AftercardiopulmonarybypasspulseoximetrymonitoringtheimpactoffactorsandNursingStrategy[Keywords:]cardiopulmonarybypasspulseoximetry0IntroductionPulseoximetry(SpO2,alsoknownastranscutaneousoxygensaturation,transcutaneousoxygensaturationmonitorprobetomonitorthepatients(toe)thepercentageofoxygenatedhemoglobintototalhemoglobinintheendofasmallarterycalledpercutaneousbloodoxygensaturation[1].hospitalfrom01/200610to619casesduringcardiopulmonarybypassinpatientswithconventionalSpO2monitoring,influencingfactorswereanalyzed,anddevelopappropriatecarestrategiesinordertoworkcorrectlythereasonableapplicationofbloodoxygenmonitoringtechnologytoaccuratelydeterminethecondition.1clinicaldataThisgroup619(male334,female285cases,aged3mo~75yearsold.Correctionofcongenitalheartdisease,368casesofrheumaticheartvalvereplacementwasperformedin208cases,coronary1arterybypassgraftingin22cases,21cases.Pulseoxygensaturationmonitoringtimeof20htoto16days,patientsShenzhenMindrayPM9000multi-parametermonitor,monitoringinvasivebloodpressure,centralvenouspressure,electrocardiogram,oscillometric,bodytemperature,breathingandpulseoximetrysaturation.usedroutinelyinthecustodyoftheaveragetime12s,alarmsetting:thehighlimitisautomaticallysetto90%99%orOFF,thelowerlimitforthestartthemonitoringperiod,suchasreadingasuddendropin,checktheprobeinatimelymannerwhetherloose,every2~4htochecktheprobeatthefingerskin,toobservewhetherthereisredness,swelling,skindamage,andreplaceanotherfingermonitoringandregulararterialbloodgasanalysisandmonitoringtheresultsofthecontrol.619caseswerecomplicatedbyvaryingdegreesofhypoxiahyperlipidemia16cases,anincidenceof2.58%.mostlybecorrectedthroughthetimelyprocessing,andthreecasesofconcomitantlowcardiacrow,whilethetreatmentdiedofmultipleorganfailure.thefingertipcongestionmonitoringinappropriatecaretwocases.22DiscussionSpO2isanimportantindicatortoreflectthehypoxiasituation,monitoringtheoperationissimple,easy,accurateandreliable,itmakesupthearterialbloodrepeatedlyonpatientscausedbytrauma,whilereducingtheworkloadofnurses,sothepostoperativecareduringcardiopulmonarybypasswidelyused,butsusceptibletoexternalinterference,weanalyzedthecausesofthevariousfactorsandtodevelopappropriatecaremeasures,toobtainsatisfactoryresults.①humanfactorsof2.1toexternalfactorsisthemostimportantfactors,suchaspatientswithrestless,probefingeroffontheirown,standupaccidentally,fingerofftheSpO2decreasedhypoxiaisnotobservedinpatientswithouthypoxiaisgenerallysuddenalarm,SpO2Thecurveisastraightline,forthehandlingofsuchpatients,thefingerresettoagitationinpatientswiththeappropriatefixedfinger,ifnecessary,apasteprobe②probeapparatuspoorcontactduetothelongapplicationtimeoftheprobeinstrument,wireagingorfingerlightdoesnotadjusttheprobe,thereplacementofthefingerorthereplacementoftheprobefingertoprotectthe3instrument,checktheaccuracyoftheinstrument,inordertoavoiderrors.clinicalmostoftensuchasituationoccurtheliquidhasbeenspilledintothesensorjunctioncanbeuseddryclothuntildryorblowdryforsometimebeabletoresumenormalworkthe③monitoringpartsofthepoorperfusion.oxygensensorisusedonthesamesiteofarterialpunctureorbloodpressurecufforintravenousinfusionorlimb,whenmeasuringthebloodpressurecuffwithinflation,theimpactofperipheralbloodcirculation.SharethefreepaperdownloadCenterhttp://eng.hi138.comsuchpatientsSpO2declineofalarm,whenthemeasuredbloodpressurereturnedt...