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Alle Genauigkeiten werden in Form von ± x Stellen ausgedrückt. Die Pulsoximetermessungen sind statistisch verteilt. Es kann davon ausgegangen werden, dass etwa zwei Drittel der Pulsoximetermessungen in diesen Genauigkeitsbereich (Aeff) fallen. Bei sich teilweise überschneidenden Bereichen können verschiedene Genauigkeitswerte angegeben sein, da Streuung und Abweichung bei einem Vergleich von Pulsoximeter-SpO2 und BlutprobenSaO2 mit abnehmender Sättigung in der Regel zunehmen und die Genauigkeit anhand von Daten aus dem gesamten genannten Bereich berechnet wird. SpO2-Bereich LoSat 60 %–80 % 70 %–100 % TM MAX-A, MAX-AL ±3 ±2 MAX-N ±3 ±2 MAX-P ±3 ±2 MAX-I ±3 ±2 MAX-FAST ±3 ±2 SC-A ±2 SC-PR ±2 SC-NEO ±2 ± 3,5 MAX-R Die Genauigkeit der Sauerstoffsättigung kann durch bestimmte 8PJHEXQJV*HUlWHXQGSK\VLRORJLVFKH*HJHEHQKHLWHQEHHLQÀXVVW werden (siehe Bedienungsanleitung für das Überwachungsgerät), die sich auf die SpO2- und/oder SaO2-Messungen auswirken. Daher kann die klinische Genauigkeit von den unter kontrollierten Laborbedingungen gemessenen Werten abweichen. 2 Kompatibilität Verwenden Sie Nellcor-Sensoren ausschließlich mit Nellcor-Patientenüberwachungsgeräten, Überwachungsgeräten mit Nellcor-Oximetrieinstrumenten oder Instrumenten, die für die Verwendung mit Nellcor-Sensoren zugelassen sind (mit Nellcor kompatible Instrumente). Die Genauigkeitswerte und Kompatibiliätsdaten für bestimmte Instrumente und NellcorSensoren erhalten Sie beim jeweiligen Hersteller. Spitzenwellenlänge und maximale Ausgangsleistung Die Pulsoximetriesensoren von Nellcor enthalten Leuchtanzeigen (LED), die Rotlicht mit einer Wellenlänge von etwa 660 nm und Infrarotlicht mit einer Wellenlänge von etwa 900 nm abgeben. Die optische Gesamtausgangsleistung der Sensor-LED liegt unter 15 mW. 1. Die Personen, an denen die SpO2 -Messgenauigkeit untersucht wurde, waren gesund und entstammten der heimischen Bevölkerung. Einbezogen wurden Männer und Frauen im Alter von 18 bis 50 Jahren mit unterschiedlicher Hautpigmentierung. MAX-N Die klinische Funktionsfähigkeit wurde an Neugeborenen im Krankenhaus nachgewiesen. Die beobachtete SpO2-Genauigkeit betrug 2,5 %, wobei in die Studie 42 Patienten im Alter zwischen 1 und 23 Tagen und mit einem Gewicht zwischen 750 und 4100 g einbezogen wurden und 63 Beobachtungen über einen Bereich von 85 bis 99 % SaO2 vorgenommen wurden. Die Beobachtungen an Neugeborenen erfolgten mit dem Überwachungsgerät Oximax N-595. Softcare® SC-PR, SC-NEO Die klinische Funktionsfähigkeit wurde an Neugeborenen und Kleinkindern im Krankenhaus nachgewiesen. Die beobachtete SpO2-Genau-igkeit betrug 3,0 %, wobei in die Studie 57 Patienten im Alter zwischen 24 und 40 Wochen und mit einem Gewicht zwischen 710 und 5000 g einbezogen wurden und 185 Beobachtungen über einen Bereich von 63 bis 100 % SaO2. 2. Die Genauigkeit wurde bei Sättigungen zwischen 80 und 100 % ermittelt. (LQHhEHUVLFKWEHUGLH6HQVRUJHQDXLJNHLW¿QGHQ6LHXQWHUwww.nellcor.com © 2006 Nellcor Puritan Bennett Inc. Alle Rechte vorbehalten. 6 Tragbarer Kapnograph/PulsoximeterOXIMAX® N-85™ Genauigkeitstabelle für die Sauerstoffsättigung OXIM AX®-Sensormodelle Genauigkeit Die Angaben zur Genauigkeit beruhen auf kontrollierten Hypoxiestudien mit gesunden, nichtrauchenden, erwachsenen Freiwilligen über den (oder die) angegebenen SpO2-Bereich(e).1 Die mit dem Pulsoximeter gemessenen SpO 2 -Werte werden mit SaO 2 -Werten von mittels Hämoximetrie gemessenen Blutproben verglichen. Alle Genauigkeiten werden in Form von ± x Stellen ausgedrückt. Die Pulsoximetermessungen sind statistisch verteilt. Es kann davon ausgegangen werden, dass etwa zwei Drittel der Pulsoximetermessungen in diesen Genauigkeitsbereich (Aeff) fallen. Genauigkeit bei Neugeborenen Werden die Sensoren bei Neugeboreren vorschriftsmäßig verwendet, so liegt die angegebene Genauigkeit um ± 1 Stelle höher als bei Erwachsenen, wodurch der theoretischen Auswirkung des Fetalhämoglobis im Blut von Neugeborenen Rechnung getragen wird. Die Genauigkeit von OxCliq N etwa beträgt bei Neugeborenen nicht ± 2,5, sondern ± 3,5. Die Genauigkeit der Sauerstoffsättigung kann durch bestimmte Umgebungs-, Geräte- und physiologische * H J H E H Q K H L W H Q E H H L Q À X V V W Z H U G H Q V L H K H Bedienungsanleitung für das Überwachungsgerät), die sich auf die SpO2- und/oder SaO2-Messungen auswirken. Daher kann die klinische Genauigkeit von den unter kontrollierten Laborbedingungen gemessenen Werten abweichen. SpO2-Bereich OXIM AX OxiCliq® zur einmaligen Verwendung 70 %–100 % OxiCliq A ± 2,5 OxiCliq P ± 2,5 OxiCliq N (Erwachsene) ± 2,5 OxiCliq N (Neugeborene) ± 3,5 OxiCliq I ± 2,5 WIEDERVERWENDBARE OXIM AX-Sensoren 70 %–100 % D-YS (Kinder und Erwachsene) ±3 D-YS (Neugeborene) ±4 D-YS mit Ohrclip D-YSE ± 3,5 D-YS mit Stichprobenclip D-YSPD ± 3,5 DS-100A ±3 OXI-A/N (Erwachsene) ±3 OXI-A/N (Neugeborene) ±4 OXI-P/I ±3 Kompatibilität Verwenden Sie Nellcor-Sensoren ausschließlich mit Nellcor-Patientenüberwachungsgeräten, Überwachungsgeräten mit Nellcor-Oximetrieinstrumenten oder Instrumenten, die für die Verwendung mit Nellcor-Sensoren zugelassen sind (mit Nellcor kompatible Instrumente). Die Genauigkeitswerte und Kompatibiliätsdaten für bestimmte Instrumente und Nellcor-Sensoren erhalten Sie beim jeweiligen Hersteller. Spitzenwellenlänge und maximale Ausgangsleistung Die Pulsoximetriesensoren von Nellcor enthalten Leuchtanzeigen (LED), die Rotlicht mit einer Wellenlänge von etwa 660 nm und Infrarotlicht mit einer Wellenlänge von etwa 900 nm abgeben. Die optische Gesamtausgangsleistung der Sensor-LED liegt unter 15 mW. 1. Die Personen, an denen die SpO2 -Messgenauigkeit untersucht wurde, waren gesund und entstammten der heimischen Bevölkerung. Einbezogen wurden Männer und Frauen im Alter von 18 bis 50 Jahren mit unterschiedlicher Hautpigmentierung. (LQHhEHUVLFKWEHUGLH6HQVRUJHQDXLJNHLW¿QGHQ6LHXQWHUwww.nellcor.com © 2006 Nellcor Puritan Bennett Inc. Alle Rechte vorbehalten. 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potilaan käyttöön Tarkkuustiedot Tarkkuustiedot perustuvat kontrolloituihin hypoksiatutkimuksiin, joihin ovat osallistuneet terveet, tupakoimattomat aikuiset vapaaehtoiset, määritetyssä SpO2-saturaatioissa.1 Pulssioksimetrin SpO2-lukemia verrattiin otettujen verinäytteiden SaO2-arvoihin, jotka mitattiin hemoksimetrialla. Kaikki tarkkuudet on ilmoitettu ± “X” numeroina. Pulssioksimetrialaitteilal saadut mittaustulokset jakautuvat tilastollisesti. Noin 2/3 pulssioksimetrian tuloksista voidaan olettaa olevan tällä tarkkuuden (ARMS) vaihteluvälillä. Koska pulssioksimetrian SpO 2 :n ja veren SaO 2 -vertailujen hajonta ja painotus kasvavat yleisesti saturaation laskiessa ja koska tarkkuustiedot lasketaan ilmoitetulla välillä olevista tiedoista, tuloksena voi olla eri tarkkuusarvoja, kun kuvataan osittain päällekkäisiä alueita. Happisaturaation tarkkuuteen voivat vaikuttaa tietyt ympäristöön, laitteistoon ja potilaan fysiologiaan liittyvät tilat (katso monitorin käyttöohje), jotka vaikuttavat SpO 2- tai SaO 2-tuloksiin tai kumpaankin. Tästä syystä kliinisen tarkkuuden tarkastelu ei välttämättä ole samalla tasolla kuin kontrolloiduissa laboratorioolosuhteissa. SpO2-vaihteluväli LoSat 60%–80% TM 70%–100% MAX-A, MAX-AL ±3 ±2 MAX-N ±3 ±2 MAX-P ±3 ±2 MAX-I ±3 ±2 MAX-FAST ±3 ±2 SC-A ±2 SC-PR ±2 SC-NEO ±2 MAX-R ± 3.5 2 Yhteensopivuutta koskevat tiedot Käytä Nellcor-antureita vain Nellcor-potilasmonitoreissa ja monitoreissa, jotka sisältävät Nellcor-oksimetrian, tai instrumenteilla, jotka on lisensoitu käytettäviksi Nellcor-antureilla (Nellcor-yhteensopivat instrumentit). Pyydä valmistajilta tarkkuustiedot ja yhteensopivuustiedot tiettyjen instrumenttien ja Nellcor-anturimallien suhteen. Huippuaallonpituuden vaihteluväli ja suurin lähtöteho Nellcor-pulssioksimetrianturit sisältävät LED-valoja, jotka lähettävät punaista valoa noin 660 nm:n aallonpituudella ja infrapunavaloa noin 900 nm:n aallonpituudella. Anturin LED-valojen optinen kokonaisteho on alle 15 mw. 1. Potilaat, joilla SpO2 -mittauksen tarkkuudet arvioitiin, olivat terveitä ja heidät rekrytoitiin paikallisesta populaatiosta. Potilaiden joukossa oli sekä miehiä että naisia. Potilaiden ihopigmentti vaihteli. Potilaat olivat iältään 18-50-vuotiaita. MAX-N Kliininen toiminta on osoitettu sairaalahoidossa olevilla vastasyntyneillä potilailla. Havaittu SpO2-tarkkuus oli 2,5 % tutkimuksessa, jossa oli 42 potilasta (ikä 1 - 23 vrk ja paino 750 - 4 100 grammaa) 63 havainnointikertaa antoivat vaihteluväliksi 85 - 99 % SaO2. Vastasyntyneitä tarkkailtiin Oximax N-595 -monitorilla. Softcare® SC-PR, SC-NEO Kliininen toiminta on osoitettu sairaalahoidossa olevilla vastasyntyneillä potilailla ja vauvapotilailla. Havaittu SpO2 -tarkkuus oli 3,0 % 57 potilaan (ikä 24 - 40 viikkoa ja paino 710 - 5 000 grammaa) 185 havainnointikertaa antoivat vaihteluväliksi 63 - 100 % SaO2. 2. Tarkkuustiedot on määritetty saturaatiovälillä 80 – 100 %. Antureiden tarkkuuskaavioihin voi tutustua verkossa osoitteessa www.nellcor.com © Copyright 2006 Nellcor Puritan Bennett Inc. Kaikki oikeudet pidätetään. 20 OXIMAX® N-85™ NDQQHWWDYDKRLWRSDLNDVVDNl\WHWWlYlNDSQRJUD¿SXOVVLRNVLPHWUL Happisaturaation tarkkuuskaavio OXIM AX® -anturimallit Tarkkuustiedot Ta r k k u u s t i e d o t p e r u s t u v a t k o n t r o l l o i t u i h i n hypoksiatutkimuksiin, joihin ovat osallistuneet terveet, tupakoimattomat aikuiset vapaaehtoiset, määritetyssä SpO 2-saturaatioissa. 1 Pulssioksimetrin SpO 2-lukemia verrattiin otettujen verinäytteiden SaO2-arvoihin, jotka mitattiin hemoksimetrialla. Kaikki tarkkuudet on ilmoitettu ± “X” numeroina. Pulssioksimetrialaitteilal saadut mittaustulokset jakautuvat tilastollisesti. Noin 2/3 pulssioksimetrian tuloksista voidaan olettaa olevan tällä tarkkuuden (ARMS) vaihteluvälillä. Tarkkuus vastasyntyneillä Kun antureita käytetään vastasyntyneillä suosituksen mukaisesti, mainittu tarkkuusalue kasvaa ± 1 numerolla verrattuna käyttöön aikuisilla. Näin voidaan ottaa huomioon teoreettinen vaikutus vastasyntyneiden veren sikiöhemoglobiinin oksimetriamittaustuloksiin. Esimerkiksi OxiCliq N:n tarkkuus vastasyntyneillä on ± 3.5 numeroa eikä ± 2.5. Happisaturaation tarkkuuteen voivat vaikuttaa tietyt ympäristöön, laitteistoon ja potilaan fysiologiaan liittyvät tilat (katso monitorin käyttöohje), jotka vaikuttavat SpO2tai SaO2-tuloksiin tai kumpaankin. Tästä syystä kliinisen tarkkuuden tarkastelu ei välttämättä ole samalla tasolla kuin kontrolloiduissa laboratorio-olosuhteissa. SpO2OXIM AX OxiCliq® Yhden potilaan käyttöön 70%–100% OxiCliq A ± 2.5 OxiCliq P ± 2.5 OxiCliq N (aikuiset) ± 2.5 OxiCliq N (vastasyntyneet) ± 3.5 OxiCliq I ± 2.5 OXIM AX kestokäyttöiset anturit 70%–100% D-YS (lapsista aikuisiin) ±3 D-YS (vastasyntyneet) ±4 D-YS D-YSE-korvaklipsillä ± 3.5 D-YS D-YSPD-pistetarkistuksella ± 3.5 DS-100A ±3 OXI-A/N (Aikuiset) ±3 OXI-A/N (Vastasyntyneet) ±4 OXI-P/I ±3 Yhteensopivuutta koskevat tiedot Käytä Nellcor-antureita vain Nellcor-potilasmonitoreissa ja monitoreissa, jotka sisältävät Nellcor-oksimetrian, tai instrumenteilla, jotka on lisensoitu käytettäviksi Nellcor-antureilla (Nellcor-yhteensopivat instrumentit). Pyydä valmistajilta tarkkuustiedot ja yhteensopivuustiedot tiettyjen instrumenttien ja Nellcor-anturimallien suhteen. Huippuaallonpituuden vaihteluväli ja suurin lähtöteho Nellcor-pulssioksimetrianturit sisältävät LED-valoja, jotka lähettävät punaista valoa noin 660 nm:n aallonpituudella ja infrapunavaloa noin 900 nm:n aallonpituudella. Anturin LED-valojen optinen kokonaisteho on alle 15 mw. 1. Potilaat, joilla SpO2 -mittauksen tarkkuudet arvioitiin, olivat terveitä ja heidät rekrytoitiin paikallisesta populaatiosta. Potilaiden joukossa oli sekä miehiä että naisia. Potilaiden ihopigmentti vaihteli. Potilaat olivat iältään 18-50-vuotiaita. Antureiden tarkkuuskaavioihin voi tutustua verkossa osoitteessa www.nellcor.com © Copyright 2006 Nellcor Puritan Bennett Inc. Kaikki oikeudet pidätetään. 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IJȘ ıȣȝȕĮIJȩIJȘIJĮ ıȣȖțİțȡȚȝȑȞȦȞ ȠȡȖȐȞȦȞ țĮȚ ȝȠȞIJȑȜȦȞ ĮȚıșȘIJȒȡȦȞ1HOOFRU ǼȪȡȠȢIJȚȝȫȞȝȑȖȚıIJȠȣȝȒțȠȣȢțȪȝĮIJȠȢțĮȚȝȑȖȚıIJȘȢȚıȤȪȠȢİȟȩįȠȣ ȅȚĮȚıșȘIJȒȡİȢʌĮȜȝȚțȫȞȠȟȣȝȑIJȡȦȞ1HOOFRUįȚĮșȑIJȠȣȞįȚȩįȠȣȢ/('ʌȠȣİțʌȑȝʌȠȣȞİȡȣșȡȐĮțIJȚȞȠȕȠȜȓĮıİȝȒțȠȢțȪȝĮIJȠȢ ʌİȡȓʌȠȣQPțĮȚȣʌȑȡȣșȡȘĮțIJȚȞȠȕȠȜȓĮıİȝȒțȠȢțȪȝĮIJȠȢʌİȡȓʌȠȣQPǾıȣȞȠȜȚțȒȠʌIJȚțȒȚıȤȪȢİȟȩįȠȣIJȦȞįȚȩįȦȞ /('IJȦȞĮȚıșȘIJȒȡȦȞİȓȞĮȚȝȚțȡȩIJİȡȘĮʌȩP: ȉĮȐIJȠȝĮʌȠȣȤȡȘıȚȝȠʌȠȚȒșȘțĮȞȖȚĮIJȘȞİʌȚțȪȡȦıȘIJȘȢĮțȡȓȕİȚĮȢIJȦȞȝİIJȡȒıİȦȞ6S2ȒIJĮȞȣȖȚȒțĮȚİʌȚȜȑȤșȘțĮȞĮʌȩIJȠȞIJȠʌȚțȩ ʌȜȘșȣıȝȩȉĮȐIJȠȝĮĮȣIJȐIJĮȠʌȠȓĮȒIJĮȞȐȞįȡİȢțĮȚȖȣȞĮȓțİȢİȓȤĮȞȑȞĮİȪȡȠȢįȚĮijȠȡİIJȚțȫȞȤȡȦȝȐIJȦȞįȑȡȝĮIJȠȢțĮȚȒIJĮȞȘȜȚțȓĮȢ ĮʌȩİIJȫȞ 0$;1 ǾțȜȚȞȚțȒȜİȚIJȠȣȡȖȚțȩIJȘIJĮȑȤİȚİʌȚįİȚȤșİȓıİȑȞĮʌȜȘșȣıȝȩȞȠıȘȜİȣȩȝİȞȦȞĮıșİȞȫȞȞİȠȖȞȫȞǾʌĮȡĮIJȘȡȘșİȓıĮĮțȡȓȕİȚĮIJȦȞȝİIJȡȒıİȦȞ SpO2ȒIJĮȞıİȝȚĮȝİȜȑIJȘĮıșİȞȫȞȝİȘȜȚțȓİȢĮʌȩȑȦȢȘȝȑȡİȢȕȐȡȠȢĮʌȩȑȦȢȖȡĮȝțĮȚʌĮȡĮIJȘȡȒıİȦȞʌȠȣ ʌȡĮȖȝĮIJȠʌȠȚȒșȘțĮȞȝİİȪȡȠȢĮʌȩȑȦȢIJȘȢIJȚȝȒȢ6D22ȅȚʌĮȡĮIJȘȡȒıİȚȢıIJĮȞİȠȖȞȐʌȡĮȖȝĮIJȠʌȠȚȒșȘțĮȞȝİȤȡȒıȘIJȘȢıȣıțİȣȒȢ ʌĮȡĮțȠȜȠȪșȘıȘȢ2[LPD[1 6RIWFDUH6&356&1(2 ǾțȜȚȞȚțȒȜİȚIJȠȣȡȖȚțȩIJȘIJĮȑȤİȚİʌȚįİȚȤșİȓıİȑȞĮʌȜȘșȣıȝȩȞȠıȘȜİȣȩȝİȞȦȞĮıșİȞȫȞȞİȠȖȞȫȞțĮȚȞȘʌȓȦȞǾʌĮȡĮIJȘȡȘșİȓıĮĮțȡȓȕİȚĮ IJȦȞȝİIJȡȒıİȦȞ6S22ȒIJĮȞıİȝȚĮȝİȜȑIJȘĮıșİȞȫȞȝİȘȜȚțȓİȢĮʌȩȑȦȢİȕįȠȝȐįİȢȕȐȡȠȢĮʌȩȑȦȢȖȡĮȝțĮȚ ʌĮȡĮIJȘȡȒıİȦȞʌȠȣʌȡĮȖȝĮIJȠʌȠȚȒșȘțĮȞȝİİȪȡȠȢĮʌȩȑȦȢIJȘȢIJȚȝȒȢ6D22. ȅȚʌȡȠįȚĮȖȡĮijȑȢĮțȡȓȕİȚĮȢțĮșȠȡȓıIJȘțĮȞȝİIJĮȟȪIJȦȞIJȚȝȫȞțȠȡİıȝȠȪ± ȂʌȠȡİȓIJİȞĮįİȓIJİRQOLQHIJȠȣȢʌȓȞĮțİȢĮțȡȓȕİȚĮȢIJȦȞĮȚıșȘIJȒȡȦȞıIJȘįȚİȪșȣȞıȘZZZQHOOFRUFRP &RS\ULJKW1HOOFRU3XULWDQ%HQQHWW,QFȂİIJȘȞİʌȚijȪȜĮȟȘʌĮȞIJȩȢįȚțĮȚȫȝĮIJȠȢ 32 O;,M$;1™ĭȠȡȘIJȩȢȀĮʌȞȠȖȡȐijȠȢȀȜȓȞȘȢȆĮȜȝȚțȩȅȟȪȝİIJȡȠ ȆȓȞĮțĮȢʌȡȠįȚĮȖȡĮijȫȞĮțȡȓȕİȚĮȢIJȚȝȫȞțȠȡİıȝȠȪıİȠȟȣȖȩȞȠ O;,M $;®ȂȠȞIJȑȜĮĮȚıșȘIJȒȡȦȞ ȆȡȠįȚĮȖȡĮijȑȢĮțȡȓȕİȚĮȢ ȅȚ ʌȡȠįȚĮȖȡĮijȑȢ ĮțȡȓȕİȚĮȢ ȕĮıȓȗȠȞIJĮȚ ıİ İȜİȖȤȩȝİȞİȢ ȝİȜȑIJİȢ ȣʌȠȟȓĮȢ ʌȠȣ ʌȡĮȖȝĮIJȠʌȠȚȒșȘțĮȞ ıİ ȣȖȚİȓȢ ȝȘ țĮʌȞȚıIJȑȢ İȞȒȜȚțİȢ İșİȜȠȞIJȑȢ ıİ ıȤȑıȘ ȝİ IJȠĮ ıȣȖțİțȡȚȝȑȞȠĮİȪȡȠȢȘțȠȡİıȝȠȪ6S22.13XOVHR[LPHWHU SpO2 UHDGLQJV ZHUH FRPSDUHG WR 6D22 YDOXHV RI GUDZQ EORRGVDPSOHVPHDVXUHGE\KHPR[LPHWU\ǵȜİȢȠȚIJȚȝȑȢ ĮțȡȓȕİȚĮȢ İțijȡȐȗȠȞIJĮȚ ȦȢ ³;´ ȥȘijȓĮ ȅȚ ȝİIJȡȒıİȚȢ IJȠȣʌĮȜȝȚțȠȪȠȟȪȝİIJȡȠȣİȓȞĮȚıIJĮIJȚıIJȚțȐțĮIJĮȞİȝȘȝȑȞİȢ ʌİȡȓʌȠȣ IJĮ įȪȠ IJȡȓIJĮ IJȦȞ ȝİIJȡȒıİȦȞ IJȠȣ ʌĮȜȝȚțȠȪ ȠȟȪȝİIJȡȠȣ ȝʌȠȡİȓ ȞĮ ĮȞĮȝȑȞİIJĮȚ ȩIJȚ șĮ ȕȡȓıțȠȞIJĮȚ ıİ ĮȣIJȩIJȠİȪȡȠȢĮțȡȓȕİȚĮȢ$RMS. ǹțȡȓȕİȚĮıIJĮȞİȠȖȞȐ ǵIJĮȞ ȠȚ ĮȚıșȘIJȒȡİȢ ȤȡȘıȚȝȠʌȠȚȠȪȞIJĮȚ ıİ ȞİȠȖȞȐ ıȪȝijȦȞĮ ȝİ IJȚȢ ȠįȘȖȓİȢ IJȠ țĮșȠȡȚıȝȑȞȠ İȪȡȠȢ ĮțȡȓȕİȚĮȢĮȣȟȐȞİIJĮȚțĮIJȐȥȘijȓȠȫıIJİȞĮțĮȜȣijșİȓ Ș șİȦȡȘIJȚțȒ İʌȓʌIJȦıȘ ıIJȚȢ ȝİIJȡȒıİȚȢ İȝȕȡȣȧțȒȢ ĮȚȝȠıijĮȚȡȓȞȘȢIJȠȣȠȟȪȝİIJȡȠȣıIJȠĮȓȝĮIJȦȞȞİȠȖȞȫȞ īȚĮʌĮȡȐįİȚȖȝĮȘĮțȡȓȕİȚĮIJȠȣ2[L&OLT1ıİȞİȠȖȞȐ İȓȞĮȚȥȘijȓĮȩȤȚ SpO2 O;,M $;2[L&OLTīȚĮȤȡȒıȘıİȑȞĮȞĮıșİȞȒȝȩȞȠ ± 2[L&OLT$ 2[L&OLT3 2[L&OLT1ǼȞȒȜȚțİȢ 2[L&OLT1ȃİȠȖȞȐ 2[L&OLT, O;,M $;ǼʌĮȞĮȤȡȘıȚȝȠʌȠȚȒıȚȝȠȚĮȚıșȘIJȒȡİȢ ± '<6ǺȡȑijȘȑȦȢǼȞȒȜȚțİȢ '<6ȃİȠȖȞȐ '<6ȝİ'<6(țȜȚʌȜȠȕȠȪ '<6ȝİ'<63'ıȘȝİȚĮțȩȑȜİȖȤȠ Ǿ ĮțȡȓȕİȚĮ IJȘȢ IJȚȝȒȢ țȠȡİıȝȠȪ ıİ ȠȟȣȖȩȞȠ ȝʌȠȡİȓ ȞĮ '6$ İʌȘȡİĮıIJİȓĮʌȩȠȡȚıȝȑȞİȢıȣȞșȒțİȢIJȠȣʌİȡȚȕȐȜȜȠȞIJȠȢ IJȠȣİȟȠʌȜȚıȝȠȪțĮșȫȢțĮȚĮʌȩIJȘȞȥȣȤȠȜȠȖȚțȒțĮIJȐıIJĮıȘ 2;,$1ǼȞȒȜȚțİȢ IJȠȣ ĮıșİȞȠȪȢ ȩʌȦȢ ĮȞĮijȑȡİIJĮȚ ıIJȠ İȖȤİȚȡȓįȚȠ ȤȡȒıȘȢ 2;,$1ȃİȠȖȞȐ IJȘȢıȣıțİȣȒȢʌĮȡĮțȠȜȠȪșȘıȘȢȠȚȠʌȠȓİȢİʌȚįȡȠȪȞıIJȚȢ İȞįİȓȟİȚȢIJIJȘȢIJȚȝȒȢ6S22IJȘȢIJȚȝȒȢ6D22ȒțĮȚIJȦȞįȪȠ 2;,3, ǼʌȠȝȑȞȦȢȠȚʌĮȡĮIJȘȡȒıİȚȢțȜȚȞȚțȒȢĮțȡȓȕİȚĮȢȝʌȠȡİȓȞĮ ȝȘȞİʌȚIJȪȤȠȣȞIJĮȓįȚĮİʌȓʌİįĮȝİĮȣIJȐʌȠȣİʌȚIJİȪȤșȘțĮȞȣʌȩİȜİȖȤȩȝİȞİȢİȡȖĮıIJȘȡȚĮțȑȢıȣȞșȒțİȢ ȆȜȘȡȠijȠȡȓİȢıȤİIJȚțȐȝİIJȘıȣȝȕĮIJȩIJȘIJĮ ȋȡȘıȚȝȠʌȠȚİȓIJİ ȝȩȞȠ ĮȚıșȘIJȒȡİȢ 1HOOFRU ȝİ IJȚȢ ıȣıțİȣȑȢ ʌĮȡĮțȠȜȠȪșȘıȘȢ ĮıșİȞȫȞ 1HOOFRU țĮȚ ȝİ IJȚȢ ıȣıțİȣȑȢ ʌĮȡĮțȠȜȠȪșȘıȘȢ ʌȠȣ ȤȡȘıȚȝȠʌȠȚȠȪȞ IJİȤȞȠȜȠȖȓĮ ȠȟȣȝİIJȡȓĮȢ 1HOOFRU țĮșȫȢ țĮȚ ȝİ ȩȡȖĮȞĮ ʌȠȣ ȑȤȠȣȞ IJȘȞ ȐįİȚĮ ȞĮ ȤȡȘıȚȝȠʌȠȚȠȪȞĮȚıșȘIJȒȡİȢ1HOOFRUȩȡȖĮȞĮıȣȝȕĮIJȐȝİ1HOOFRUȈȣȝȕȠȣȜİȣșİȓIJİIJȠȣȢțĮIJĮıțİȣĮıIJȑȢȤȦȡȚıIJȐȖȚĮ IJȚȢʌȡȠįȚĮȖȡĮijȑȢĮțȡȓȕİȚĮȢțĮȚȖȚĮʌȜȘȡȠijȠȡȓİȢıȤİIJȚțȐȝİIJȘıȣȝȕĮIJȩIJȘIJĮıȣȖțİțȡȚȝȑȞȦȞȠȡȖȐȞȦȞțĮȚȝȠȞIJȑȜȦȞ ĮȚıșȘIJȒȡȦȞ1HOOFRU ǼȪȡȠȢIJȚȝȫȞȝȑȖȚıIJȠȣȝȒțȠȣȢțȪȝĮIJȠȢțĮȚȝȑȖȚıIJȘȢȚıȤȪȠȢİȟȩįȠȣ ȅȚ ĮȚıșȘIJȒȡİȢ ʌĮȜȝȚțȫȞ ȠȟȣȝȑIJȡȦȞ 1HOOFRU įȚĮșȑIJȠȣȞ įȚȩįȠȣȢ /(' ʌȠȣ İțʌȑȝʌȠȣȞ İȡȣșȡȐ ĮțIJȚȞȠȕȠȜȓĮ ıİ ȝȒțȠȢ țȪȝĮIJȠȢʌİȡȓʌȠȣQPțĮȚȣʌȑȡȣșȡȘĮțIJȚȞȠȕȠȜȓĮıİȝȒțȠȢțȪȝĮIJȠȢʌİȡȓʌȠȣQPǾıȣȞȠȜȚțȒȠʌIJȚțȒȚıȤȪȢİȟȩįȠȣ 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