Paperdoi:10.1007/s12028-010-9349-y

Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter

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Authors: J. P. Phillips, R. M. Langford, S. H. Chang, K. Maney, P. A. Kyriacou, D. P. Jones

Neurocritical Care

TL;DR

A pilot investigation was undertaken to assess the performance of a novel fiber-optic cerebral pulse oximetry system. A fiber-optic probe designed to pass through the lumen of a cranial bolt of the type used to make intracranial pressure measurements was used to obtain optical reflectance signals directly from brain tissue. Short-duration measurements were made in six patients undergoing neurosurgery.

  • Published in Neurocritical Care (2010).

Abstract

BackgroundA pilot investigation was undertaken to assess the performance of a novel fiber-optic cerebral pulse oximetry system. A fiber-optic probe designed to pass through the lumen of a cranial bolt of the type used to make intracranial pressure measurements was used to obtain optical reflectance signals directly from brain tissue.MethodsShort-duration measurements were made in six patients undergoing neurosurgery. These were followed by a longer duration measurement in a patient recovering from an intracerebral hematoma. Estimations of cerebral arterial oxygen saturation derived from a frequency domain-based algorithm are compared with simultaneous pulse oximetry (SpO2) and hemoximeter (SaO2) blood samples.ResultsThe short-duration measurements showed that reliable photoplethysmographic signals could be obtained from the brain tissue. In the long-duration study, the mean (±SD) difference between cerebral oxygen saturation (ScaO2) and finger SpO2 (in saturation units) was -7.47(±3.4)%. The mean (±SD) difference between ScaO2 and blood SaO2 was -7.37(±2.8)%.ConclusionsThis pilot study demonstrated that arterial oxygen saturation may be estimated from brain tissue via a fiber-optic pulse oximeter used in conjunction with a cranial bolt. Further studies are needed to confirm the clinical utility of the technique.

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Tasks & signals

Signals

Keywords

Kyriacou BibliographyBrain Monitoring Icp

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Phillips, J. P., Langford, R. M., Chang, S. H., Maney, K., Kyriacou, P. A., & Jones, D. P. (2010). Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter. Neurocritical Care. https://doi.org/10.1007/s12028-010-9349-y
Phillips, J. P., R. M. Langford, S. H. Chang, K. Maney, P. A. Kyriacou, and D. P. Jones. 2010. "Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter." Neurocritical Care. https://doi.org/10.1007/s12028-010-9349-y.
Phillips, J. P., Langford, R. M., Chang, S. H., Maney, K., Kyriacou, P. A. and Jones, D. P. (2010) 'Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter', Neurocritical Care. doi: 10.1007/s12028-010-9349-y.
Phillips, J. P., et al. "Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter." Neurocritical Care, 2010. https://doi.org/10.1007/s12028-010-9349-y.
J. P. Phillips, R. M. Langford, S. H. Chang, K. Maney, P. A. Kyriacou, and D. P. Jones, "Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter," Neurocritical Care, 2010, doi: 10.1007/s12028-010-9349-y.
@article{phillips2010cerebral,
  title         = {{Cerebral Arterial Oxygen Saturation Measurements Using a Fiber-Optic Pulse Oximeter}},
  author        = {Phillips, J. P. and Langford, R. M. and Chang, S. H. and Maney, K. and Kyriacou, P. A. and Jones, D. P.},
  year          = {2010},
  journal       = {Neurocritical Care},
  doi           = {10.1007/s12028-010-9349-y}
}

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