1007/s004210050245 · Cited by 46 · see citing works
“The SEE obtained in this study (1.8) was lower than that obtained with the Hewlett-Packard (4.1) and Biox II (5.4) evaluated by Smyth et al. (1986).”
BackgroundInfluential
Melanometry for objective evaluation of skin pigmentation in pulse oximetry studies
Vasudevan, S., Vogt, W. C., Weininger, S., & Pfefer, T. J. (2024) · Communications Medicine · doi:10.1038/s43856-024-00550-7 · Cited by 46 · see citing works
Expiratory flow limitation confounds ventilatory response during exercise in athletes
Derchak, P. A., Stager, J. M., TANNER, D. A., & Chapman, R. F. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200011000-00009 · Cited by 43 · see citing works
Gas Exchange During Maximal Upper Extremity Exercise
Martin, T. W., Zeballos, R. J., & Weisman, I. M. (1991) · CHEST Journal · doi:10.1378/chest.99.2.420 · Cited by 41 · see citing works
Extent of expiratory flow limitation influences the increase in maximal exercise ventilation in hypoxia
Chapman, R. F., Emery, M., & Stager, J. M. (1998) · Respiration Physiology · doi:10.1016/s0034-5687(98)00043-7 · Cited by 35 · see citing works
Accuracy of pulse oximetry during moderate exercise: a comparative study
Barthélemy, J., GEYSSANT, A., Riffat, J., et al. (1990) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365519009089168 · Cited by 34 · see citing works
Ventilatory patterns differ between maximal running and cycling.
Tanner, D., Duke, J., & Stager, J. (2014) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2013.10.011 · Cited by 32 · see citing works
Caffeine Stimulates Ventilation in Athletes with Exercise-Induced Hypoxemia
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Background
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“This model oximeter has been reported to be accurate across a wide range of SaO2ear, with arterial SaO2 values 975% underestimated by G2% (37).”
BackgroundResultInfluential
Erythropoietin concentration and arterial haemoglobin saturation with supramaximal exercise
Roberts, D., & SMITH, D. J. (1999) · Journal of Sports Sciences · doi:10.1080/026404199365795 · Cited by 29 · see citing works
Noninvasive Monitoring of Oxygen and Carbon Dioxide
Wiedemann, H. P., & McCarthy, K. J. (1989) · Clinics in Chest Medicine · doi:10.1016/s0272-5231(21)00625-0 · Cited by 26 · see citing works
Prophylactic bosentan does not improve exercise capacity or lower pulmonary artery systolic pressure at high altitude
Seheult, R. D., Ruh, K., Foster, G. P., et al. (2008) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2008.10.005 · Cited by 24 · see citing works
Comparison of invasive and noninvasive saturation monitoring in prescribing oxygen during exercise in COPD patients
Carone, M., PATESSIO, A., Appendini, L., Purro, A., Czernicka, E., ZANABONI, S., & Donner, C. F. (1997) · European Respiratory Journal · doi:10.1183/09031936.97.10020446 · Cited by 24 · see citing works
“The reliability of oximetry during exercise has been questioned [14, 15] when Sp,O2 values below 90% are recorded [15, 16], and particularly when evidence of hypoxia exists in connection with exercise [17].”
Background
Design and validation of an interpretative strategy for cardiopulmonary exercise tests
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Stickland, M. K., Lindinger, M. I., Olfert, I. M., Heigenhauser, G. J. F., & Hopkins, S. R. (2013) · Comprehensive physiology · doi:10.1002/j.2040-4603.2013.tb00500.x · Cited by 22 · see citing works
Accuracy of Three Pulse Oximeters During Exercise and Hypoxemia in Patients With Cystic Fibrosis
Orenstein, D. M., Curtis, S. E., Nixon, P. A., & Hartigan, E. R. (1993) · CHEST Journal · doi:10.1378/chest.104.4.1187 · Cited by 22 · see citing works
Re-examination of the incidence of exercise-induced hypoxaemia in highly trained subjects.
Brown, D. D., KNOWLTON, R. G., Sanjabi, P. B., et al. (1993) · British Journal of Sports Medicine · doi:10.1136/bjsm.27.3.167 · Cited by 19 · see citing works
Influence of Acute Moderate Hypoxia on Time to Exhaustion at vV˙O2max in Unacclimatized Runners
Billat, V. L., Leprêtre, P., Heubert, R., Koralsztein, J. P., & Gazeau, F. P. (2003) · International Journal of Sports Medicine · doi:10.1055/s-2003-37251 · Cited by 19 · see citing works
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Holm, S., Rodgers, W. M., Haennel, R. G., MacDonald, G. F., Bryan, T. L., Bhutani, M., Wong, E. Y. L., & Stickland, M. K. (2013) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2013.11.009 · Cited by 18 · see citing works
Peripheral chemoresponsiveness during exercise in male athletes with exercise‐induced arterial hypoxaemia
Granger, E. A., Cooper, T. K., Hopkins, S. R., et al. (2020) · Experimental Physiology · doi:10.1113/ep088639 · Cited by 17 · see citing works
The Effects of Exercise Testing on the Prescription of Oxygen Therapy
Carlin, B. W., Clausen, J. L., & Ries, A. L. (1994) · CHEST Journal · doi:10.1378/chest.106.2.361 · Cited by 15 · see citing works
Inspiratory muscle training effects on oxygen saturation and performance in hypoxemic rowers: Effect of sex
Riganas, C. S., Papadopoulou, Z., Margaritelis, N. V., et al. (2019) · Journal of Sports Sciences · doi:10.1080/02640414.2019.1646582 · Cited by 14 · see citing works
Pulse Oximetry and Exercise
Gaskin, L., & Thomas, J. (1995) · Physiotherapy · doi:10.1016/s0031-9406(05)66819-8 · Cited by 14 · see citing works
Correlates of Arterial Oxygenation during Exercise in Severe Chronic Obstructive Pulmonary Disease
D’Urzo, A. D., Mateika, J. H., Bradley, D., et al. (1989) · CHEST Journal · doi:10.1378/chest.95.1.13 · Cited by 8 · see citing works
Self-citation
The use of a mobile sleep laboratory in diagnosing sleep-related breathing disorders
Penzel, T., Peter, J. H., Schneider, H., et al. (1989) · Journal of Medical Engineering & Technology · doi:10.3109/03091908909030206 · Cited by 7 · see citing works
Pulse Oximetry: Instrumentation and Clinical Applications
Welch, J. P., DeCesare, R., & HESS, D. R. (1990) · Respiratory Care · doi:10.1177/194336549003500608 · Cited by 7 · see citing works
Oxygen desaturations during exercise and sleep in fit tetraplegic patients
Klefbeck, B., Mattsson, E., Weinberg, J., et al. (1998) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(98)90359-8 · Cited by 6 · see citing works
Nedocromil sodium and diphenhydramine HCl ameliorate exercise‐induced arterial hypoxemia in highly trained athletes
Coyle, M., Goss, C. S., Manz, W. J., Greenshields, J. T., Chapman, R. F., & Stager, J. M. (2022) · Physiological Reports · doi:10.14814/phy2.15149 · Cited by 6 · see citing works
The difference in respiratory and blood gas values during recovery after exercise with spontaneous versus reduced breathing frequency.
Kapus, J., Ušaj, A., Kapus, V., et al. (2009) · PubMed · Cited by 5 · see citing works
Exercise testing in children: Indications and technique
Swaminathan, S. (1991) · The Indian Journal of Pediatrics · doi:10.1007/bf02754954 · Cited by 3 · see citing works
Intra-rater reliability and repeatability of pulse oximetry values obtained before, between sets, and after resistive exercise
Caruso, J. F., & Shefflette, A. C. S. (2021) · Isokinetics and Exercise Science · doi:10.3233/ies-200237 · Cited by 1 · see citing works
“[27,29].”
Influential
Pulmonary limitations during exercise: A review
Rasmussen, S. A., & Ryan, M. E. (1990) · Sports medicine, training, and rehabilitation/Sports medicine, training and rehabilitation · doi:10.1080/15438629009511883 · Cited by 1 · see citing works
Rejection of Erroneous Saturation Data in Optical Pulse Oximetry in Newborn Patients
Scalise, L., Marchionni, P., Carnielli, V. P., & Longo, L. (2011) · AIP conference proceedings · doi:10.1063/1.3626923
Additional file 11 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495940
Additional file 16 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495958
Additional file 4 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495979
Additional file 17 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495961
Additional file 15 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495955
Additional file 19 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495967
Additional file 18 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495964
Additional file 12 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495943
Additional file 7 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495988
Additional file 5 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495982
Additional file 1 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495970
Additional file 14 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495949
Additional file 2 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495973
Additional file 3 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495976
Additional file 13 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495946
Additional file 10 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495937
Additional file 8 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495991
Additional file 6 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495985
Additional file 9 of The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation: a systematic review and meta-analysis
Shi, C., Goodall, M., Dumville, J. C., Hill, J. E., Norman, G., Hamer, O., Clegg, A., Watkins, C. L., Georgiou, G., Hodkinson, A., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20495994
AARC Clinical Practice Guideline: Exercise Testing for Evaluation of Hypoxemia and/or Desaturation: 2001 Revision & Update
(2001) · Respiratory Care · doi:10.1177/002013240104600516
Sore Throat and Neck Pain Associated with Diaphragmatic Pacing
Nelson, C. M., Kochansky, M. T., Adams, A. B., et al. (1986) · Respiratory Care · doi:10.1177/194336548603101218
AARC Clinical Practice Guideline
(1992) · Respiratory Care · doi:10.1177/194336549203700813

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Authors: Smyth, R. J., D'Urzo, A. D., Slutsky, A. S., Galko, B. M., & Rebuck, A. S.
ORCID: Slutsky, A. S.
Venue: Journal of Applied Physiology
Publisher: American Physiological Society
Published: 1986-02-01
Volume: 60
Issue: 2
Pages: 716-719
ISSN: 0161-7567 (ISSN-L)
8750-7587
1522-1601
DOI: 10.1152/jappl.1986.60.2.716
OpenAlex: W2275571589
Cited by: 80
References: 0
Citations by year: 2024: 1 · 2022: 21 · 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1 · 2013: 4 · 2012: 1
FWCI: 7.86
Type: journal article
Language: en
Open access: closed
Locations: Journal of Applied Physiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › High Altitude and Hypoxia
Keywords: ear oximetry, arterial oxygen saturation, hypoxia, physical activity, arterial blood gases
MeSH terms: Adult, Hypoxia, Blood Gas Analysis, Ear, Physical Exertion, Female, Humans, Male, Oximetry, Oxygen

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Ear oximetry during combined hypoxia and exercise

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