Literature DB >> 21639582

Regional tissue oxygen saturation: comparability and reproducibility of different devices.

Mirjam Pocivalnik1, Gerhard Pichler, Heinz Zotter, Nina Tax, Wilhelm Müller, Berndt Urlesberger.   

Abstract

UNLABELLED: Comparability and reproducibility of different near-infrared spectroscopy devices measuring regional tissue oxygen saturation remain poor. Aim of the present study was to compare values and reproducibility of cerebral∕peripheral "tissue-oxygenation-index" (TOI; NIRO 300, Hamamatsu(®), Japan) with cerebral∕peripheral "regional-oxygen-saturation" (rSO; INVOS5100, Somanetics(®), USA), and to analyze the influence of quality criteria.
METHODS: cTOI and crSO2 were measured on the left forehead, pTOI and prSO2 were measured on the left calf. To analyse reproducibility, optodes were reapplied five times. A quality criterion was introduced for cTOI, crSO2 and prSO2. For pTOI quality criteria were introduced in combination with a venous occlusion technique.
RESULTS: Cerebral measurements were performed in 37 neonates. cTOI (72.7+∕-6.2%) was lower than crSO2 (83.3+∕-5.8%) (p < 0.001). The mean difference between cTOI and crSO2 was 10%. Mean standard deviations of cTOI and crSO2 were similar (cTOI: 4.9+∕-3.6; crSO2: 4.5+∕-2.6). Peripheral measurements were performed in 39 neonates. pTOI (66.0+∕-7.9%) was lower than prSO2 (82.0+∕-7.0%)(p < 0.001). The mean difference between pTOI and prSO2 was 15%. Mean standard deviations of pTOI (3.7+∕-2.6%) were lower than of prSO2 (5.0+∕-3.0%) (p = 0.047).
CONCLUSION: TOI values were significantly lower than rSO2 values, in cerebral and peripheral measurements. Reproducibility was higher for pTOI than for prSO2.

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Year:  2011        PMID: 21639582     DOI: 10.1117/1.3575647

Source DB:  PubMed          Journal:  J Biomed Opt        ISSN: 1083-3668            Impact factor:   3.170


  18 in total

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Review 10.  Splanchnic NIRS monitoring in neonatal care: rationale, current applications and future perspectives.

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