after cardiopulmonary bypass pulse oximetry monitoring the impact of factors and nursing strategy（心肺旁路后脉搏血氧仪监测的影响因素及护理策略）.docVIP

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after cardiopulmonary bypass pulse oximetry monitoring the impact of factors and nursing strategy（心肺旁路后脉搏血氧仪监测的影响因素及护理策略）.doc

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after cardiopulmonary bypass pulse oximetry monitoring the impact of factors and nursing strategy（心肺旁路后脉搏血氧仪监测的影响因素及护理策略）

After cardiopulmonary bypass pulse oximetry monitoring the impact of factors and Nursing Strategy [Keywords:] cardiopulmonary bypass pulse oximetry 0 Introduction Pulse oximetry (SpO2, also known as transcutaneous oxygen saturation, transcutaneous oxygen saturation monitor probe to monitor the patients (toe) the percentage of oxygenated hemoglobin to total hemoglobin in the end of a small artery called percutaneous blood oxygen saturation [1]. hospital from 01/200 610 to 619 cases during cardiopulmonary bypass in patients with conventional SpO2 monitoring, influencing factors were analyzed, and develop appropriate care strategies in order to work correctly the reasonable application of blood oxygen monitoring technology to accurately determine the condition. 1 clinical data This group 619 (male 334, female 285 cases, aged 3 mo ~ 75 years old. Correction of congenital heart disease, 368 cases of rheumatic heart valve replacement was performed in 208 cases, coronary artery bypass grafting in 22 cases, 21 cases. Pulse oxygen saturation monitoring time of 20 h to to 16 days, patients Shenzhen Mindray PM 9000 multi-parameter monitor, monitoring invasive blood pressure, central venous pressure, electrocardiogram, oscillometric, body temperature, breathing and pulse oximetry saturation. used routinely in the custody of the average time 12 s, alarm setting: the high limit is automatically set to 90% 99% or OFF, the lower limit for the start the monitoring period, such as reading a sudden drop in, check the probe in a timely manner whether loose, every 2 ~ 4 h to check the probe at the finger skin, to observe whether there is redness, swelling, skin damage, and replace another finger monitoring and regular arterial blood gas analysis and monitoring the results of the control. 619 cases were complicated by varying degrees of hypoxia hyperlipidemia 16 cases, an incidence of 2.58%. mostly be corrected through the timely processing, and three cases of concomitant