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Editorial
. 2023 Mar 15;207(6):661-664.
doi: 10.1164/rccm.202209-1773ED.

Change the Framework for Pulse Oximeter Regulation to Ensure Clinicians Can Give Patients the Oxygen They Need

Michael W Sjoding  1 , Theodore J Iwashyna  2 , Thomas S Valley  3
Affiliations
Editorial

Change the Framework for Pulse Oximeter Regulation to Ensure Clinicians Can Give Patients the Oxygen They Need

Michael W Sjoding et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
Distribution of arterial oxygen saturation and saturation rate <88% when the pulse oximeter is reading at 92%. (A) Pulse oximeter with 2% random error. (B) Overlaid distribution of a pulse oximeter with 2% random error and 1% bias. (C) Overlaid distribution of a pulse oximeter with 2.5% random error and 1% bias.
See this image and copyright information in PMC

References

    1. Pan American Health Organization. https://iris.paho.org/handle/10665.2/55715
    1. World Health Organization. 2020. https://www.who.int/publications/i/item/WHO-2019-nCoV-MedDev-TS-O2T.V2
    1. Sjoding MW, Dickson RP, Iwashyna TJ, Gay SE, Valley TS. Racial bias in pulse oximetry measurement. N Engl J Med . 2020;383:2477–2478. - PMC - PubMed
    1. Valbuena VSM, Barbaro RP, Claar D, Valley TS, Dickson RP, Gay SE, et al. Racial bias in pulse oximetry measurement among patients about to undergo extracorporeal membrane oxygenation in 2019–2020: a retrospective cohort study. Chest . 2022;161:971–978. - PMC - PubMed
    1. Andrist E, Nuppnau M, Barbaro RP, Valley TS, Sjoding MW. Association of race with pulse oximetry accuracy in hospitalized children. JAMA Netw Open . 2022;5:e224584. - PMC - PubMed

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