Non-invasive monitoring of haemoglobin concentration in paediatric surgical patients using near-infrared spectroscopy

被引：10

作者：

Dullenkopf, A ^{[1
]}

Lohmeyer, U ^{[1
]}

Salgo, B ^{[1
]}

Gerber, AC ^{[1
]}

Weiss, M ^{[1
]}

机构：

[1] Univ Zurich, Childrens Hosp, Dept Anaesthesia, CH-8032 Zurich, Switzerland

来源：

ANAESTHESIA | 2004年 / 59卷 / 05期

关键词：

spectroscopy; near-infrared; monitoring; intraoperative; haemoglobin;

D O I：

10.1111/j.1365-2044.2004.03665.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We evaluated the near-infrared spectroscopy based tissue haemoglobin index for continuous non-invasive monitoring of haemoglobin concentration during paediatric surgery. Blood samples from 40 children (from birth to 16 years old) were analysed oximetrically. From the first blood sample the tissue haemoglobin index/haemoglobin concentration coefficient was calculated for further tissue haemoglobin index-derived haemoglobin concentrations in each patient. Comparison of corresponding values revealed a bias and precision of - 0.02 and 5.41 g.l(-1), respectively. Sensitivity and specificity of tissue haemoglobin index were 73.1% and 70.0%, respectively, for predicting falling haemoglobin concentration values. Currently, the tissue haemoglobin index is not suitable for monitoring haemoglobin concentration in children undergoing surgery.

引用

页码：453 / 458

页数：6

共 30 条

[1] STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].

BLAND, JM ;

ALTMAN, DG .

LANCET, 1986, 1 (8476) :307-310

[2] Measurement of cerebral oxygenation state in anaesthetized children using the INVOS 5100 cerebral oximeter [J].

Dullenkopf, A ;

Frey, B ;

Baenziger, O ;

Gerber, A ;

Weiss, M .

PAEDIATRIC ANAESTHESIA, 2003, 13 (05) :384-391

[3]

ELIONGERRITZEN WE, 1980, AM J CLIN PATHOL, V73, P183

[4]

*HAM PHOT, 2001, NIRO NEWS 1204

[5] Retrograde cerebral perfusion versus selective cerebral perfusion as evaluated by cerebral oxygen saturation during aortic arch reconstruction [J].

Higami, T ;

Kozawa, S ;

Asada, T ;

Obo, H ;

Gan, K ;

Iwahashi, K ;

Nohara, H .

ANNALS OF THORACIC SURGERY, 1999, 67 (04) :1091-1096

[6]

HUSKISSON L, 1999, PAEDIATR ANAESTH, P233

[7] Continuous monitoring of hematocrit values during apheresis for allogeneic peripheral blood stem cell collection [J].

Kajiume, T ;

Kawano, Y ;

Takaue, Y ;

Abe, T ;

Okamoto, Y ;

Makimoto, A ;

Watanabe, T ;

Sato, J ;

Yokobayashi, A ;

Kuroda, Y .

JOURNAL OF HEMATOTHERAPY, 1998, 7 (06) :493-497

[8] Phlebotomy overdraw in the neonatal intensive care nursery [J].

Lin, JC ;

Strauss, RG ;

Kulhavy, JC ;

Johnson, KJ ;

Zimmerman, MB ;

Cress, GA ;

Connolly, NW ;

Widness, JA .

PEDIATRICS, 2000, 106 (02) :art. no.-e19

[9] Bilateral monitoring of the cerebral oxygen saturation in aortic arch surgery [J].

Logemann, F ;

Gras, C ;

Mehler, D ;

Zuk, J ;

Piepenbrock, S .

ANASTHESIOLOGIE INTENSIVMEDIZIN NOTFALLMEDIZIN SCHMERZTHERAPIE, 2001, 36 (06) :388-392

[10] PERFORMANCE COMPARISON OF SEVERAL PUBLISHED TISSUE NEAR-INFRARED SPECTROSCOPY ALGORITHMS [J].

MATCHER, SJ ;

ELWELL, CE ;

COOPER, CE ;

COPE, M ;

DELPY, DT .

ANALYTICAL BIOCHEMISTRY, 1995, 227 (01) :54-68

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