PURPOSE: Smoking cessation may be better accomplished if patients are educated about the ill effects of smoking. We wanted to determine the usefulness of noninvasive pulse co-oximetry in the patient's decision making process.
METHODS: In a small pulmonary practice, pulse co-oximetry is routinely used to help identify smokers. Patients were given an explanation of measurements: carboxyhemoglobin (COHb), methhemoglobin (MethHb) and arterial oxygen saturation that can reveal different levels of "poison" in their blood. Smokers were asked to voluntarily fill out an anonymous questionnaire regarding the usefulness of COHb and MethHb levels detected noninvasively using a Rad 57 Pulse Co-oximeter.
RESULTS: Of the patients who participated (n=24) patients questioned (14)58.34% wanted to quit, (2) 8.33% did not want to quit and (8) 33.33% were unsure. 29.17% of the patients thought that identifying the level of poison in their blood was very helpful, 20.83% somewhat helpful, 33.33% not sure and 16.67% no. 25% of the patients thought they were more apt to quit smoking having been educated regarding COHb and MethHb, 29.17% probably, 33.33% not sure and 12.50% no. 25% of patients thought that being able to monitor the poison level decreasing would help them quit smoking, 16.67% a little, 37.50% not sure and 20.83% no.
CONCLUSION: Determining the amount of hemoglobin poisoned by cigarette smoke and discussing it with the patient may help patients quit smoking.
CLINICAL IMPLICATIONS: Information of quick noninvasive pulse co-oximetry may be useful in the decision making process leading to smoking cessation.
DISCLOSURE: Mary Zaremba, Other Rad 57 Pulse Co-oximeter was used in this study and was loaned to us by Masimo Corporation.; No Product/Research Disclosure Information