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10.1177/0885066620965167 http://scihub22266oqcxt.onion/10.1177/0885066620965167 33034231!7863114!33034231     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33034231&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Intensive+Care+Med 2021 ; 36 (3): 376-380 Nephropedia Template TP {{tp|p=33034231|t=2021. Thinking Out-of-the-Box: A Non-Standard Application of Standard Pulse-Oximetry and Standard Near-Infrared Spectroscopy in a COVID-19 Patient |pdf=|usr=}}{{33034231}} gab.com Text Thinking Out-of-the-Box: A Non-Standard Application of Standard Pulse-Oximetry and Standard Near-Infrared Spectroscopy in a COVID-19 Patient JO: J Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=33034231 #FOAvip PURPOSE: Purpose of this report is to describe the feasibility of lingual pulse oximetry and lingual near-infrared spectroscopy (NIRS) in a COVID-19 patient to assess lingual tissue viability after several days of mechanical ventilation in the prone position. MATERIALS & METHODS: In a COVID-19 ICU-patient, the tongue became grotesquely swollen, hardened and protruding from the oral cavity after 20 h of mechanical ventilation uninterrupted in the prone position. To assess the doubtful viability of the tongue, pulse-oximetric hemoglobin O(2)-saturation (SpO(2); Nellcor, OxiMax MAX-NI, Covidien, MA, USA) and NIRS-based, regional tissue O(2)-saturation measurements (rSO(2); SenSmart, Nonin, MN, USA) were performed at the tongue. RESULTS: At the tongue, regular pulse-oximetric waveforms with a pulse-oximetric hemoglobin O(2)-saturation (SpO(2)) of 88% were recorded, i.e. only slightly lower than the SpO(2) reading at the extremities at that time (90%). Lingual NIRS-based rSO(2) measurements yielded stable tissue rSO(2)-values of 76-78%, i.e. values expected also in other adequately perfused and oxygenated (muscle-) tissues. CONCLUSION: Despite the alarming, clinical finding of a grotesquely swollen, rubber-hard tongue and clinical concerns on the adequacy of the tongue perfusion and oxygenation, our measurements of both arterial pulsatility (SpO(2)) and NIRS-based tissue oxygenation (rSO(2)) suggested adequate perfusion and oxygenation of the tongue, rendering non-vitality of the tongue, e.g. by lingual venous thrombosis, unlikely. To our knowledge, this is the first clinical report of lingual rSO(2) measurement. Twit Text FOAVip Thinking Out-of-the-Box: A Non-Standard Application of Standard Pulse-Oximetry and Standard Near-Infrared Spectroscopy in a COVID-19 Patient ????J Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=33034231 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33034231 #FOAvip English Wikipedia <ref>{{Cite pmid|33034231}}</ref> Thinking Out-of-the-Box: A Non-Standard Application of Standard Pulse-Oximetry and Standard Near-Infrared Spectroscopy in a COVID-19 Patient #MMPMID33034231 Schober P; Lust EJ; Heunks LMA; Schwarte LA J Intensive Care Med 2021[Mar]; 36 (3): 376-380 PMID33034231show ga PURPOSE: Purpose of this report is to describe the feasibility of lingual pulse oximetry and lingual near-infrared spectroscopy (NIRS) in a COVID-19 patient to assess lingual tissue viability after several days of mechanical ventilation in the prone position. MATERIALS & METHODS: In a COVID-19 ICU-patient, the tongue became grotesquely swollen, hardened and protruding from the oral cavity after 20 h of mechanical ventilation uninterrupted in the prone position. To assess the doubtful viability of the tongue, pulse-oximetric hemoglobin O(2)-saturation (SpO(2); Nellcor, OxiMax MAX-NI, Covidien, MA, USA) and NIRS-based, regional tissue O(2)-saturation measurements (rSO(2); SenSmart, Nonin, MN, USA) were performed at the tongue. RESULTS: At the tongue, regular pulse-oximetric waveforms with a pulse-oximetric hemoglobin O(2)-saturation (SpO(2)) of 88% were recorded, i.e. only slightly lower than the SpO(2) reading at the extremities at that time (90%). Lingual NIRS-based rSO(2) measurements yielded stable tissue rSO(2)-values of 76-78%, i.e. values expected also in other adequately perfused and oxygenated (muscle-) tissues. CONCLUSION: Despite the alarming, clinical finding of a grotesquely swollen, rubber-hard tongue and clinical concerns on the adequacy of the tongue perfusion and oxygenation, our measurements of both arterial pulsatility (SpO(2)) and NIRS-based tissue oxygenation (rSO(2)) suggested adequate perfusion and oxygenation of the tongue, rendering non-vitality of the tongue, e.g. by lingual venous thrombosis, unlikely. To our knowledge, this is the first clinical report of lingual rSO(2) measurement. |*Oximetry[MESH] |*Pulsatile Flow[MESH] |*Spectroscopy, Near-Infrared[MESH] |Aged[MESH] |COVID-19/physiopathology/*therapy[MESH] |Compartment Syndromes/diagnosis[MESH] |Edema/metabolism/*physiopathology[MESH] |Humans[MESH] |Male[MESH] |Patient Positioning[MESH] |Prone Position[MESH] |SARS-CoV-2[MESH] |Tongue Diseases/metabolism/*physiopathology[MESH] |Tongue/*blood supply/metabolism[MESH]Thinking Out-of-the-Box: A Non-Standard Application of Standard Pulse-(epmc).pdf DeepDyve Pubget Overpricing