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1

Catton, R. A. A pulse oximeter for potential use in fetal monitoring. Manchester: UMIST, 1995.

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2

Moyle, John T. B. Pulse oximetry. London: BMJ Publishing, 1994.

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3

Payne, James P., and J. W. Severinghaus, eds. Pulse Oximetry. London: Springer London, 1986. http://dx.doi.org/10.1007/978-1-4471-1423-9.

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4

Gas monitoring and pulse oximetry. Boston: Butterworth-Heinemann, 1990.

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5

McLaughlin, Carolee. Does arterial oxygen desaturation as measured by pulse oximetry occur during aspiration or penetration in acute dysphagic stroke patients?. [S.l: The Author], 2003.

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6

International Symposium on Neurochemical Monitoring in the ICU (1st 1994 Tokyo, Japan). Neurochemical monitoring in the intensive care unit: Microdialysis, jugular venous oximetry, and near-infrared spectroscopy : proceedings of the 1st International Symposium on Neurochemical Monitoring in the ICU held concurrently with the 5th Biannual Conference of the Japanese Study Group of Cerebral Venous Oximetry in Tokyo, Japan, May 20-21, 1994. Tokyo: Springer, 1995.

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7

Jiri, Kvasnicka, ed. A novel approach to optimization of paced AV delay using atrial contribution index. New York: Nova Science Publishers, 2008.

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8

Rutherford, Basham Kimberley A., ed. Essentials of oxygenation: Implication for clinical practice. Boston: Jones and Bartlett Publishers, 1993.

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9

Clark, Daniel John. A spectroscopically based blood oximeter. 1993.

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10

Lee, Richard. Pulse oximetry and capnography in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0073.

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The estimation of arterial oxygen saturation by pulse oximetry and arterial carbon dioxide tension by capnography are vital monitoring techniques in critical care medicine, particularly during intubation, ventilation and transport. Equivalent continuous information is not otherwise available. It is important to understand the principles of measurement and limitations, for safe use and error detection. PETCO2 and oxygen saturation should be regularly checked against PaCO2 and co-oximeter SO2 obtained from the blood gas machine. The PECO2 trace informs endotracheal tube placement, ventilation, and blood flow to the lungs. It is essential their principles of estimation, the information gained and the traps in interpretation are understood.
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11

Raine, Tim, James Dawson, Stephan Sanders, and Simon Eccles. Cardiovascular. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199683819.003.0007.

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Chest pain emergencyChest painTachyarrhythmia emergencyTachyarrhythmiasBradyarrhythmia emergencyBradyarrhythmiasHypertension emergencyHypertensionHeart failureCall for senior help early if patient unwell or deteriorating.•Sit patient up•15l/min O2 if SOB or sats <94%•Monitor pulse oximeter, BP, defibrillator ECG leads if unwell...
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12

Raine, Tim, James Dawson, Stephan Sanders, and Simon Eccles. Respiratory. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199683819.003.0008.

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Breathlessness and low sats emergencyBreathlessness and low satsStridor in a conscious adult patientCoughCall for senior help early if patient deteriorating.•Sit patient up•15l/min O2 in all patients if acutely unwell•Monitor pulse oximeter, BP, defibrillator’s ECG leads if unwell...
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13

Bosque, Elena Marie. SYMBIOSIS OF NURSE AND MACHINE THROUGH FUZZY LOGIC: IMPROVED SPECIFICITY OF A NEW NEONATAL PULSE OXIMETER ALARM. 1993.

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14

Ramm, Claudia L. A comparison of open suction and in-line suction methods on pulse oximeter, heart rate, and blood pressure recovery time in the critically ill pediatric patient. 1994.

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15

Webster, John G. Design of Pulse Oximeters. Taylor & Francis, 1997.

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16

Webster, J., ed. Design of Pulse Oximeters. Taylor & Francis, 1997. http://dx.doi.org/10.1201/9781420050790.

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17

1932-, Webster John G., ed. Design of pulse oximeters. Bristol: Institute of Physics Pub., 1997.

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18

Webster, J. G., ed. Design of Pulse Oximeters. IOP Publishing Ltd, 1997. http://dx.doi.org/10.1887/0750304677.

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19

P, Payne J., and Severinghaus John W, eds. Pulse oximetry. Berlin: Springer, 1986.

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20

Moyle, John T. B. Pulse Oximetry. Bmj Publishing Group, 1998.

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21

1922-, Payne J. P., Severinghaus John Wendell 1922-, Royal College of Surgeons of England. Research Dept. of Anaesthetics., and Ohmeda (Firm), eds. Pulse oximetry. Berlin: Springer-Verlag, 1986.

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22

Moyle, John. Pulse Oximetry. Wiley & Sons, Incorporated, John, 2008.

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23

Pulse Oximetry. Springer, 2011.

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24

Gerhard, Litscher, and Schwarz Gerhard, eds. Transcranial cerebral oximetry. Lengerich: Pabst Science, 1997.

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25

Pulse Oximetry (Principles and Practice). 2nd ed. Blackwell Publishing Limited, 2002.

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26

Gas Monitoring and Pulse Oximetry. Elsevier, 1990. http://dx.doi.org/10.1016/c2013-0-06319-0.

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27

1940-, Linek V., ed. Measurement of oxygen by membrane-covered probes: Guidelines for applications in chemical and biochemical engineering. Chichester: Ellis Horwood, 1988.

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28

Měření koncentrace kyslíku: Membránou pokrytými kyslíkovými sondami. Praha: Academia, 1987.

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29

Appleton, Rebecca Staker. VALIDITY OF PULSE OXIMETRY DURING VENTILATOR WEANING OF ADULT OPEN HEART SURGERY PATIENTS. 1995.

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30

Tsubokawa, T. Neurochemical Monitoring in the Intensive Care Unit: Microdialysis, Jugular Venous Oximetry, and Near-Infrared Spectroscopy. Springer, 1995.

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31

Kreit, John W. Physiological Assessment of the Mechanically Ventilated Patient. Edited by John W. Kreit. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190670085.003.0009.

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This chapter reviews the tests that can be used to determine the type and severity of respiratory failure and the extent to which one or more of the components of normal ventilation and gas exchange have been compromised by disease. Physiological Assessment of the Mechanically Ventilated Patient describes the bedside procedures, measurements, and calculations that allow the assessment of gas exchange and respiratory mechanics in mechanically ventilated patients. Topics include co-oximetry and pulse oximetry, arterial blood gas measurements, venous admixture and shunt fraction, the dead space to tidal volume ratio, time- and volume-capnography, measurement of peak and plateau pressures, and calculation of respiratory system compliance and resistance.
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32

Glasper, Edward Alan, Gillian McEwing, and Jim Richardson, eds. Respiratory problems. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780198569572.003.0010.

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Anatomy and physiology 274Apnoea 276Asthma 278Recognition of respiratory distress 282Bronchiolitis 284Croup syndromes 286Epiglottitis 288Pneumonia 290Respiratory syncytial virus 292Related skillsPulse oximetry 294Nasopharyngeal aspirate 296Administration of oxygen (O2) 298Clinical skillsTracheostomy, changing tapes, and cleaning stoma site ...
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33

Ackerman, Michael H. THE EFFECT OF NORMAL SALINE LAVAGE PRIOR TO SUCTIONING IN ADULTS (SALINE INSTILLATION, BOLUS INSTILLATION, PULSE OXIMETRY). 1991.

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34

Yoder, Marianne E. Mastering Clinical Skills: Epidural Analgesia, Long Term Central Venous Access Devices, Pulse Oximetry, Tracheostomy Tubes, Patient-Controlled Analgesia (Media). Lippincott Williams & Wilkins, 1999.

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35

Hatfield, Anthea. Monitoring and equipment. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199666041.003.0004.

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Routine monitoring is an essential part of recovery room procedure. Respiration, a vital concern while awakening after anaesthesia, is given specific attention with reference to modern capnography. This chapter also describes additional monitoring in detail: pulse oximetry, blood pressure, central venous pressure, and arterial blood gases are clearly described. A comprehensive description of electrocardiography guides the student through this complicated subject. The monitoring of temperature and warming blankets, with suggestions for purchasing equipment, are included.
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36

Bloos, Frank, and Konrad Reinhart. Mixed and central venous oxygen saturation monitoring in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0134.

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Haemodynamic resuscitation should target goals that reflect the tissue oxygen needs of an individual patient. Venous oximetry may be such a tool. Oxygen saturation of blood in the pulmonary artery contains venous blood from the whole body and is referred to as mixed oxygen saturation (SvO2). Measurement of oxygen saturation in blood obtained from a central venous catheter is referred to as central venous oxygen saturation (ScvO2). Both values are not identical since a catheter placed into the superior vena cava only represents venous blood draining the upper body. While it is not possible, in the clinical setting, to predict SvO2 from ScvO2, changes in SvO2 are adequately mirrored by changes in ScvO2. Post-operative patients and patients admitted to intensive care with a low ScvO2 show a higher morbidity and mortality. Early goal-directed therapy (EGDT) combines several haemodynamic goals into a treatment algorithm, including a ScvO2 target. However, recent studies do not support the systematic use of this protocolized approach. A normal value of SvO2 or ScvO2 saturation does not always exclude tissue hypoxia, since it is not possible to identify an inadequate oxygen supply in single organs. A further limitation of this technique is that organ dysfunction can progress, or serum lactate increases, despite normal or even increased venous oximetry values.
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37

Prout, Jeremy, Tanya Jones, and Daniel Martin. Respiratory system. Oxford University Press, 2014. http://dx.doi.org/10.1093/med/9780199609956.003.0002.

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This chapter includes a summary of respiratory physiology, respiratory mechanics (pressure-volume relationships and compliance, airway resistance and the work of breathing) and the pulmonary circulation (pulmonary vascular resistance, shunt and lung zones). Measurement of respiratory flow, lung volumes and diffusion capacity is summarized, as well as measurement and interpretation of arterial blood gases. The physics behind capnography and pulse oximetry are explained with abnormalities related to clinical contexts. The common clinical scenarios of respiratory failure and asthma are discussed with initial management and resuscitation.
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38

Harrison, Mark. Respiratory. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198765875.003.0048.

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This chapter describes the pathophysiology of the respiratory system as it applies to Emergency Medicine, and in particular the Primary FRCEM examination. The chapter outlines the key details of the control of ventilation, reflexes, pressure, chemical, and irritant receptors, J receptors, pulmonary stretch receptors, Golgi tendon organs, muscle spindles, lung volumes, pulmonary mechanics, oxygen and carbon dioxide transport, DO2/VO2 relationships, carbon monoxide, pulse oximetry, effects of altitude, and dysbarism. This chapter is laid out exactly following the RCEM syllabus, to allow easy reference and consolidation of learning.
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39

Butkov, Nic. Polysomnography. Edited by Sudhansu Chokroverty, Luigi Ferini-Strambi, and Christopher Kennard. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199682003.003.0007.

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This chapter provides an overview of the sleep recording process, including the application of electrodes and sensors to the patient, instrumentation, signal processing, digital polysomnography (PSG), and artifact recognition. Topics discussed include indications for PSG, standard recording parameters, patient preparation, electrode placement for recording the electroencephalogram (EEG), electrooculogram (EOG), electromyogram (EMG), and electrocardiogram (ECG), the use of respiratory transducers, oximetry, signal processing, filters, digital data display, electrical safety, and patient monitoring. This chapter also includes record samples of the various types of recording artifacts commonly found in sleep studies, with a detailed description of their causes, preventative measures, and recommended corrective actions.
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40

Waldmann, Carl, Neil Soni, and Andrew Rhodes. Respiratory monitoring. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199229581.003.0006.

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Pulmonary function tests in critical illness 90End-tidal CO2 monitoring 92Pulse oximetry 94Pulmonary function test results in critically ill patients can be important prognostically and guide ventilatory and weaning strategies. However, they are not straightforward to measure in mechanically ventilated patients and remain limited to dynamic volumes. Fortunately, most modern mechanical ventilators are able to calculate and display static and dynamic lung volumes, together with derived values for airway resistance, compliance and flow/volume/time curves. The ability to monitor these changes after altering ventilatory parameters has enabled more sophisticated adjustments of ventilation, to prevent potentially damaging mechanical ventilation....
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41

Adam, Sheila, Sue Osborne, and John Welch. Cardiovascular problems. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199696260.003.0005.

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The cardiovascular chapter discusses the physiology, assessment, and treatment of cardiovascular disorders in the critically ill patient. It gives an in-depth explanation of non-invasive and invasive monitoring procedures (such as ECG, pulse oximetry, oesophageal Doppler, and pulmonary artery catheterization). It includes the measurement of oxygen delivery and consumption, and explains diagnostic techniques such as echocardiography. The chapter includes the management and optimization of goal-directed therapies for specific conditions including coronary heart disease (such as myocardial infarction and angina), shock, valvular heart disease, and heart failure. Interventional treatment and specific drug therapy are discussed, including percutaneous coronary intervention, cardiac pacing, and electrical conversion.
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42

Fedeles, Benjamin T., Samuel M. Galvagno, and Bhavani Kodali. Patient Monitoring. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0003.

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The outside of the operating room (OOOR) environment is fraught with challenges and often requires a great deal of flexibility without compromising patient care. The expertise and skill of the modern anesthesiologist is increasingly required when anesthesia is administered for procedures performed OOOR. This chapter focuses on the physics, physiology, limitations, and recommendations for standard physiological monitors that should be utilized in the OOOR environment. A special emphasis is placed on pulse oximetry and capnography. By implementing standards for monitoring that are similar to standards used in the operating room, the safe delivery of an anesthetic for procedures in the OOOR environment can be consistently achieved.
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43

Paul, Berghuis, ed. Respiration. Redmond, Wash: SpaceLabs, Inc., 1992.

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44

Metzner, Julia, and Karen B. Domino. Outcomes, Regulation, and Quality Improvement. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0010.

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To improve the safety of patients undergoing procedures in remote locations, practitioners should be familiar with rigorous continuous quality improvement systems, national and regulatory patient safety efforts, as well as complications related to anesthesia/sedation in out of the operating room (OOOR) settings. This chapter discusses severe outcomes and mechanisms of injury in OOOR locations, national patient safety and regulatory efforts that may be adapted to the OOOR setting, and quality improvement efforts essential to track outcomes and improve patient safety. Patient safety can be improved by adherence to respiratory monitoring (e.g., pulse oximetry and capnography), sedation standards/guidelines and national patient safety and regulatory efforts, and development of vigorous quality improvement systems to measure outcomes and make changes.
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45

Neurochemical Monitoring in the Intensive Care Unit: Microdialysis, Jugular Venous Oximetry, and Near-Infrared Spectroscopy, Proceedings of the 1st ... held concurrently with the 5th Biannual Con. Springer, 2012.

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46

Sainz, Jorge G., and Bradley P. Fuhrman. Basic Pediatric Hemodynamic Monitoring. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199918027.003.0005.

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Physiological monitoring using a variety of technological advances supplements, but does not replace, our ability to distinguish normal from abnormal physiology traditionally gleaned from physical examination. Pulse oximetry uses the wavelengths of saturated and unsaturated hemoglobin to estimate arterial oxygenation noninvasively. Similar technology included on vascular catheters provides estimation of central or mixed venous oxygenation and helps assess the adequacy of oxygen delivered to tissues. End-tidal carbon dioxide measurements contribute to the assessment of ventilation. Systemic arterial blood pressure and central venous pressure measurements help evaluate cardiac performance, including the impact of ventilatory support. Intra-abdominal pressure may increase as a result of intraluminal air or fluid, abnormal fluid collections within the peritoneal cavity, or abnormal masses. Increased pressure may impede venous return to the heart and compromise intra-abdominal organ perfusion. Pressure measurement guides related management decisions.
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47

Grech, Dennis, and Laurence M. Hausman. Anesthetic Techniques. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190495756.003.0004.

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Anesthetic techniques for procedures performed outside the traditional operating room are varied. General anesthesia, sedation, and regional anesthesia can all be delivered in this venue. The choice of technique is based on safety considerations and patient comorbidities. Perioperative monitoring such as pulse oximetry, end-tidal carbon dioxide monitoring, and electrocardiography and blood pressure monitoring protocols must be consistent with American Society of Anesthesiologists guidelines. Common procedures include elective office-based anesthetics, emergency room sedations, endoscopic retrograde cholangiopancreatographies in the gastroenterology suite, and minimally invasive interventions in the radiology department. Because most of these locations have limited postanesthesia care unit capabilities, the patient’s rapid return to baseline functioning and the ability to be discharged quickly, safely, and comfortably are important goals. Thus, anesthetic technique and the pharmacokinetics and pharmacodynamics of the anesthetics, analgesics, antiemetics, and local anesthetics are of utmost importance.
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48

Macagno, Francesco, and Massimo Antonelli. Therapeutic strategy in acute or chronic airflow limitation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0112.

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The fragility of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) accounts for their frequent hospitalization and their high intensive care unit risk. Therapy for AECOPD is varied and the need for hospitalization must be always carefully evaluated, considering the risk factors related to the presence of multi-resistant pathogens or the need of invasive procedures. The prolonged use of oxygen therapy requires an accurate monitoring of blood gases and continuous oximetry. Inhalation therapy can be performed using nebulizers, predosed aerosols or powders for inhalation. Corticosteroids for oral and systemic use now play an established role in AECOPD, because bacterial infections account for 50% of exacerbations. Non-invasive ventilation (NIV) must be considered the first option in AECOPD patients and acute respiratory failure if there are no contraindications. The careful monitoring of the patient and the response to NIV are indispensable elements for therapeutic success.
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49

Squire, Peter. Obstructive Sleep Apnea. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0012.

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Adenotonsillectomy has become first-line treatment for obstructive sleep apnea (OSA) and it is increasingly performed as a day-case procedure. A diagnosis of OSA increases the risk for postoperative respiratory morbidity from 1% to approximately 20% and unfortunately, the clinical history may be unreliable at distinguishing which children are at greatest risk. The gold standard investigation is overnight polysomnography (PSG), but this is a scarce resource considering the number of procedures performed. Fortunately, overnight home pulse oximetry also provides a useful stratification of severity and may predict postoperative problems. Children with OSA have a respiratory drive and airway tone that may be exquisitely sensitive to anesthetic and analgesic agents. Accordingly, the anesthesiologist needs to identify which patients are most at risk, and therefore which patients can be managed as “day cases,” what is an appropriate anesthetic regimen, and how best to monitor these patients postoperatively.
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50

NRP Neonatal Resuscitation Textbook (English version). 6th ed. American Academy of Pediatrics, 2011. http://dx.doi.org/10.1542/9781581106305.

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The new 6th edition textbook includes video clips will reflect the 2010 American Academy of Pediatrics and American Heart Association Guidelines for Neonatal Resuscitation. This textbook wtih extensively updated Neonatal Resuscitation Program materials represent a shift in approach to the education process, eliminating the slide and lecture format and emphasizing a hands-on, interactive, simulation-based learning environment. Content updates include: Changes in the NRP™ Algorithm, Elimination of Evaluation of Amniotic Fluid in Initial Rapid Assessment, Use of Supplemental Oxygen During Neonatal Resuscitation, Use of Pulse Oximetry, Revisions in the NRP flow diagram, Chest Compression Procedures, Overview and Principles of Resuscitation, Initial Steps of Resuscitation, Use of Resuscitation Devices for Positive-Pressure Ventilation, Endotracheal Intubation and Laryngeal Mask Airway Insertion, Medications, Special Considerations, Resuscitation of Babies Born Preterm, Ethics and Care at the End of Life, Integrated Skills Station Performance Checklist, including Clear and Concise Tables, Detailed Figures, Extensive Learning Tools, and Easy Step-by-Step Illustrations.
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