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Experience of pulse oximetry in children with croup

  • P. J. Stoney (a1) and M. K. Chakrabarti (a1)

Abstract

We report our experience with 199 patients requiring admission with a diagnosis of croup over an 18 month period. The value of using pulse oximetry to monitor these children was critically examined. Twenty-nine patients with clinically significant stridor were monitored for an average of 12 hours. There was poor correlation of clinical status and respiratory rate with hypoxia as shown by the technique, with frequent dips in oxygen saturation being caused by technical problems such as movement artefact. Pulse oximetry is a useful adjunct to the clinical assessment of croup, but cannot be relied upon solely for monitoring these labile patients.

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Corresponding author

Mr P. J. Stoney, F.R.C.S., Research Fellow, 31 Norway Avenue, Toronto, Ontario M4L 1P7, Canada.

References

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Cote, C. J., Goldstein, E. A., Cote, M. A., Hoaglin, D. C., Ryan, J. F. (1988) A single-blind study of pulse oximetry in children with croup. Anesthesiology, 68: 184188.
Downes, J. J., Raphaely, R. (1975) Pediatric intensive care. Anesthesiology, 43: 242250.
Gardner, H. G., Powell, K. R., Roden, V. J., Cherry, J. D. (1973) The evaluation of racemic epinephrine in the treatment of infectious croup. Pediatrics, 52: 5255.
Geelhoed, G. C., Landau, L. I., LeSouef, P. N. (1988) Predictive value of oxygen saturation in emergency evaluation of asthmatic children. British Medical Journal, 297: 395396.
Hen, J. Current management of upper airway obstruction (1986) Pediatric Annals, 15: 274294.
Kidd, J. F., Vickers, M. D. (1989) Editorial. Pulse oximeters: essential monitors with limitations. British Journal of Anaesthesia, 62: 355357.
Mauro, R. D., Poole, S. R., Lockhart, S. H. (1988) Differentiation of epiglottitis in the child with stridor. American Journal of Diseases of Children, 142: 679682.
Mills, J. L., Spackman, T. J.,Borns, P., Mandell, G. A., Schwartz, M. W. (1979) The usefulness of lateral neck roentgenograms in laryngotracheobronchitis. American Journal of Diseases of Children, 133: 11401142.
Newth, C. J. L., Levinson, H., Bryan, A. C. (1972) The respiratory status of children with croup. Journal of Pediatrics, 81: 10681073.
Taussig, L. M., Castro, O., Beaudry, P. H., Fox, W. W., Bureau, M. (1975) Treatment of laryngotracheobronchitis (croup). Use of intermittent positive pressure breathing and racemic epinephrine. American Journal of Diseases of Children, 129: 790793.
Westley, C. R., Cotton, E. K., Brooks, J. G. (1978) Nebulized racemic epinephrine by IPPB for the treatment of crup. American Journal of Diseases of Children, 132: 484487.
Wilkins, C. J., Moores, M., Hanning, C. D. (1989) Comparison of pulse oximeters: effects of vasoconstriction and venous engorgement. British Journal of Anaesthesia, 62: 439444.

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