Featured Publications
COVID-19: Pulse oximeters in the spotlight
Michard F, Shelley K, L’Her E. COVID-19: Pulse oximeters in the spotlight. Journal Of Clinical Monitoring And Computing 2020, 35: 11-14. PMID: 32578070, PMCID: PMC7308445, DOI: 10.1007/s10877-020-00550-7.Peer-Reviewed Original ResearchConceptsPeripheral perfusion indexAcute respiratory failureManagement of patientsIntensive care unitCoronavirus disease 2019Preload-modifying maneuverPulse oximetry waveformRespiratory failureCare unitFluid therapyPreload responsivenessPerfusion indexRespiratory effortDisease 2019Oxygen saturationPulse oximetryHospital wardsPulse oximeterSpO2PatientsTherapyOximetryWards
2020
Should We Monitor Pulsus Paradoxus via Pulse Oximetry in Patients with COVID-19 and Acute Respiratory Failure?
Michard F, Shelley K. Should We Monitor Pulsus Paradoxus via Pulse Oximetry in Patients with COVID-19 and Acute Respiratory Failure? American Journal Of Respiratory And Critical Care Medicine 2020, 202: 770-771. PMID: 32492351, PMCID: PMC7462392, DOI: 10.1164/rccm.202004-1504le.Peer-Reviewed Original Research
2018
Using support vector machines on photoplethysmographic signals to discriminate between hypovolemia and euvolemia
Reljin N, Zimmer G, Malyuta Y, Shelley K, Mendelson Y, Blehar DJ, Darling CE, Chon KH. Using support vector machines on photoplethysmographic signals to discriminate between hypovolemia and euvolemia. PLOS ONE 2018, 13: e0195087. PMID: 29596477, PMCID: PMC5875841, DOI: 10.1371/journal.pone.0195087.Peer-Reviewed Original ResearchConceptsBlood lossTrauma patientsTraditional vital signsLast time pointBlood pressureHemorrhagic shockCombat casualty careBlood withdrawalHealthy volunteersPhotoplethysmographic recordingsHeart rateBlood volumeEuvolemiaVital signsHypovolemiaPercentage changeTime pointsAbsolute changeCasualty carePatientsBattlefield settingsEarly stagesHemorrhageRecordingsHospital
2014
Analysis of plethysmographic waveform changes induced by beach chair positioning under general anesthesia
Zhu R, Atteya G, Shelley KH, Silverman DG, Alian AA. Analysis of plethysmographic waveform changes induced by beach chair positioning under general anesthesia. Journal Of Clinical Monitoring And Computing 2014, 28: 591-596. PMID: 24420341, DOI: 10.1007/s10877-014-9555-9.Peer-Reviewed Original ResearchConceptsBeach chair positioningVasoactive drugsBlood pressureShoulder surgeryNoninvasive hemodynamic parametersPostoperative cerebral ischemiaMean arterial pressureTidal carbon dioxideBeach chair positionIntermittent blood pressureChair positionWilcoxon signed-rank testPosition surgeryArterial pressureCerebral ischemiaGeneral anesthesiaSigned-rank testHemodynamic parametersRare caseDevastating outcomesHeart rateRespiratory frequencyPatientsSurgeryAmplitude density
2013
Is pulse oximetry an essential tool or just another distraction? The role of the pulse oximeter in modern anesthesia care
Shah A, Shelley KH. Is pulse oximetry an essential tool or just another distraction? The role of the pulse oximeter in modern anesthesia care. Journal Of Clinical Monitoring And Computing 2013, 27: 235-242. PMID: 23314807, DOI: 10.1007/s10877-013-9428-7.Peer-Reviewed Original ResearchConceptsPulse oximetryOutcome studiesAnesthesia carePulse oximeterStandard of careAnesthetic agentsClinical careClinical monitoringPatient careFirst operationCardiovascular monitoringOximetryAvailable evidenceAnesthesiologistsCareOutcomes researchAmerican SocietyFurther studiesPatientsOximeterPatient monitoringRare eventUnambiguous roleNoninvasive cardiovascular monitoringVast majority
2010
Measuring venous oxygenation using the photoplethysmograph waveform
Walton ZD, Kyriacou PA, Silverman DG, Shelley KH. Measuring venous oxygenation using the photoplethysmograph waveform. Journal Of Clinical Monitoring And Computing 2010, 24: 295-303. PMID: 20644985, DOI: 10.1007/s10877-010-9248-y.Peer-Reviewed Original ResearchConceptsVenous saturationVenous systemRegional venous oxygen saturationPeripheral venous waveformCardiac surgery patientsVenous oxygen saturationPeripheral venous systemPhotoplethysmograph waveformsWilcoxon signed-rank testVenous waveformSurgery patientsAtrial contractionSigned-rank testVenous bloodVenous oxygenationOxygen saturationGold standardPPG characteristicsHigh complianceBonferroni correctionSignificant differencesPPG analysisBloodPPG waveformPatients
2006
What Is the Best Site for Measuring the Effect of Ventilation on the Pulse Oximeter Waveform?
Shelley KH, Jablonka DH, Awad AA, Stout RG, Rezkanna H, Silverman DG. What Is the Best Site for Measuring the Effect of Ventilation on the Pulse Oximeter Waveform? Anesthesia & Analgesia 2006, 103: 372-377. PMID: 16861419, DOI: 10.1213/01.ane.0000222477.67637.17.Peer-Reviewed Original ResearchConceptsPositive pressure ventilationPulse oximeter waveformPressure ventilationPlethysmographic waveformEffect of ventilationBlood lossRenal dialysisSpontaneous breathingPlethysmographic dataSurgical proceduresTidal volumeBlood volumeRespiratory rateVentilationPatientsSignificant correlationRespiratory signalPredominant featureImpact of ventilationCardiac pulseSurgeryFingerBreathingDialysis
2001
How Does the Plethysmogram Derived from the Pulse Oximeter Relate to Arterial Blood Pressure in Coronary Artery Bypass Graft Patients?
Awad A, Ghobashy M, Stout R, Silverman D, Shelley K. How Does the Plethysmogram Derived from the Pulse Oximeter Relate to Arterial Blood Pressure in Coronary Artery Bypass Graft Patients? Anesthesia & Analgesia 2001, 93: 1466-1471. PMID: 11726424, DOI: 10.1097/00000539-200112000-00022.Peer-Reviewed Original ResearchConceptsMean blood pressureSystolic blood pressureBlood pressurePulse pressurePulse oximeter waveformCoronary artery bypass graft surgeryCoronary artery bypass graft patientsArtery bypass graft surgeryBypass graft surgeryCoronary artery bypassBypass graft patientsRadial artery blood pressure waveformArterial blood pressureBlood pressure waveformArtery bypassGraft patientsGraft surgeryArterial linePatientsFinger oximeterMean differenceClinical applicabilityPulse oximeterPressure waveformOximeter
1993
The detection of peripheral venous pulsation using the pulse oximeter as a plethysmograph
Shelley K, Dickstein M, Shulman S. The detection of peripheral venous pulsation using the pulse oximeter as a plethysmograph. Journal Of Clinical Monitoring 1993, 9: 283-287. PMID: 8301336, DOI: 10.1007/bf02886699.Peer-Reviewed Original Research