Hemoglobinopathy case finding by pulse oximetry
Cristin M. Bruns, Lyn A. Thet, Robert D. Woodson, John C. Schultz, Khin Mae Hla
Abstract
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Cristin M. Bruns, Lyn A. Thet, Robert D. Woodson, John C. Schultz, Khin Mae Hla
Abstract
Open-access reader
Pulse oximetry is a widely used, noninvasive instrument for monitoring oxygen saturation. Its use, however, is limited in the setting of dyshemoglobinemias. We report a case of hemoglobin Rothschild in an Asian patient diagnosed as a result of routine pulse oximetry. This case reiterates the limitations of pulse oximetry in patients with dyshemoglobinemias, while introducing its use as a case-finding tool for such conditions.
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Pulse oximetry is a widely used, noninvasive instrument for monitoring oxygen saturation. Its use, however, is limited in the setting of dyshemoglobinemias. We report a case of hemoglobin Rothschild in an Asian patient diagnosed as a result of routine pulse oximetry. This case reiterates the limitations of pulse oximetry in patients with dyshemoglobinemias, while introducing its use as a case-finding tool for such conditions.
Key concepts: Pulse oximetry, Hemoglobinopathy, Medicine, Methemoglobinemia, Intensive care medicine, Internal medicine, Hemolytic anemia, Anesthesia