Re: Fetal Pulse Oximetery

From: Joe Cutchin (forcep@intercom.net)
Mon Jul 23 20:32:31 2001


ainsron@msn.com wrote: >
> We all know the criticism of how rapidly the technology of fetal
> monitoring took off and how later evidence has been not so supportive of
> its general use. On the other hand we also know how useful pulse
> oximetry has been in evaluation of patients undergoing general
> anesthesia or IV sedation, and that is negligent to not use it in those
> settings. Our ob unit manager wants input on the proposed purchase of a
> fetal pulse oximetry unit. It requires the committment to use/purchase
> at least six electrodes monthly at ~$150 apiece. They will allow us to
> have two months to try it out and see if we want to continue the
> contract. What is the consensus regarding this new modality of fetal
> monitoring?
> 1) simply a new toy without significant benefit
> 2) Useful for preventing cesarean sections for non-reassuring FHR
> tracings: in a community hospital? in a university hospital?
> 3) absolutely necessary for the modern obstetrical unit.
> 4) Research tool without enough direct evidence of benefit.
> 5) Needs more study before common use.
> 6) Are you currently using one or planning to acquire one?
>
> thanks for your input
>
> --
> Ronald E. Ainsworth, MD

Lets hope for the sake and sanity of our specialty that this need and use for pulse oximetry has an established scientific basis before being thrust upon us.I doubt that will happen.

--
    Joseph H. Cutchin MD FACOG    4105463125
    314 West Carroll Street       4105463128 Fax
    Salisbury,Maryland 21801

http://www.penobgyn.com





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