The Predictive Value of Pulse Oximeters for Pulse Improvement after Angiography in Infants and Children

Abstract:
Background
Information from pulse oximeter waves confirms the presence of a pulse and helps obtain waves from tissue when the supplying artery is not readily accessible.
Objectives
This study determined the predictive value of pulse oximeters for detecting improved arterial pulses after angiography.
Patients and
Methods
This cross-sectional, multi-center study included 467 4-day-old to 12-year-old patients and was conducted from January 2012 to January 2016. Angiographies were performed on 12-year-old or younger children for various medical reasons using venous, arterial, or both types of paths. The posterior malleolar or dorsalis pedis were palpated in punctured lower extremities. In the absence of a pulse, pulse oximetry was performed to identify pulse curves at 1 hour, 6 hours, and 12 hours after each angiography.
Results
Pulse oximetry displayed the pulses of 319 patients immediately following each angiography. Of these, 262 patients had palpable pulses at 6 hours after angiography (P
Conclusions
The pulse oximeter can display the pulse curve immediately (1 hour) after angiography and indicate pulse improvement at 12 hours maximally following an angiography. In this case, heparin alone may be used instead of thrombolytic agents.
Language:
English
Published:
Iranian Journal of Pediatrics, Volume:26 Issue: 5, Oct 2016
Page:
10
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