A COMPARISON OF 2 SYSTEMS FOR ASSESSING CEREBRAL VENOUS OXYHEMOGLOBIN SATURATION DURING CARDIOPULMONARY BYPASS IN HUMANS

被引:61
作者
BROWN, R [1 ]
WRIGHT, G [1 ]
ROYSTON, D [1 ]
机构
[1] HAREFIELD HOSP,DEPT ANAESTHESIA,HAREFIELD UB9 6JH,MIDDX,ENGLAND
关键词
EQUIPMENT; CEREBRAL OXIMETER; OPTICATH OXIMETRY; SURGERY; CARDIOVASCULAR;
D O I
10.1111/j.1365-2044.1993.tb07184.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The Somanetics Invos 3100 cerebral oximeter is a new noninvasive device which measures the regional oxygen saturation of haemoglobin within the cerebral microvasculature by infrared spectroscopy. It was used in nine patients undergoing elective cardiac surgery and its results were compared with measurements of jugular venous bulb saturations obtained by the Oximetrix Opticath oximetry system. The index value of jugular venous bulb saturation was obtained by analysis of jugular bulb blood in an 11282 cooximeter. The cerebral oximeter was less accurate and precise (standard deviation of difference 14.1%) than the Oximetrix system (standard deviation of the difference 2.65%) and also demonstrated a systematic error in bias unrelated to cerebral per fusion pressure. The cerebral oximeter may therefore be less useful than jugular venous bulb saturation in the clinical management of patients undergoing cardiopulmonary bypass. Copyright © 1993, Wiley Blackwell. All rights reserved
引用
收藏
页码:697 / 700
页数:4
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