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Council on Scientific Affairs; Yank D. Coble, Jr, MD; A. Bradley Eisenbrey, MD; E. Harvey Estes, Jr, MD; Mitchell S. Karlan, MD; William R. Kennedy, MD; Patricia Joy Numann, MD; William C. Scott, MD; W. Douglas Skelton, MD; Richard M. Steinhilber, MD; Jack P. Strong, MD; Christine C. Toevs; Henry N. Wagner, Jr, MD; Jerod M. Loeb, PhD; Robert C. Rinaldi, PhD; Joan B. Vatz, MD

JAMA. 1993;270(12):1463-1468.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SINCE its introduction in the early 1980s, pulse oximetry has been one of the most rapidly diffusing electronic monitoring technologies in medicine.¹ Use of pulse oximetry during procedures requiring general anesthesia quickly became standard practice in the United States because it is noninvasive, requires no special training, gives continuous realtime estimates of arterial oxygen saturation (SaO₂) in the range of 70% to 100%, and gives early warning of loss of pulse.^1-3 This report provides background information concerning the development of oximetry technology and its use during "conscious sedation," a state of minimally depressed consciousness elicited by sedating agents used during certain procedures.

HISTORY

Oximetry originated in Germany in the 1930s with the work of Nicolai, Kramer, and Matthes.⁴ They studied the kinetics of tissue oxygenation and applied the Beer Lambert law, which relates the concentration of a solute to the intensity of light transmitted through the . . . [Full Text PDF of this Article]

Author Affiliations
American Medical Association; Jacksonville, Fla; Grosse Pointe Woods, Mich; Durham, NC; Beverly Hills, Calif; Minneapolis, Minn; Syracuse, NY; Tucson, Ariz; Macon, Ga; Cleveland, Ohio; New Orleans, La; Greenville, NC; Baltimore, Md

From the Council on Scientific Affairs, American Medical Association, Chicago, Ill.

Footnotes
This report was submitted to the House of Delegates of the American Medical Association at the December 1991 Interim Meeting as Report E of the Council on Scientific Affairs. The recommendations of this report were adopted in lieu of Resolution 17 (1-90).

This report is not intended to be construed orto serve as a standard of medical care. Standards of medical care are determined on the basis of all the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the scientific literature as of March 1993.

Reprint requests to the Council on Scientific Affairs, American Medical Association, 515 N State St, Chicago IL 60610 (Jerod M. Loeb, PhD).

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