Accuracy of noninvasive haemoglobin measurement by pulse oximetry depends on the type of infusion fluid.

摘要

Measurement of blood haemoglobin concentration by pulse oximetry could be of value in determining when erythrocytes should be transfused during surgery, but the effect of infusion fluids on the results is unclear.To study the effect of crystalloid and colloid fluid on the accuracy (bias) and precision of pulse oximetry haemoglobin estimation to indicate the venous haemoglobin concentration in volunteers.Open interventional crossover study.Single university hospital.Ten male volunteers aged 18-28 (mean 22) years.Each volunteer underwent three infusion experiments on separate days and in random order. The infusions were Ringer's acetate (20?ml?kg), hydroxyethyl starch 130/0.4 (10?ml?kg) and a combination of both.At the end of the infusions of Ringer's acetate, pulse oximetry haemoglobin concentration had decreased more than the true haemoglobin concentration (15 vs. 8%; P?