The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
Photoplethysmography: Beyond the Calculation of Arterial Oxygen Saturation and Heart Rate
Abstract
In Brief In this article, I examine the source of the photoplethysmograph (PPG), as well as methods of investigation, with an emphasize on amplitude, rhythm, and pulse analysis. The PPG waveform was first described in the 1930s. Although considered an interesting ancillary monitor, the “pulse waveform” never underwent intensive investigation. Its importance in clinical medicine was greatly increased with the introduction of the pulse oximeter into routine clinical care in the 1980s. Its waveform is now commonly displayed in the clinical setting. Active research efforts are beginning to demonstrate a utility beyond oxygen saturation and heart rate determination. Future trends are being heavily influenced by modern digital signal processing, which is allowing a re-examination of this ubiquitous waveform. Key to unlocking the potential of this waveform is an unfettered access to the raw signal, combined with standardization of its presentation, and methods of analysis. In the long run, we need to learn how to consistently quantify the characteristics of the PPG in such a way as to allow the results from research efforts be translated into clinically useful devices. IMPLICATIONS: The PPG, or the pulse waveform, measured with pulse oximetry is gaining increased attention as a source of useful physiological data, including vascular volume status, sympathetic tone and other variables. Maximizing the potential of this waveform requires standards for its display and experimentation investigating its clinical importance.
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Citations
Cites
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Anesthetic Doses Blocking Adrenergic (Stress) and Cardiovascular Responses to Incision—MAC BAR
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PHOTO-ELECTRIC PLETHYSMOGRAPHY AS A MONITORING DEVICE IN ANAESTHESIA
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Different Responses of Ear and Finger Pulse Oximeter Wave Form to Cold Pressor Test
Awad, A. A., Ghobashy, M. A. M., Ouda, W., Stout, R. G., Silverman, D. G., & Shelley, K. H. (2001) · Anesthesia & Analgesia · doi:10.1097/00000539-200106000-00026 · Cited by 127
Self-citationUse of Pulse Oximetry as a Noninvasive Indicator of Intravascular Volume Status
Partridge, B. L. (1987) · The Journal of Clinical Monitoring · doi:10.1007/bf03337381 · Cited by 115
Neural network for photoplethysmographic respiratory rate monitoring
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What Is the Best Site for Measuring the Effect of Ventilation on the Pulse Oximeter Waveform?
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Cited by
On the Analysis of Fingertip Photoplethysmogram Signals
Elgendi, M. (2012) · Current Cardiology Reviews · doi:10.2174/157340312801215782 · Cited by 1,206
Toward ubiquitous blood pressure monitoring via pulse transit time: Theory and practice
Mukkamala, R., Hahn, J.-O., Inan, O. T., Mestha, L. K., Kim, C.-S., Toreyin, H., & Kyal, S. (2015) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2015.2441951 · Cited by 935
“(Note that commercial pulse oximeters may not be suitable for PTT estimation, as they heavily process the PPG waveform [64].)”
BackgroundHow accurate is pulse rate variability as an estimate of heart rate variability?
Schäfer, A., & Vagedes, J. (2013) · International Journal of Cardiology · doi:10.1016/j.ijcard.2012.03.119 · Cited by 661
Multiparameter Respiratory Rate Estimation From the Photoplethysmogram
Karlen, W., Raman, S., Ansermino, J. M., & Dumont, G. A. (2013) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2013.2246160 · Cited by 485
Breathing Rate Estimation From the Electrocardiogram and Photoplethysmogram: A Review
Charlton, P. H., Birrenkott, D. A., Bonnici, T., Pimentel, M. A. F., Johnson, A. E. W., Alastruey, J., Tarassenko, L., Watkinson, P. J., Beale, R., & Clifton, D. A. (2018) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2017.2763681 · Cited by 379
Metadata
- Authors
- Shelley, K. H.
- Venue
- Anesthesia & Analgesia
- Published
- 2007-12
- Volume
- 105
- Issue
- 6
- Pages
- S31-S36
- ISSN
- 0003-2999 (ISSN-L)
- OpenAlex
- W2046012313
- Cited by
- 450
- References
- 30
- FWCI
- 7.09
- Type
- journal article
- Language
- en
- Open access
- closed
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