AJP - Heart and Circulatory Physiology, Vol 256, Issue 5 1493-H1499, Copyright © 1989 by American Physiological Society

ARTICLES

Noninvasive determination of hemoglobin saturation in dogs by derivative near-infrared spectroscopy

M. Ferrari, D. A. Wilson, D. F. Hanley, J. F. Hartmann, M. C. Rogers and R. J. Traystman
Department of Anesthesiology, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205.

An in vivo method utilizing derivative near-infrared spectroscopy was developed to noninvasively determine cerebral venous hemoglobin O2 saturation (SVO2). The method was tested on eight pentobarbital-anesthetized dogs ventilated with differing inspired O2 mixtures to force changes in SVO2 over a wide range. Spectral data obtained by transilluminating the tissues surrounding the superior sagittal sinus (SS) were transformed into first derivative units for correlation with SVO2 data measured from the SS. Linear regression analysis was applied to data obtained from five dogs and used to build a three-wavelength algorithm for predicting brain SVO2. In three dogs, SVO2 was varied to test this equation ability to predict SVO2. The standard deviation of differences between measured SVO2 and SVO2 predicted from 31 separate spectra was 3.2%. These predicted values, when regressed against the sampled SVO2, yielded an r value of 0.97. The results demonstrate that during hypoxic hypoxia (HH) it is possible to noninvasively quantify SVO2 with the use of infrared spectroscopy.

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