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Oximeters for home monitoring

38 replies

Orangeblossom78 · 22/04/2020 08:09

Just thought I would share this article I read today. I have had a look and seem to be quite a few easily available online.

Has anyone used one / wondered if might be helpful to share experiences or any issues. Thanks.

In the Times today, www.thetimes.co.uk/edition/news/coronavirus-finger-clip-device-gives-warning-on-oxygen-level-v35qkzz0p

*Coronavirus: Finger-clip device gives warning on oxygen level
A simple device that monitors oxygen levels at home could help to identify people who are falling severely ill with Covid-19, doctors have said.

Experts are concerned that significant numbers are not receiving care quickly enough, which leads to a hard-to-detect form of viral pneumonia.

Richard Levitan, an American doctor, said that the volume of patients who need a ventilator could be reduced if people with symptoms such as fever and cough monitored themselves using pulse oximeters. These are small devices that clip on a finger to measure oxygen levels in the blood.

“We are just beginning to recognise that Covid pneumonia initially causes a form of oxygen deprivation we call ‘silent hypoxia’ — ‘silent’ because of its insidious, hard-to-detect nature,” he wrote in The New York Times.

Pulse oximeters, which can be bought for £23, had helped to save two of his friends, he added. Detection of low oxygen levels, early treatment and close monitoring also appeared to have helped Boris Johnson.

British experts agreed that pulse oximeters could provide a valuable early warning but said that the NHS would have to be geared up to respond.

Professor Babak Javid, consultant in infectious diseases at Cambridge University Hospitals, said: “Many of the features of Covid are strikingly reminiscent of other lung infections that interfere with the ability of the lungs to oxygenate the blood. However, in some people that may be previously fit and well, this may not be apparent.”

He cautioned that pulse oximeters might not pick up warning signs when patients had been resting. “In a number of patients, it may be that mild exercise, such as walking for a few minutes, would push up their oxygen demands so much that the lungs can no longer cope, and their blood oxygen saturation dramatically falls,” he said.

“These patients are likely to be at risk of becoming severely unwell in a few hours, or a day or two, but if this ‘post-exercise saturation’ test is not performed, they may be falsely reassured that they are not seriously unwell.”

Whether a patient is admitted into hospital depends on several factors, including their age, frailty, underlying health conditions and their condition, which would include oxygen levels.

Andrew Farmery, professor of anaesthetics at the Nuffield department of clinical neurosciences at the University of Oxford, said that the viral pneumonia caused by Covid-19 appeared to be unique. “Many have commented that phenotypically it’s more like altitude sickness than pneumonia, with patients hypoxic and breathless without significant pneumonic inflammation,” he said.

Dr Levitan described how he spent ten days in New York’s Bellevue Hospital, where he helped to insert breathing tubes into Covid-19 patients. He was surprised to see that patients admitted for other reasons and who did not realise they had Covid-19 were showing signs of pneumonia, where the lungs become inflamed and fill with fluid*

OP posts:
Namechanger20183110 · 24/04/2020 11:30

@Porcupineinwaiting re SAT of less than 92% and then admitting you in, the issue is that most people won't have an oximeter and therefore they don't know what their SAT is, in which case, the criteria for 111 to send a paramedic out seems to be that you need to be struggling for breath or lips going blue - which as we know from the silent hypoxia cases, may already be too late for non-invasive oxygen treatment

Porcupineinwaiting · 24/04/2020 11:45

@Namechanger20183110 that's exactly why I'd support people getting an oximeter. I'm not defending the NICE position.

Porcupineinwaiting · 24/04/2020 11:46

And if you do have an oximeter and your reading falls below 94% I'd urge you to call for help straight away, not sit around waiting for it to fall below 92%

TheMagiciansMewTwo · 24/04/2020 11:49

It's not true that the UK is only admitting people who are critically ill. My nephew was admitted, given oxygen then sent home the same day.

Schuyler · 24/04/2020 11:53

Around my way, they are only admitting with spO2 below 90.

Porcupineinwaiting · 24/04/2020 13:46

Yeah that's not filling me w confidence @TheMagiciansMewTwo. COVID hits you in waves. Pretty risky to send someone who needs oxygen home within a few hours.

Orangeblossom78 · 24/04/2020 14:10

I'm thinking last time DH was ill the GP rang us back straightawasy, as he knew he was in a risk group, so if we get one of these and 111 is rubbish I'd just ring the surgery and tell him, or as a PP mentioned ring the local hospital, I think having those stats would help. From previous times with other conditions 111 can be a bit rubbish anyway. Thinking of previous posts on MN prior to Covid for example children with conditions and how 111 needed to change.

OP posts:
makingmiracles · 24/04/2020 14:27

I don’t think it can hurt having one. I ordered one from China, £10, will take around 10 days to arrive but I’m ok with that. Was not prepared to pay the jumped up prices on amazon of £65+
can still be bought on U.K. on eBay for around £30
I don’t trust that they are admitting people early enough so I’d rather have measures to know where we are medically before phoning for help so I can give them actual stats to base their help on.

Hotlungs · 24/04/2020 14:39

I think there’s a case for the government to offer one to every household in the country. Along with blood pressure monitors and home urine sticks. Particularly if we are limiting face to face Dr’s appointments. Would save money in the long run!

Lightsabre · 24/04/2020 14:50

Phone around local pharmacies - there are quite a few in my local one for £20.

BadMoon · 24/04/2020 14:53

I've ordered one from Argos for £30 - that article is very interesting. It reassures me to think I could have a way of knowing before things got really bad.

Namechanger20183110 · 24/04/2020 15:01

I ordered mine from eBay on Monday for £22 and it arrived today

kingis · 24/04/2020 15:09

I ordered one for £30 from amazon on Wednesday and received it today.

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