• 대한치과마취과학회지
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• 제12권1호
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• pp.17-23
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• 2012

Background: This study evaluated pulp vitality of anterior permanent teeth using pulse oximetry (PO), which is already used for monitoring of patient's $SpO_2$ and pulse rates (PR). Also we compared with ice tests and electric pulp test (EPT). Methods: 9 teeth, endodontic treated, were selected as non-vital teeth group. 17 vital teeth were selected as control group. Our aim is to compare sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of ice test, electric pulp test and pulse oximetry, respectively. Pulse oximetry has two test results, $SpO_2$ and pulse rates. Also we calculated correlation and statistical significances by Pearson's test between EPT and pulse oximetry. Results: Sensitivity, specificity, PPV, NPV were calculated on each tests. Ice test has results of 1.00, 0.89, 0.94 and 1.00, respectively. EPT has results of 0.94, 0.78, 0.89 and 0.88 respectively. $SpO_2$ has results of 0.94, 1.00, 1.00 and 0.90, respectively. PR has results of all 1.00. Conclusions: PO showed relatively accurate, stable and objective results on both $SpO_2$ and PR. Percentage of ability of accurate diagnosis for vital teeth is 94% for ice test, 89% for EPT, 100% for $SpO_2$ and PR. Percentage of ability of accurate diagnosis for non-vital teeth is 100% for ice test, 88% for EPT, 90% for $SpO_2$ and 100% for PR. In additions, PR could be more accurate and significant tests than $SpO_2$.

• 대한소아치과학회지
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• 제23권4호
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• pp.887-892
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• 1996

For the purpose of assessing the utility and cautionary aspects of pulse oximetry of which use is rapidly increased, it was applied to the maladaptive child patients with sedative drugs and evaluated the results. When pulse oximeter was used alone for vital sign monitoring, it was thought impossible to exclude the false alarm or false silence by various causes. To minimize or remove these misunderstanding, operators should have a extensive knowledge not only on the factors affecting the operation of this apparatus but also on the potential of misoperation. To review the present status of increasing risk of hypoxia during the sedation, it was thought unreasonable to solely depend upon this apparatus for vital sign monitoring. By combining with more accurate and auxiliary monitoring devices, pulse oximetry will be of greater value and can meet the clinical needs and conveniences.

• 대한화상학회지
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• 제24권2호
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• pp.43-45
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• 2021

Magnetic Resonance Image (MRI) has been used as a safe, conventional and harmless diagnostic tool. However, thermal injuries have frequently been reported during MRI scanning due to the heat generated by the reaction with the magnetic field. It is recommended that metal-containing monitoring devices such as pulse oximetry and ECG monitoring leads should be removed prior to the start of the MRI scan, but these monitoring devices are inevitably placed in children or patients in the intensive care unit who have low compliance with the scan. Since the interaction between the metal probe or wire loop of pulse oximetry and the magnetic field can result in high thermal conduction, full-thickness burn can occur over the entire body surface during the MRI examination. Several cases of thermal burns from pulse oximetry on the fingers have been reported. However, we present a case of a full-thickness burn arising left earlobe in a 2-month-old child caused by the high conduction heat from pulse oximetry metal probe.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2003년도 추계종합학술대회
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• pp.860-863
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• 2003

산소포화도 측정은 Beer-Lambert's law를 기초로하여 측정 부위(손가락, 귀 등)에 LED를 발광한 후 투과된 적생광과 적외선광 신호가 통과하고 photodetector에서 감지한 후 나타난 두 광의 비율로 계산한다. Pulse oximetry는 이러한 산소포화도를 측정하는 기기인데, 근데 아주 민감하기 때문에 압력이 적절한 조직 혈류로 공급하기 어려울 정도로 아주 낮을 때 펄스를 검출한다. 다시말해서, SpO2는 혈관 수축이나 저혈압에서의 흐르지 않는 동맥혈의 펄싱의 손가락에 의한 O2소모 때문에 감소할 수도 있다. 이러한 점에서 측정 결과시의 한계가 있다. 따라서 본 논문은 SpO2를 측정할 때 어떠한 움직에 의해 나타나는 motion artifact를 최소화하는 알고리즘을 고찰하였다.

• 산업기술연구
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• 제26권A호
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• pp.89-93
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• 2006

Pulse oximetry, which monitors non-invasively the oxygen saturation in blood, is influenced by patient's respiration, movement or a factor of an environment. Specially, it's difficult to measure a PPG (Photoplethsmography) signal from the moving patient because of the motion artifact. Accordingly, it is required to extract the pure PPG signal from the PPG signal to measure oxygen saturation. In this paper, we propose an adaptive noise canceller to improve the performance of motion artifact removal. Then we design a hardware system for real time monitoring of the oxygen saturation. The proposed algorithm estimates the slope of transition rate between two different wavelength signals.

• 대한치과마취과학회지
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• 제11권1호
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• pp.32-37
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• 2011

Pulsus paradoxus has been defined as a decrease in systolic blood pressure (SBP) of 10 mmHg or more during inspiration. This report describes pulsus paradoxus detected by pulse oximetry during dental procedure. Case: A 10 years old boy who had impacted mandibular premolar with malformation scheduled for extraction under intravenous sedation with Fentanyl and Propofol. The patient showed upper airway obstruction with stridor and pulsus paradoxus. Though pulsus paradoxus is generally critical condition, in this case, respiration and other vital sign was maintained comparatively well with care in administering oxygen and considerate monitoring of pulse oximetry and capnography. Discussion: Noninvasive continuous monitoring of pulse oximetry allows recognition of pulsus paradoxus which can lead to serious problems. Clinicians should know very well about it and be able to manage of this kind of situation.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.505-509
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• 2013

Background The aim of this study was to collect important data on the time of oxygen saturation change in relation to skin flap color alteration using non-invasive pulse oximetry to evaluate its ability to provide continuous monitoring of skin flap perfusion. Methods An experimental study on the monitoring of blood perfusion of 20 tube-island groin flaps of 10 male New Zealand rabbits was performed using pulse oximetry. The animals were randomly assigned to one of two groups representing a blockage of either arterial or venous blood flow. The oxygen saturation change and clinical color alteration were monitored from the beginning of vessel clamping until the saturation became undetectable. The result was analyzed by the t-test using SSPS ver. 10.0. Results The mean times from the vessel clamping until the saturation became undetectable were $20.19{\pm}2.13$ seconds and $74.91{\pm}10.57$ seconds for the artery and vein clamping groups, respectively. The mean time of the clinical alteration from the beginning of vein clamping was $34.5{\pm}11.72$ minutes, while the alteration in flaps with artery clamping could not be detected until 2.5 hours after clamping. Conclusions The use of neonate-type reusable flex sensor-pulse oximetry is objective and effective in early detection of arterial and vein blockage. It provides real-time data on vessel occlusion, which in turn will allow for early salvaging. The detection periods of both arterial occlusion and venous congestion are much earlier than the color alteration one may encounter clinically.

• Neonatal Medicine
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• 제25권4호
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• pp.137-143
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• 2018

Purpose: This study was performed to determine the clinical features of full-term infants with hypoxemia detected by pulse oximetry and to establish the diagnosis of critical congenital heart disease (CCHD). Methods: We retrospectively reviewed the medical records of neonates who had been admitted to the neonatal intensive care unit within 2 weeks of birth at Korea University Ansan Hospital between January 2013 and October 2017 (n=450). We classified these neonates based on the presence of hypoxemia at admission and investigated neonatal characteristics, initial symptoms, echocardiographic findings, and final diagnosis associated with hypoxemic diseases. Results: Of 450 term infants, 265 infants (58.9%) were identified hypoxemia by pulse oximetry at admission. The most common symptoms of them were cyanosis and tachypnea. Among them, 80.1% of infants (214/265) were diagnosed with respiratory tract disease and 8.3% of infants (22/265) had congenital heart disease. Thirteen infants (13/265, 4.9%) had CCHD and were treated with urgent surgery or transcatheter intervention within 28 days of birth. Majority of infants with respiratory tract disorder were transferred from hospital immediately after birth, but 46.1% of infants (6/13) with CCHD remained asymptomatic after birth and were admitted after 48 hours after birth. In addition, other hypoxemic illnesses were identified as neonatal infectious and neurological diseases. Conclusion: This study showed the importance of assessment in neonates with hypoxemia, including those diagnosed with CCHD. The possibility of CCHD should be considered in the differential diagnosis in neonates demonstrating hypoxemia after 48 hours of birth. A larger prospective study is needed to assess the effectiveness and outcomes of pulse oximetry for neonatal screening in Korea.

• 센서학회지
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• 제27권3호
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• pp.192-198
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• 2018

Pulse oximetry is a non-invasive method for monitoring how much oxygenated hemoglobin is present in the blood. The principle of pulse oximetry is based on the red infrared light adsorption characteristics of oxygenated and deoxygenated hemoglobin. Even through the convenience of a pulse oximeter, its weak signal-to-noise ratio against motion artifacts and low perfusion makes it difficult to be accepted by execs devices. Several researchers have suggested the use of an adaptive noise cancellation (ANC) algorithm. They have demonstrated that ANC is feasible for reducing the effects of motion artifacts. Masimo Corporation developed a discrete saturation transformation (DST) algorithm that uses a reference signal and ANC. In commercial devices, it is very hard to escape it because Masimo's patents are very powerful and a better method is yet to be developed. This study proposes a new method that can measure noise saturation as well as accurate oxygen saturation from signals with high motion artifacts without using ANC and DST. The proposed algorithm can extract a normal signal without noise from a signal with motion artifacts. The reference signal from a pulse oximeter simulator was used for the evaluation of our proposed algorithm and achieved good results.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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• pp.495-498
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• 2008

본 논문은 유비쿼터스 헬스케어 시스템을 위한 웨어러블 센서의 한 종류로서, 손목 착용형 $SpO_2$ 모듈을 구현하였으며 사용자의 산소포화도를 모니터링 할 수 있도록 제안하였다. $SpO_2$ 계측 보드는 고성능, 저전력 특징을 가지고 있는 MCU (ATmega128L, Atmel Co., USA)를 활용하여 모든 측정된 신호의 처리 및 제어를 담당하도록 하였으며, 일차적인 신호의 증폭과 필터를 위한 아날로그 회로도 구성하였다. 또한, 특정부위에서의 측정을 위해 제작된 반사형 프로브와도 연결되어 측정된 신호의 수집 및 처리를 담당하도록 하였다. IEEE 802.15.4 표준 프로토콜과 연동이 가능한 무선 센서 노드는 $SpO_2$ 계측 보드와 함께 연결되어 수집된 데이터를 서버측 PC로 전송하는 역할을 담당한다. 제안된 시스템의 활용으로 관리자가 서버측에서 모니터링 프로그램을 통해 사용자의 건강상태에 대한 정보를 확보할 수 있도록 하였다.