Peripherally placed transmittance pulse oximeter sensors have been associated with patient injury including burns, gangrene, and necrosis. There are 2 reports of burn injuries associated with the use of forehead reflectance sensors, but there is no report of a pressure injury associated with the use of an OxiMax™ MAX-FAST™ forehead sensor and headband. We report the case of a patient who developed tissue necrosis associated with prolonged application of a forehead pulse oximeter sensor under a headband and displacement of the sensor cable.
From the Department of Anesthesiology, Icahn School of Medicine at Mount Sinai, New York, New York.
Accepted for publication June 5, 2013.
Funding: Not funded.
The authors declare no conflicts of interest.
Address correspondence to James B. Eisenkraft, MD, Dept. of Anesthesiology, The Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1010, New York, NY 10029-6574. Address e-mail to firstname.lastname@example.org.