Accuracy of non-invasive hemoglobin monitoring by pulse CO-oximeter during liver transplantation

dc.authoridcolak, yusuf ziya/0000-0002-8729-8705
dc.authoridToprak, Hüseyin İlksen/0000-0001-9293-8116
dc.authoridErdogan Kayhan, Gulay/0000-0002-2635-9295
dc.authoridUçar, Muharrem/0000-0002-1232-9829
dc.authoridSanli, Mukadder/0000-0003-1009-5536
dc.authorwosidcolak, yusuf ziya/ABH-3032-2020
dc.authorwosidToprak, Hüseyin İlksen/AAN-4023-2020
dc.authorwosidErdogan Kayhan, Gulay/JVZ-0037-2024
dc.authorwosidUçar, Muharrem/ABH-7761-2020
dc.authorwosidSanli, Mukadder/ABI-8124-2020
dc.contributor.authorErdogan Kayhan, Gulay
dc.contributor.authorColak, Yusuf Z.
dc.contributor.authorSanli, Mukadder
dc.contributor.authorUcar, Muharrem
dc.contributor.authorToprak, Huseyin I.
dc.date.accessioned2024-08-04T20:43:09Z
dc.date.available2024-08-04T20:43:09Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBACKGROUND: Hemoglobin level monitoring is essential during liver transplantation (LT) due to substantial blood loss. We evaluated the accuracy of non-invasive and continuous hemoglobin monitoring (SpHb) obtained by a transcutaneous spectrophotometry-based technology (Masimo Corporation, Irvine, CA) compared with conventional laboratory Hb measurement (Hb(L)) during LT. Additionally, we made subgroup analyses for distinct surgical phases that have special features and hemodynamic problems and thus may affect the accuracy of SpHb. METHODS: During LT, blood samples were obtained twice for each of the three phases of LT (pre-anhepatic, anhepatic, and neohepatic) and were analyzed by the central laboratory. The HbL measurements were compared with SpHb obtained at the time of the blood draws. RESULTS : A total of 282 data pairs obtained from 53 patients were analyzed. The SpHb values ranged from 6.9 to 17.7 g/dL, and the Hb(L) values ranged from 5.4 to 17.1 g/dL. The correlation coefficient between SpHb and HbL was 0.73 (P< 0.001), and change in SpHb versus change in HbL was 0.76 (P< 0.001). The sensitivity value determined using a 4-quadrant plot was 79%. The bias and precision of SpHb to HbL were 0.86 +/- 1.58 g/dL; the limits of agreement were -2.25 to 3.96 g/dL. The overall correlation between SpHb and Hb(L) remained stable in different phases of surgical procedure. CONCLUSIONS: SpHb was demonstrated to have a clinically acceptable accuracy of hemoglobin measurement in comparison with a standard laboratory device when used during LT. This technology can be useful as a trend monitor during all surgical phases of LT and can supplement HbL to optimize transfusion decisions or to detect occult bleeding.en_US
dc.identifier.doi10.23736/S0375-9393.17.11652-4
dc.identifier.endpage492en_US
dc.identifier.issn0375-9393
dc.identifier.issn1827-1596
dc.identifier.issue5en_US
dc.identifier.pmid28106356en_US
dc.identifier.scopus2-s2.0-85018983492en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage485en_US
dc.identifier.urihttps://doi.org/10.23736/S0375-9393.17.11652-4
dc.identifier.urihttps://hdl.handle.net/11616/97808
dc.identifier.volume83en_US
dc.identifier.wosWOS:000401667000011en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.relation.ispartofMinerva Anestesiologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHemoglobinsen_US
dc.subjectTranscutaneous blood gas monitoringen_US
dc.subjectLiver transplantationen_US
dc.titleAccuracy of non-invasive hemoglobin monitoring by pulse CO-oximeter during liver transplantationen_US
dc.typeArticleen_US

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