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

Bedside monitoring of patients with shock using a portable spatially-resolved near-infrared spectroscopy
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DOI:
10.1364/boe.6.003431
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发表时间:
2015-09-01
影响因子:
3.4
通讯作者:
Ruan, Zhengshang
Ruan, Zhengshang
中科院分区:
医学2区
文献类型:
--
作者:
Li, Ting;Duan, Meixue;Ruan, Zhengshang

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休克的临床监测主要依赖于从侵入性血液样本测试获得的血氧指数。颈内静脉中心静脉血氧水平(ScvO(2))被认为是预测休克的金标准指标。我们开发了一种无创的空间分辨近红外光谱(SR-NIRS)技术,用于测量25例休克患者ScvO(2)试验采血区域周围的组织血氧饱和度(StO(2))。发现StO(2)值与ScvO(2)水平高度相关(r = 0.84,p < 0.001),并且0.80的一致性系数较高。结果表明,无创SR-NIRS床旁休克监测的潜力。(C)2015年美国光学学会
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