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Computer Weekly. Reed Business Information. The Register. Retrieved March 9, Retrieved April 22, Archived PDF from the original on April 1, Retrieved April 1, Since its inception, pulse oximetry was plagued by unreliability when it was needed most—during patient motion and low perfusion.
The industry had given up and considered the problem "unsolvable. Conventional pulse oximetry works under the assumption that by looking at only the pulse and normalizing the pulsating signal over the non-pulsating signal, oxygen saturation SpO 2 can be measured without calibration.
Although this was a big step forward in the evolution of pulse oximetry, it has one major flaw—it assumes the only pulsating component is arterial blood.
Unfortunately for conventional pulse oximetry, venous blood moves every time the patient moves or breathes. With fewer false alarms, 3 clinicians can focus on the patients who need the most attention.
And with more timely detection of true events, clinicians can intervene earlier for better patient outcomes and improved patient safety.
When Joe Kiani and Mohamed Diab looked at the same pulse oximetry signal differently than anyone had before, they created new possibilities. By employing advanced signal processing techniques—including parallel engines and adaptive filters—they believed they could find the true arterial signal that would allow accurate monitoring of arterial oxygen saturation and pulse rate, even during the most challenging conditions.
These algorithms allow the distinction between arterial and venous signal during motion and low perfusion by identifying and isolating the non-arterial and venous noise SpO 2 left peak shown in blue from the true arterial SpO 2 components right peak shown in red in the signal.
The plot peak on the right is then chosen as the SpO 2 value, since the physiologically higher SpO 2 value within the measuring site will be arterial signal.
Investigators measured SpO 2 in 10 subjects during motion and low perfusion conditions and calculated the false alarm rate specificity and true alarm rates sensitivity.
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