Validation of the Masimo O3™ regional oximetry device in pediatric patients undergoing cardiac surgery

Lee, Ji‐Hyun; Song, In-Sun; Kang, Pyoyoon; Ji, Sang‐Hwan; Jang, Young‐Eun; Kim, Eun‐Hee; Kim, Hee‐Soo; Kim, Jin-Tae

doi:10.1007/s10877-022-00815-3

Cited by 8 publications

(7 citation statements)

References 20 publications

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“…Apart from PPG, Near infrared Spectroscopy (NIRS) is another optical method capable of measuring regional tissue oxygenation by determining the concentrations of oxygenated and deoxygenated haemoglobin [37][38][39]. The use of NIRS has been evaluated in several studies focusing on central or mixed venous oxygen saturation [30,[40][41][42]. In our study, SQV and SvO 2 changed in parallel during blood loss, whereas SaO 2 remained unaltered, indicating the potential for non-invasive measurement of SvO 2 over the sternum.…”

Section: Aim 2 -Sqv and Svomentioning

confidence: 68%

Oxygen saturation in intraosseous sternal blood measured by CO-oximetry and evaluated non-invasively during hypovolaemia and hypoxia – a porcine experimental study

Näslund

Lindberg

Strandberg

et al. 2023

J Clin Monit Comput

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Purpose: This study intended to determine, and non-invasively evaluate, sternal intraosseous oxygen saturation (SsO2) and study its variation during provoked hypoxia or hypovolaemia. Furthermore, the relation between SsO2 and arterial (SaO2) or mixed venous oxygen saturation (SvO2) was investigated. Methods: Sixteen anaesthetised male pigs underwent exsanguination to a mean arterial pressure of 50 mmHg. After resuscitation and stabilisation, hypoxia was induced with hypoxic gas mixtures (air/N2). Repeated blood samples from sternal intraosseous cannulation were compared to arterial and pulmonary artery blood samples. Reflection spectrophotometry measurements by a non-invasive sternal probe were performed continuously. Results: At baseline SaO2 was 97.0% (IQR 0.2), SsO2 73.2% (IQR 19.6) and SvO2 52.3% (IQR 12.4). During hypovolaemia, SsO2 and SvO2 decreased to 58.9% (IQR 16.9) and 38.1% (IQR 12.5), respectively, p < 0.05 for both, whereas SaO2 remained unaltered (p = 0.44). During hypoxia all saturations decreased; SaO2 71.5% (IQR 5.2), SsO2 39.0% (IQR 6.9) and SvO2 22.6% (IQR 11.4) (p < 0.01), respectively. For hypovolaemia, the sternal probe red/infrared absorption ratio (SQV) increased significantly from baseline (indicating a reduction in oxygen saturation) + 5.1% (IQR 7.4), p < 0.001 and for hypoxia + 19.9% (IQR 14.8), p = 0.001, respectively. Conclusion: Sternal blood has an oxygen saturation suggesting a mixture of venous and arterial blood. Changes in SsO2 relate well with changes in SvO2 during hypovolaemia or hypoxia. Further studies on the feasibility of using non-invasive measurement of changes in SsO2 to estimate changes in SvO2 are warranted.

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Section: Aim 2 -Sqv and Svomentioning

confidence: 68%

Oxygen saturation in intraosseous sternal blood measured by CO-oximetry and evaluated non-invasively during hypovolaemia and hypoxia – a porcine experimental study

Näslund

Lindberg

Strandberg

et al. 2023

J Clin Monit Comput

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“…[34][35][36][37] Moreover, authors Kim, Hee-Soo, Kim, Jin-Tae, and Lee, Ji-Hyun cooperated closely and produced some outstanding articles in this field in recent years. [38][39][40] As an old Chinese saying goes, one who stays near vermilion gets stained red. Researchers could read their articles or join outstanding teams to comprehensively learn and understand children's anesthesia-related research.…”

Section: Discussionmentioning

confidence: 99%

Trends and bibliometric analysis on pediatric anesthesia from 2002 to 2022: A review

Ruan,

Tang,

et al. 2023

Medicine

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Pediatric anesthesia is one of the most concerning topics in our society. However, there is still a lack of a comprehensive overview of the research base and of future trends. This study aimed to guide beginners quickly learn the academic research on pediatric anesthesia and do their own studies by analyzing the articles of this field in the latest 21 years through bibliometric analysis. Literature scanning was conducted with the Web of Science database. Microsoft Excel, SPSS, VOSviewer, and CiteSpace were in this review. There was an increasing trend of articles on pediatric anesthesia, based on the analysis of 11,591 included articles. The top 3 most productive countries were the United States of America (4538), Canada (730) and Turkey (688). The most productive institutions were Boston Childrens hospital, Childrens Hospital Philadelphia and Ohio State University. Tobias, Joseph D (141), Kim, Hee-Soo (40) and Curley, Martha A Q (38) were the most active authors. Habre W (2017), Gross JB (2002) and Cravero JP (2009) are the articles cited more than 100 times during the analysis years. Anesthesia and Analgesia, Anesthesiology, Pediatric Anesthesia, were the core journals in this field. Cohort, simulation, sleep, postoperative complication are strongest burst keywords in recent years. This article summarizes the authoritative institutions, authors, literatures and frontier hotspots on pediatric anesthesia. Itwill be a valuable literature review and help beginners to quickly get started in the field, reduce unnecessary clueless and aimless learning, and greatly improve learning efficiency.

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“…It has been approved for use in pediatric patients and has a reported a bias, standard deviation (SD), standard error (SE), and root mean squared error (RMSE) for rSO 2 of 2.6%, 4.5%, 0.3%, and 4.3%, respectively, and a trend accuracy with a relative mean error of -1.4%, SD of 4.3%, SE of 0.2%, and RMSE of 3.9%. 24 In all patients, the adhesive sensor for cerebral rScO 2 monitoring was attached to the left frontoparietal region, and monitoring was started within the first 5 h of life. Peripheral SpO 2 monitoring was performed in the right upper limb.…”

Section: Methodsmentioning

confidence: 99%

Ventilatory Support, Extubation, and Cerebral Perfusion Changes in Pre-Term Neonates: A Near Infrared Spectroscopy Study

Massirio,

Cardiello,

Andreato

et al. 2024

Neurotrauma Reports

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Early extubation is considered to be beneficial for pre-term neonates. On the other hand, premature extubation can cause lung derecruitment, compromised gas exchange, and need for reintubation, which may be associated with severe brain injury caused by sudden cerebral blood flow changes. We used near infrared spectroscopy (NIRS) to investigate changes in cerebral oxygenation (rScO 2 ) and fractional tissue oxygen extraction (+) after extubation in pre-term infants. This is a single-center retrospective study of NIRS data at extubation time of all consecutive pre-term neonates born at our institution over a 1-year period. Comparison between subgroups was performed. Nineteen patients were included; average gestational age (GA) was 29.4 weeks. No significant change was noted in rScO 2 and cFTOE after extubation in the whole population. GA and germinal matrix hemorrhage (GMH)-intraventricular hemorrhage (IVH) showed a significant change in rScO 2 and cFTOE after extubation. A significant increase in cFTOE was noted in patients with previous GMH-IVH (+0.040; p = 0.05). To conclude, extubation per se was not associated with significant change in cerebral oxygenation and perfusion. Patients with a diagnosed GMH-IVH showed an increase in cFTOE, suggesting perturbation in cerebral perfusion suggesting further understanding during this challenging phenomenon. Larger studies are required to corroborate our findings.

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Validation of the Masimo O3™ regional oximetry device in pediatric patients undergoing cardiac surgery

Cited by 8 publications

References 20 publications

Oxygen saturation in intraosseous sternal blood measured by CO-oximetry and evaluated non-invasively during hypovolaemia and hypoxia – a porcine experimental study

Oxygen saturation in intraosseous sternal blood measured by CO-oximetry and evaluated non-invasively during hypovolaemia and hypoxia – a porcine experimental study

Trends and bibliometric analysis on pediatric anesthesia from 2002 to 2022: A review

Ventilatory Support, Extubation, and Cerebral Perfusion Changes in Pre-Term Neonates: A Near Infrared Spectroscopy Study

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