Usefulness of a finger-mounted tissue oximeter with near-infrared spectroscopy for evaluating the intestinal oxygenation and viability in rats

Autor: Naoki Unno, Mayu Sakata, Takafumi Kawamura, Yuhi Suzuki, Yoshihiro Hiramatsu, Kiyotaka Kurachi, Hiroya Takeuchi, Kosuke Sugiyama, Hirotoshi Kikuchi, Masayoshi Yamamoto, Toshiya Akai, Katsunori Suzuki, Yoshifumi Morita
Rok vydání: 2020
Předmět:
Zdroj: Surgery Today
ISSN: 1436-2813
0941-1291
DOI: 10.1007/s00595-020-02171-8
Popis: Purpose To investigate the utility of the device for evaluating intestinal oxygenation and viability using an animal model. Methods Sprague–Dawley rats underwent laparotomy under general anesthesia, and the blood vessels in the terminal ileum were clamped to create ischemia. We measured the regional tissue oxygenation saturation (rSO2) using an oximeter after 1, 3, and 6 h of vessel clamping. Ischemic tissue damage was assessed using a histological score. The intestine was reperfused after each clamping period, and intestinal rSO2 and survival rate were evaluated. Results When reperfusion was performed at 1 and 3 h after ischemia, rSO2 increased after 10 min, and it improved to the same level as for normal intestine after 1 h; all rats survived for 1 week. In contrast, after 6 h of ischemia, rSO2 did not increase after reperfusion, and all animals died within 2 days. The histological scores increased after 1 h of reperfusion, with longer clamping periods. Conclusion A finger-mounted tissue oximeter could evaluate intestinal ischemia and the viability, which is thus considered to be a promising result for future clinical application.
Databáze: OpenAIRE
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