Mind the gap

被引:33
作者
Akhtar, Jawaid
Johnston, Bradford D.
Krenzelok, Edward P.
机构
[1] Univ Pittsburgh, Med Ctr, Dept Emergency Med, Pittsburgh, PA 15213 USA
[2] Childrens Hosp Pittsburgh, Pittsburgh Poison Ctr, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Sch Pharm & Med, Pittsburgh, PA 15213 USA
关键词
oxygen saturation gap; carbon monoxide poisoning; methemoglobinemia; co-oximetry; oxygen saturation;
D O I
10.1016/j.jemermed.2006.11.016
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The "oxygen saturation gap" is the difference between the calculated oxygen saturation from a standard blood gas machine and the reading from a pulse oximeter. If it is greater than 5%, the patient's hemoglobin may be abnormal, representing carbon monoxide poisoning, methemoglobinemia, or sulfhemoglobinemia. We report a case,where awareness of the saturation gap led to the diagnosis of carbon monoxide poisoning. (C) 2007 Elsevier Inc.
引用
收藏
页码:131 / 132
页数:2
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