Accuracy and trending ability of hemoglobin measurement by the Pulse CO-Oximeter during vascular surgery.

Abstract:

:Real time information of Hb concentration can guide a tailored patient blood management. The study investigates the accuracy, precision and trending ability of the Pulse CO-Oximeter (SpHb) and blood gas analyzer in measuring the Hb concentration, compared to hematological analysis, in surgery at high risk of hemorrhage. We performed an observational study, involving 48 patients undergoing abdominal aortic open surgery. The primary endpoints of the study were to compare the accuracy in measuring the Hb concentration using non-invasive method (Masimo rainbow SET® Radical 7 Pulse CO-Oximetry™) compared to the values provided by invasive conventional blood gas analyzer and hematological analysis. The secondary endpoint was to compare the differences between the baseline and the final value of the Hb after surgery (Δ-values), as well as the trending ability. Bias (precision) for the SpHb was 1.63 g/dL (± 0.05) with 95% limits of agreement between 0.85 and + 2.4 g/dL, while for the blood gas analyzer was 0.69 g/dL (± 0.04) with 95% limits of agreement between 0.07 and 1.3 g/dL. Δ-values values were not statistically different from the reference values of ΔHb obtained with the hematological analysis. Trending ability was good for both Pulse CO-Oximeter and blood gas analysis. Our results have shown that the SpHb is not precise enough to replace an invasive approach, but the trending ability of SpHb is accurate and may provide important information on the changes in hemoglobin concentration to guide blood management.

journal_name

J Clin Monit Comput

authors

De Rosa RC,Romano GM,Abbate R,Corcione A,De Robertis E

doi

10.1007/s10877-019-00337-5

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

501-508

issue

3

eissn

1387-1307

issn

1573-2614

pii

10.1007/s10877-019-00337-5

journal_volume

34

pub_type

杂志文章
  • Towards an optimal paradigm for intraoperative auditory nerve monitoring with auditory steady state responses.

    abstract::Auditory steady state responses (ASSR) may offer an alternative to brainstem auditory evoked potentials for monitoring of the auditory nerve during surgical procedures. In the current study, we evaluated the influence of noise on ASSR characteristics in total intravenous anesthesia (TIVA). Simulated ASSR in real noise...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-016-9837-5

    authors: Rampp S,Rensch L,Simmermacher S,Rahne T,Strauss C,Prell J

    更新日期:2017-02-01 00:00:00

  • Cutaneous mitochondrial respirometry: non-invasive monitoring of mitochondrial function.

    abstract::The recently developed technique for measuring cutaneous mitochondrial oxygen tension (mitoPO2) by means of the Protoporphyrin IX-Triplet State Lifetime Technique (PpIX-TSLT) provides new opportunities for assessing mitochondrial function in vivo. The aims of this work were to study whether cutaneous mitochondrial mea...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9628-9

    authors: Harms FA,Bodmer SI,Raat NJ,Mik EG

    更新日期:2015-08-01 00:00:00

  • Diagnostic accuracy of stroke volume variation measured with uncalibrated arterial waveform analysis for the prediction of fluid responsiveness in patients with impaired left ventricular function: a prospective, observational study.

    abstract::Uncalibrated arterial waveform analysis enables dynamic preload assessment in a minimally invasive fashion. Evidence about the validity of the technique in patients with impaired left ventricular function is scarce, while adequate cardiac preload assessment would be of great value in these patients. The aim of this st...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-015-9743-2

    authors: Montenij LJ,Sonneveld JP,Nierich AP,Buhre WF,de Waal EE

    更新日期:2016-08-01 00:00:00

  • Predictive value of the surgical pleth index for the hemodynamic responses to trachea intubation and skin incision.

    abstract::Surgical pleth index (SPI) has been widely investigated in assessing the nociceptive level. The aim of this study was to investigate the relationship between SPI level and patient responses to trachea intubation and skin incision. A total of 40 patients undergoing open abdominal general surgery were recruited for anal...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00425-6

    authors: Wang M,Wang X,Bao R,Zhu WZ,Bian JJ,Deng XM,Han WJ,Wang JF

    更新日期:2020-12-01 00:00:00

  • Machine learning applied to multi-sensor information to reduce false alarm rate in the ICU.

    abstract::Studies reveal that the false alarm rate (FAR) demonstrated by intensive care unit (ICU) vital signs monitors ranges from 0.72 to 0.99. We applied machine learning (ML) to ICU multi-sensor information to imitate a medical specialist in diagnosing patient condition. We hypothesized that applying this data-driven approa...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00307-x

    authors: Hever G,Cohen L,O'Connor MF,Matot I,Lerner B,Bitan Y

    更新日期:2020-04-01 00:00:00

  • Journal of Clinical Monitoring and Computing 2019 end of year summary: monitoring tissue oxygenation and perfusion and its autoregulation.

    abstract::Tissue perfusion monitoring is increasingly being employed clinically in a non-invasive fashion. In this end-of-year summary of the Journal of Clinical Monitoring and Computing, we take a closer look at the papers published recently on this subject in the journal. Most of these papers focus on monitoring cerebral perf...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章,评审

    doi:10.1007/s10877-020-00504-z

    authors: Sahinovic MM,Vos JJ,Scheeren TWL

    更新日期:2020-06-01 00:00:00

  • Capnography to check the safety of Bain circuit.

    abstract::The test of the inner tube integrity is an important checklist prior to the safe use of Bain's breathing system. This is because the major concern with the use of Bain's circuit is the potential malfunctioning of the circuit due to avulsion of the inner fresh gas delivery tube at the machine end which will turn the ou...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-009-9212-x

    authors: Kataria S,Subramanyam R

    更新日期:2010-02-01 00:00:00

  • Bench test assessment of mainstream capnography during high frequency oscillatory ventilation.

    abstract::To assess the feasibility, stability and predictability of pCO2 measurement (PETCO2) using a main stream capnograph in a high frequency oscillatory ventilation circuit. A commercially available capnograph was mounted into a high frequency oscillatory ventilator patient circuit, adjustable CO2 flow was introduced into ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-013-9495-9

    authors: Hartdorff CM,van Heerde M,Markhorst DG

    更新日期:2014-02-01 00:00:00

  • Diagnosis of anesthetic-induced upper airway obstruction in children using respiratory inductance plethysmography.

    abstract:OBJECTIVE:Upper airway obstruction is the most rapid and clinically relevant cause of hypoxia during sedation and anesthesia. This study was designed to determine if respiratory inductance plethysmography (RIP) could quantify the degree of upper airway obstruction caused by induction of general anesthesia. METHODS:RIP...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1023/a:1021246119194

    authors: Litman RS,Kottra JA,Gallagher PR,Ward DS

    更新日期:2002-07-01 00:00:00

  • Investigation of optical neuro-monitoring technique for detection of maintenance and emergence states during general anesthesia.

    abstract::The American Society of Anesthesiologist recommends peripheral physiological monitoring during general anesthesia, which offers no information regarding the effects of anesthetics on the brain. Since no "gold standard" method exists for this evaluation, such a technique is needed to ensure patient comfort, procedure q...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-017-9998-x

    authors: Hernandez-Meza G,Izzetoglu M,Osbakken M,Green M,Abubakar H,Izzetoglu K

    更新日期:2018-02-01 00:00:00

  • Using EEG to monitor anesthesia drug effects during surgery.

    abstract::The use of processed electroencephalography (EEG) using a simple frontal lead system has been made available for assessing the impact of anesthetic medications during surgery. This review discusses the basic principles behind these devices. The foundations of anesthesia monitoring rest on the observations of Guedel wi...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章,评审

    doi:10.1007/s10877-006-9044-x

    authors: Jameson LC,Sloan TB

    更新日期:2006-12-01 00:00:00

  • Assessment of the 50 % and 95 % effective paratracheal forces for occluding the esophagus in anesthetized patients.

    abstract::This study aimed to evaluate the 50% and 95% effective paratracheal forces for occluding the esophagus in anesthetized patients. In 46 anesthetized patients, the upper esophagus was examined using ultrasonography, and the lower paratracheal area over the esophagus just above the clavicle was marked. Manual paratrachea...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-021-00652-w

    authors: Kim H,Mondal S,Choi CG,Hwang JY

    更新日期:2021-01-26 00:00:00

  • Risk factors for positioning-related somatosensory evoked potential changes in 3946 spinal surgeries.

    abstract::The goal of this study was to evaluate the risk factors associated with positioning-related SSEP changes (PRSC). The study investigated the association between 18 plausible risk factors and the occurrence of intraoperative PRSC. Risk factors investigated included demographic variables, comorbidities, and procedure rel...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-018-0148-x

    authors: Melachuri SR,Balzer JR,Melachuri MK,Ninaci D,Anetakis K,Kaur J,Crammond DJ,Thirumala PD

    更新日期:2019-04-01 00:00:00

  • Laser speckle contrast imaging for quantitative assessment of facial flushing during mesenteric traction syndrome in upper gastrointestinal surgery.

    abstract::The mesenteric traction syndrome (MTS) is associated with prostacyclin (PGI2) facilitated systemic vasodilatation during surgery and is identified by facial flushing. We hypothesized that severe facial flushing would be related to the highest concentrations of plasma PGI2 and accordingly to the highest levels of skin ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-018-0226-0

    authors: Ring LL,Strandby RB,Henriksen A,Ambrus R,Sørensen H,Gøtze JP,Svendsen LB,Achiam MP

    更新日期:2019-10-01 00:00:00

  • States of low pulmonary blood flow can be detected non-invasively at the bedside measuring alveolar dead space.

    abstract::We tested whether the ratio of alveolar dead space to alveolar tidal volume (VD(alv)/VT(alv)) can detect states of low pulmonary blood flow (PBF) in a non-invasive way. Fifteen patients undergoing cardiovascular surgeries with cardiopulmonary bypass (CPB) were studied. CPB is a technique that excludes the lungs from t...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-012-9358-9

    authors: Tusman G,Suarez-Sipmann F,Paez G,Alvarez J,Bohm SH

    更新日期:2012-06-01 00:00:00

  • Multi-parameter vital sign database to assist in alarm optimization for general care units.

    abstract::Continual vital sign assessment on the general care, medical-surgical floor is expected to provide early indication of patient deterioration and increase the effectiveness of rapid response teams. However, there is concern that continual, multi-parameter vital sign monitoring will produce alarm fatigue. The objective ...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-015-9790-8

    authors: Welch J,Kanter B,Skora B,McCombie S,Henry I,McCombie D,Kennedy R,Soller B

    更新日期:2016-12-01 00:00:00

  • Characterization of respiratory compromise and the potential clinical utility of capnography in the post-anesthesia care unit: a blinded observational trial.

    abstract::The utility of capnography to detect early respiratory compromise in surgical patients after anesthesia is unclear due to limited prospective data. The purpose of this trial was to determine the frequency and duration of capnography-detected respiratory adverse events in the post-anesthesia care unit (PACU). In this p...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00333-9

    authors: Chung F,Wong J,Mestek ML,Niebel KH,Lichtenthal P

    更新日期:2020-06-01 00:00:00

  • Utility of near infrared light to determine tissue oxygenation during hepato-biliary surgery.

    abstract::Near-infrared spectrophotometry assesses cerebral oxygen saturation (ScO2) based on the absorption spectra of oxygenated and deoxygenated hemoglobin, and the translucency of biological tissue, in the near-infrared band. There is increasing evidence that optimising cerebral oxygenation, guided by ScO2, is associated wi...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9642-y

    authors: Murphy N,Fröhlich S,Kong T,Boylan JF,Conlon N

    更新日期:2015-10-01 00:00:00

  • Non-invasive electrical cardiometry cardiac output monitoring during prehospital helicopter emergency medical care: a feasibility study.

    abstract:PURPOSE:Introducing advanced hemodynamic monitoring might be beneficial during Helicopter Emergency Medical Service (HEMS) care. However, it should not increase the on-scene-time, it should be easy to use and should be non-invasive. The goal of this study was to investigate the feasibility of non-invasive cardiac outpu...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-021-00657-5

    authors: Slagt C,Servaas S,Ketelaars R,van Geffen GJ,Tacken MCT,Verrips CA,Baggen LAM,Scheffer GJ,van Eijk LT

    更新日期:2021-01-23 00:00:00

  • Pretreatment with glucose-insulin-potassium improves ventricular performances after coronary artery bypass surgery: a randomized controlled trial.

    abstract::Heart failure is the main cause of poor outcome following open heart surgery and experimental studies have demonstrated that glucose-insulin-potassium (GIK) infusion exerts cardioprotective effects by reducing myocardial ischemia-reperfusion injuries. This randomized controlled trial was designed to assess the effects...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00280-5

    authors: Licker M,Reynaud T,Garofano N,Sologashvili T,Diaper J,Ellenberger C

    更新日期:2020-02-01 00:00:00

  • Technologies and solutions for data display in the operating room.

    abstract::Recent advances in technology have led to the introduction of a variety of innovative devices, each with their own platform for data display, into the operating room (OR). While these innovative applications are expanding the traditional boundaries of the surgical space and enhancing treatment capabilities, the introd...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-006-9017-0

    authors: Bitterman N

    更新日期:2006-06-01 00:00:00

  • Assessment of pulmonary mechanics in mechanical ventilation: effects of imprecise breath detection, phase shift and noise.

    abstract:OBJECTIVE:In mechanical ventilation, the assessment of pulmonary mechanics, mainly of total compliance (Crs), total resistance (Rrs), and intrinsic positive end-expiratory pressure (PEEPint), is clinically important. By using airway pressure (Paw) and flow (V'aw), the least squares fit (LSF) method allows the continuou...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1023/a:1007457829405

    authors: Stegmaier PA,Zollinger A,Brunner JX,Pasch T

    更新日期:1998-02-01 00:00:00

  • Right ventricular function in late-onset Pompe disease.

    abstract::Pompe's disease is a glycogen storage disease (type II) characterized by inherited autosomal recessive transmission. The right ventricular (RV) function is a determinant parameter of clinical outcome in patients with heart failure. We sought to characterize the RV function using Doppler-echocardiography completed by D...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9551-0

    authors: Fayssoil A,Nardi O,Annane D,Orlikowski D

    更新日期:2014-08-01 00:00:00

  • Performance of a capnodynamic method estimating effective pulmonary blood flow during transient and sustained hypercapnia.

    abstract::The capnodynamic method is a minimally invasive method continuously calculating effective pulmonary blood flow (COEPBF), equivalent to cardiac output when intra pulmonary shunt flow is low. The capnodynamic equation joined with a ventilator pattern containing cyclic reoccurring expiratory holds, provides breath to bre...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-017-0021-3

    authors: Sigmundsson TS,Öhman T,Hallbäck M,Redondo E,Sipmann FS,Wallin M,Oldner A,Hällsjö Sander C,Björne H

    更新日期:2018-04-01 00:00:00

  • The influence of basic ventilation strategies on cerebral oxygenation in anesthetized patients without vascular disease.

    abstract:OBJECTIVES:Optimizing cerebral oxygenation is of paramount importance in certain intraoperative situations. There is, however, a paucity of published data pertaining to changes in cerebral oxygenation seen with increases in the inspired fraction of oxygen (FIO2) or end-tidal carbon dioxide (PETCO2) in anesthetized pati...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10877-010-9265-x

    authors: Picton P,Shanks A,Dorje P,Mashour GA

    更新日期:2010-12-01 00:00:00

  • Changes in cerebral and renal oxygenation during laparoscopic pyloromyotomy.

    abstract::Although a laparoscopic approach may be preferred over open procedures for abdominal surgery, there are limited data on the effect of laparoscopic procedures on cerebral and renal oxygenation in neonates and young infants. Here, we evaluated the effect in neonates and infants. In this two-center prospective observatio...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-019-00356-2

    authors: Kamata M,Hakim M,Walia H,Tumin D,Tobias JD

    更新日期:2020-08-01 00:00:00

  • Estimation of pulse pressure variation and cardiac output in patients having major abdominal surgery: a comparison between a mobile application for snapshot pulse wave analysis and invasive pulse wave analysis.

    abstract::Pulse pressure variation (PPV) and cardiac output (CO) can guide perioperative fluid management. Capstesia (Galenic App, Vitoria-Gasteiz, Spain) is a mobile application for snapshot pulse wave analysis (PWAsnap) and estimates PPV and CO using pulse wave analysis of a snapshot of the arterial blood pressure waveform di...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-020-00572-1

    authors: Hoppe P,Gleibs F,Briesenick L,Joosten A,Saugel B

    更新日期:2020-08-04 00:00:00

  • Protection of the remaining spinal cord function with intraoperative neurophysiological monitoring during paraparetic scoliosis surgery: a case report.

    abstract:OBJECTIVE:To demonstrate the usefulness of rectus femoris muscle MEPs monitoring in a paraparetic neuromuscular scoliosis case. METHODS:Multiple monitoring modalities including SEPs, MEPs and EMG were performed for an anterior and posterior correction surgery for a neuromuscular scoliosis patient with no motor and sen...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-011-9325-x

    authors: Chen Z,Lerman J

    更新日期:2012-02-01 00:00:00

  • Accuracy of ultrasound B-lines score and E/Ea ratio to estimate extravascular lung water and its variations in patients with acute respiratory distress syndrome.

    abstract::Extravascular lung water (EVLW) could increase by permeability pulmonary oedema, cardiogenic oedema, or both. Transthoracic echocardiography examination of a patient allows quantifying B-lines, originating from water-thickened interlobular septa, and the E/Ea ratio, related to pulmonary capillary wedge pressure. The a...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-014-9582-6

    authors: Bataille B,Rao G,Cocquet P,Mora M,Masson B,Ginot J,Silva S,Moussot PE

    更新日期:2015-02-01 00:00:00

  • Using physiological models and decision theory for selecting appropriate ventilator settings.

    abstract:OBJECTIVE:To present a decision support system for optimising mechanical ventilation in patients residing in the intensive care unit. METHODS:Mathematical models of oxygen transport, carbon dioxide transport and lung mechanics are combined with penalty functions describing clinical preference toward the goals and side...

    journal_title:Journal of clinical monitoring and computing

    pub_type: 杂志文章

    doi:10.1007/s10877-006-9049-5

    authors: Rees SE,Allerød C,Murley D,Zhao Y,Smith BW,Kjaergaard S,Thorgaard P,Andreassen S

    更新日期:2006-12-01 00:00:00