In-Vivo Evaluation of a Fiber-Optic Splanchnic Photoplethysmographic Sensor during Open Laparotomy

Hickey, M., Samuels, N., Randive, N., Langford, R. M. & Kyriacou, P. A. (2009). In-Vivo Evaluation of a Fiber-Optic Splanchnic Photoplethysmographic Sensor during Open Laparotomy. Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE, pp. 1505-1508. doi: 10.1109/IEMBS.2009.5334159

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Abstract

There is a need for a reliable and continuous monitoring of abdominal organ oxygen saturation (SpO2). Splanchnic ischemia may ultimately lead to cellular hypoxia and necrosis and may well contribute to the development of multiple organ failures and increased mortality. A new prototype reflectance fiber optic photoplethysmographic sensor and signal processing system was evaluated on six anaesthetized patients undergoing elective laparotomy. PPG signals were obtained from various organs, including large and small bowel, liver, and stomach. The normalized amplitudes of the splanchnic PPG signals were in good agreement with those obtained from the periphery using an identical fiber optic sensor. Furthermore, average SpO2 values were in good agreement and showed correlation with those obtained from a commercial system. These preliminary results suggest that a miniaturized `indwelling' fiber optic sensor may be a suitable method for pre-operative and post-operative evaluation of splanchnic organ SpO2 and their health.

Item Type: Article
Additional Information: © 2009 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes, creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.
Subjects: R Medicine > RC Internal medicine
T Technology > TK Electrical engineering. Electronics Nuclear engineering
Divisions: School of Engineering & Mathematical Sciences > Engineering
URI: http://openaccess.city.ac.uk/id/eprint/13355

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