Comparison of cerebral tissue oxygenation values in full term and preterm newborns by the simultaneous use of two near-infrared spectroscopy devices: an absolute and a relative trending oximeter
| Autor: | Jerzy Moczko, Łukasz Karpiński, Katarzyna Wroblewska, Karolina Chojnacka, Janusz Gadzinowski, Michael Weindling, Aleksandra M. Adamczak, Alicja Kornacka, Tomasz Szczapa, Aleksandra Jopek |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Biomedical Engineering Sensitivity and Specificity Standard deviation Biomaterials Oxygen Consumption medicine Humans Oximetry Full Term Spectroscopy Near-Infrared business.industry Limits of agreement Near-infrared spectroscopy Infant Newborn Brain Reproducibility of Results Equipment Design Repeatability Oxygenation Atomic and Molecular Physics and Optics Electronic Optical and Magnetic Materials Surgery Equipment Failure Analysis Oxygen Tissue oxygenation Premature Birth Female Cerebral tissue business Biomedical engineering |
| Zdroj: | Journal of Biomedical Optics. 18:087006 |
| ISSN: | 1083-3668 |
| DOI: | 10.1117/1.jbo.18.8.087006 |
| Popis: | The aim of this study is to compare a two-wavelength light emitting diode-based tissue oximeter (INVOS), which is designed to show trends in tissue oxygenation, with a four-wavelength laser-based oximeter (FORE-SIGHT), designed to deliver absolute values of tissue oxygenation. Simultaneous values of cerebral tissue oxygenation (StO2) are measured using both devices in 15 term and 15 preterm clinically stable newborns on the first and third day of life. Values are recorded simultaneously in two periods between which oximeter sensor positions are switched to the contralateral side. Agreement between StO2 values before and after the change of sensor position is analyzed. We find that mean cerebral StO2 values are similar between devices for term and preterm babies, but INVOS shows StO2 values spread over a wider range, with wider standard deviations than shown by the FORE-SIGHT. There is relatively good agreement with a bias up to 3.5% and limits of agreement up to 11.8%. Measurements from each side of the forehead show better repeatability for the FORE-SIGHT monitor. We conclude that performance of the two devices is probably acceptable for clinical purposes. Both performed sufficiently well, but the use of FORE-SIGHT may be associated with tighter range and better repeatability of data. |
| Databáze: | OpenAIRE |
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