دورية أكاديمية
[CONTINUOUS HEMOGLOBIN MONITORING USING PULSE CO-OXIMETRY IN CARDIAC SURGERY.]
| العنوان: | [CONTINUOUS HEMOGLOBIN MONITORING USING PULSE CO-OXIMETRY IN CARDIAC SURGERY.] |
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| المؤلفون: | Len'kin PI, Smetkin AA, Husseyn A, Fot EV, Len'kin AI, Paromov KV, Ushakov AA, Krygina MA, Kirov MY |
| المصدر: | Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 2016 Sep; Vol. 61 (5), pp. 329-334. |
| نوع المنشور: | Journal Article |
| اللغة: | Russian |
| بيانات الدورية: | Publisher: Meditsina Country of Publication: Russia (Federation) NLM ID: 7705399 Publication Model: Print Cited Medium: Print ISSN: 0201-7563 (Print) Linking ISSN: 02017563 NLM ISO Abbreviation: Anesteziol Reanimatol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Moskva : Meditsina Original Publication: Moskva, Meditsina. |
| مواضيع طبية MeSH: | Cardiac Surgical Procedures* , Oximetry*, Hemoglobins/*analysis , Monitoring, Physiologic/*methods, Aged ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Sensitivity and Specificity |
| مستخلص: | The Aim: To assess the accuracy ofcontinuous hemoglobin monitoring using pulse co-oximetry and revealfactors affecting the results of the measurements during early postoperative period in cardiac surgery. Materials and Methods: 27 patients undergoing off-pump CABG and 16patients after elective complex (repair or replacement of two or more valves) or combined (valve and coronary artery) cardiac surgery requiring CPB were enrolled into a prospective observational study. Both groups received continuous hemoglobin monitoring using pulse co-oximetry (SpHb). During early postoperative period SpHb was compared with hemoglobin concentration in the arterial blood (Hbart). Results: Wefoundpositive correlation between SpHb and Hb in both groups (rho =0,29, p < 0,05 u rho=0,34; p<0.005 respectively). The Bland-Altman analysis showed a bias ? limits of agreement (?I.96 SD) between the continuously measured hemoglobin and reference arterial blood hemoglobin concentration of -6,0 ? 41,0 g/l in the off-pump group and 7,7 k 31,0 g/l in the CPB group. Conclusions: Hemoglobin measurement using pulse co-oximetry does not provide acceptable accuracy during early postoperative period in cardiac surgery. Applicability of this technology is influenced by vascular tone, systemic and regional tissue hypoperfusion. |
| المشرفين على المادة: | 0 (Hemoglobins) |
| تواريخ الأحداث: | Date Created: 20180301 Date Completed: 20180327 Latest Revision: 20180327 |
| رمز التحديث: | 20231215 |
| PMID: | 29489097 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0201-7563 |
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