Pulse oximetry for perioperative monitoring
Information
- DOI:
- https://doi.org/10.1002/14651858.CD002013.pub3Copy DOI
- Database:
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- Cochrane Database of Systematic Reviews
- Version published:
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- 17 March 2014see what's new
- Type:
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- Intervention
- Stage:
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- Review
- Cochrane Editorial Group:
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Cochrane Anaesthesia Group
- Copyright:
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- Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
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Authors
Contributions of authors
Tom Pedersen (TP), Amanda Nicholson (AN), Karen Hovhannisyan (KH), Ann Merete Møller (AM), Andrew F Smith (AS), Sharon R Lewis (SL)
Conceiving the review: TP, AM
Co‐ordinating the review: TP, AM
Undertaking electronic and manual searches: TP, AM, KH
Screening search results: TP, AM, KH, AN
Organizing retrieval of papers: KH
Screening retrieved papers against inclusion criteria: TP, AM, KH, AN,AS
Appraising quality of papers: TP, AM, AN, AS
Extracting data from papers: TP, AM, AN
Writing to authors of papers for additional information: TP
Obtaining and screening data on unpublished studies: TP
Data management for the review: TP, AM
Entering data into Review Manager (RevMan 5.2): TP, KH
RevMan statistical data: TP, AM
Other statistical analysis not using RevMan: TP, AM
Double entry of data: TP, AM
Interpretation of data: TP, AM
Statistical inferences: TP, AM
Writing the review: TP, AM, KH, AN, SL
Securing funding for the review: TP
Guarantor for the review (one author): TP
Person responsible for reading and checking review before submission: TP
Sources of support
Internal sources
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No sources of support supplied
External sources
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NIHR Cochrane Collaboration Programme Grant. Enhancing the safety, quality and productivity of perioperative care. Project Ref: 10/4001/04, UK.
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This grant funds the work of AN, AS and SL on this review
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Declarations of interest
Tom Pedesen is a co‐author of one study included in the review (Moller 1993c).
Amanda Nicholson: From March to August 2011, AN worked for the Cardiff Research Consortium, which provided research and consultancy services to the pharmaceutical industry. The Cardiff Research Consortium has no connection with AN's work with The Cochrane Collaboration. AN's husband has small direct holdings in several drug and biotech companies as part of a wider balanced share portfolio. See Sources of support.
Karen Hovhannisyan: none known.
Ann Merete Møller: none known.
Andrew F Smith: none known.
Sharon R Lewis: none known.
Acknowledgements
We thank Mathew Zacharias and Rodrigo Cavallazzi for editing the current updated version of this review.
We would like to acknowledge Nete Villebro, Janet Wale and Kathie Godfrey for their contributions to the plain language summary in the previous review (Pedersen 2005). We also would like to acknowledge Dr Bente Dyrlund Pedersen's contributions to our previous review (Pedersen 2003a).
Version history
| Published | Title | Stage | Authors | Version |
| 2014 Mar 17 | Pulse oximetry for perioperative monitoring | Review | Tom Pedersen, Amanda Nicholson, Karen Hovhannisyan, Ann Merete Møller, Andrew F Smith, Sharon R Lewis | |
| 2009 Oct 07 | Pulse oximetry for perioperative monitoring | Review | Tom Pedersen, Karen Hovhannisyan, Ann Merete Møller | |
| 2009 Jul 08 | Pulse oximetry for perioperative monitoring | Review | Tom Pedersen, Bente Dyrlund Pedersen, Ann Merete Møller | |
Differences between protocol and review
The Cochrane 'Risk of bias' tool was used in this update to assess the quality of included studies, and a 'Summary of findings' table was included.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Humans;
Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
| Continuous pulse oximetry versus no/intermittent pulse oximetry for perioperative monitoring | ||||||
| Patient or population: patients undergoing surgery requiring anaesthesia | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect | No. of participants | Quality of the evidence | Comments | |
| Assumed risk | Corresponding risk | |||||
| Control | Continuous pulse oximetry versus no/intermittent pulse oximetry | |||||
| Episodes of hypoxaemia (SpO2 < 90%) | See comment | See comment | Not estimable | 235 | See comment | Results not pooled. Significantly lower incidence of hypoxaemia in oximetry group in OR and in recovery room |
| Changes to patient care | See comment | See comment | Not estimable | 21,037 | See comment | Results not pooled. Two studies showed increased numbers of changes in ventilatory support and increased oxygen in oximetry group |
| Complications | See comment | See comment | Not estimable | 20,802 | See comment | No reduction seen in number of cardiovascular, respiratory, neurological or infectious complications |
| In‐hospital mortality | See comment | See comment | Not estimable | 22,021 | See comment | Results not pooled. No difference in mortality between oximetry and control groups |
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). | ||||||
| GRADE Working Group grades of evidence. | ||||||
