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Research Article| Volume 11, ISSUE 5, P687-692, September 1986

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Pulse oximetry for vascular monitoring in upper extremity replantation surgery

  • Braun Graham
    Affiliations
    Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Fla.

    Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Fla.
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  • David A. Paulus
    Affiliations
    Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Fla.

    Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Fla.
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  • H. Hollis Caffee
    Correspondence
    Reprint requests: H. Hollis Caffee, M.D., University of Florida College of Medicine, Division of Plastic Surgery, Box J-286, Gainesville, FL 32610.
    Affiliations
    Division of Plastic and Reconstructive Surgery, University of Florida College of Medicine, Gainesville, Fla.

    Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Fla.
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      Pulse oximetry as a postoperative monitor for replanted or revascularized digits was evaluated experimentally and clinically. The accuracy of detection of vascular occlusion was 100%, and arterial and venous occlusion could be differentiated by changes in pulse inflow and oxygen saturation. Digits demonstrating O2 saturations above 95% remained viable, those below 85% were associated with venous occlusions, and those with no saturation represented arterial occlusions. This method is simple, noninvasive, continuous, and accurate, and it reliably assesses revascularized digits and replanted parts.
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