Paperdoi:10.1109/embc.2013.6610433

Free flap pulse oximetry utilizing reflectance photoplethysmography

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Authors: T. Zaman, P. A. Kyriacou, S. K. Pal

2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

TL;DR

The successful salvage of a free flap is dependent on the continuous monitoring of perfusion. To date there is no widely accepted and readily available post-operative monitoring technique to reliably assess the viability of free flaps by continuously monitoring free flap blood oxygen saturation. In an attempt to overcome the limitations of the current techniques a reflectance photoplethysmographic (PPG) processing system has been developed with the capability of real-time estimation of arterial oxygen saturation (SpO2) levels implemented in LabVIEW.

  • Published in 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) (2013).

Abstract

The successful salvage of a free flap is dependent on the continuous monitoring of perfusion. To date there is no widely accepted and readily available post-operative monitoring technique to reliably assess the viability of free flaps by continuously monitoring free flap blood oxygen saturation. In an attempt to overcome the limitations of the current techniques a reflectance photoplethysmographic (PPG) processing system has been developed with the capability of real-time estimation of arterial oxygen saturation (SpO2) levels implemented in LabVIEW. This system was evaluated in clinical measurements on five patients undergoing breast reconstruction using Deep Inferior Epigastric Perforator (DIEP) flap. Good quality PPG signals were obtained from the flaps and fingers simultaneously. The estimated free flap SpO2 values were in broad agreement with the oxygen saturation readings from the commercial pulse oximeter. The results suggest that reflectance free flap photoplethysmography can be used as a continuous monitoring technique to non-invasively monitor the perfusion of free flaps.

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Tasks & signals

Tasks

SpO₂

Signals

Keywords

Kyriacou BibliographyPulse Oximetry Oxygenation

How it works

How Method works: Setup → Method → TargetSetup: Signals (PPG). Method: Method. Target: SpO₂.SetupSignals: PPGSignalsPPGMethodMethodTargetSpO₂O₂SpO₂

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Zaman, T., Kyriacou, P. A., & Pal, S. K. (2013). Free flap pulse oximetry utilizing reflectance photoplethysmography. 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. https://doi.org/10.1109/embc.2013.6610433
Zaman, T., P. A. Kyriacou, and S. K. Pal. 2013. "Free flap pulse oximetry utilizing reflectance photoplethysmography." 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. https://doi.org/10.1109/embc.2013.6610433.
Zaman, T., Kyriacou, P. A. and Pal, S. K. (2013) 'Free flap pulse oximetry utilizing reflectance photoplethysmography', 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. doi: 10.1109/embc.2013.6610433.
Zaman, T., et al. "Free flap pulse oximetry utilizing reflectance photoplethysmography." 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2013. https://doi.org/10.1109/embc.2013.6610433.
T. Zaman, P. A. Kyriacou, and S. K. Pal, "Free flap pulse oximetry utilizing reflectance photoplethysmography," 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2013, doi: 10.1109/embc.2013.6610433.
@inproceedings{zaman2013free,
  title         = {{Free flap pulse oximetry utilizing reflectance photoplethysmography}},
  author        = {Zaman, T. and Kyriacou, P. A. and Pal, S. K.},
  year          = {2013},
  booktitle     = {2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society},
  doi           = {10.1109/embc.2013.6610433}
}

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