Bedside monitoring of patients with shock using a portable spatially-resolved near-infrared spectroscopy

被引:41
作者
Li, Ting [1 ,2 ]
Duan, Meixue [1 ,2 ]
Li, Kai [1 ,2 ]
Yu, Guoqiang [3 ]
Ruan, Zhengshang [4 ,5 ]
机构
[1] Univ Elect Sci & Technol China, State Key Lab Elect Thin Film & Integrated Device, Chengdu 610054, Peoples R China
[2] Univ Elect Sci & Technol China, Dept Biomed Engn, Chengdu 610054, Peoples R China
[3] Univ Kentucky, Dept Biomed Engn, Lexington, KY 40506 USA
[4] Xinhua Hosp, Dept Anesthesiol, Shanghai 200092, Peoples R China
[5] Xinhua Hosp, Surg Intens Care Unit, Shanghai 200092, Peoples R China
关键词
PHOTON MIGRATION; END-POINTS; TISSUE; RESUSCITATION; SATURATION; OXYGENATION; HEMORRHAGE; NIRS;
D O I
10.1364/BOE.6.003431
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
Clinical monitoring of shock mainly depends on blood-oxygen-indices obtained from invasive blood sample tests. The central internal jugular central vein oxygenation level (ScvO(2)) has been considered as a gold standard indicator for shock prediction. We developed a noninvasive spatially-resolved near-infrared spectroscopy (SR-NIRS) to measure tissue blood oxygen saturation (StO(2)) surrounding the region of taking blood sample for the ScvO(2) test in 25 patients with shock. StO(2) values were found to be highly correlated (r = 0.84, p < 0.001) with ScvO(2) levels and the concordance coefficient of 0.80 is high. The results suggest the potential of noninvasive SR-NIRS for bedside shock monitoring. (C) 2015 Optical Society of America
引用
收藏
页码:3431 / 3436
页数:6
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