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Re: Fetal Pulse Oximetery From: art fougner, md (evsono@pipeline.com) Mon Jul 23 21:41:42 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "UAE (again!)" Previous message: Joanne Bulley, MD: "Re: Aygestin" In reply to: D. Ashley Hill, MD: "Re: Fetal Pulse Oximetery" Next in thread: Efrain Ramirez: "Re: Fetal Pulse Oximetery" Reply: Efrain Ramirez: "Re: Fetal Pulse Oximetery" all new technology bursts upon the scene with a fanfare of favorable reports and tremendous publicity. then the unfavorable anecdotes begin popping up as the negatives rally their forces. eventually, the pendulum finds its place of equilibrium. fetal pulse oximetry should be no different. too soon to comment either positively or negatively. just my opinion - i could be wrong. art At Mon, 23 Jul 2001, D. Ashley Hill, MD wrote: > >At Mon, 23 Jul 2001, ainsron@msn.com wrote: > >What is the consensus regarding this new modality of fetal >>monitoring? > >Our labor unit staff acquired a demo unit about 2 months ago. I have >used it 5 or 6 times and have the following observations. Please note >that with more experience these observations will certainly change. > >1. It can be difficult to place the monitor when the head is at low >station. > >2. The monitor tends to "push out" when the patient is pushing. > >3. It's very disconcerting to watch repetitive, deep variable >decelerations with poor variability even while seeing a normal fetal >pulse oximeter reading. However, with one exception, the pulse ox >monitor agreed with the Apgar score and pH. In the patient with the >discordant pH and monitor reading, the monitor fell out while pushing, >and was not available for analysis for about 8 minutes. The baby had a >respiratory acidosis that rapidly resolved. Thus, I cannot evaluate >whether or not the pulse ox monitor was telling the truth. > >The bottom line: I would like to see more studies. Interestingly, >please be aware that the monitor rep told me "despite the studies, if >you have a concerning FHR strip, you may want to ignore the pulse ox >monitor and proceed with operative delivery." To which I replied "then >what's the point of having the monitor?" > >Ashley > >-- >D. Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >Orlando, Florida > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Joanne Bulley, MD: "UAE (again!)" Previous message: Joanne Bulley, MD: "Re: Aygestin" In reply to: D. Ashley Hill, MD: "Re: Fetal Pulse Oximetery" Next in thread: Efrain Ramirez: "Re: Fetal Pulse Oximetery" Reply: Efrain Ramirez: "Re: Fetal Pulse Oximetery"

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