Validation of Noninvasive Hemoglobin Measurement by Pulse Co-oximeter in Newborn Infants

Overview

Journal J Perinatol

Specialty Gynecology & Obstetrics

Date 2015 Mar 6

PMID 25742288

Citations 7

Authors

C Nicholas

R George

S Sardesai

M Durand

R Ramanathan

R Cayabyab

Affiliations

Soon will be listed here.

Abstract

Objective: To describe the accuracy of noninvasive hemoglobin (Hb) obtained with pulse co-oximeter (SpHb) compared with total Hb (tHb) from laboratory co-oximeter in neonates.

Study Design: Neonates with birth weight (BW) <3000 g admitted to LAC+USC Medical Center neonatal intensive care unit were included. SpHb was recorded using Masimo Radical-7 and compared with tHb. A total of three data sets were obtained for each patient. Regression analysis and Bland-Altman analysis were performed.

Result: Sixty-one patients (mean±s.d., BW 1177±610 g and gestational age 28.7±3.9 weeks) were enrolled. The mean tHb value was 13.9±2.0 g dl(-1) and the mean SpHb was 14.0±2.0 g dl(-1). There was a moderately positive correlation between SpHb and tHb (r=0.66, P<0.001) with a bias and precision of -0.09±1.67 g dl(-1). Data from a subgroup of infants with gestational age ⩽32 weeks (52/61 patients) were analyzed, and the correlation coefficient was moderately positive (r=0.69, P<0.001) with a bias and precision of -0.23±1.60 g dl(-1).

Conclusion: Our results suggest that noninvasive SpHb may be considered as an adjunct to invasive tHb measurements in newborn infants <3000 g especially in preterm infants ⩽32 weeks of gestation.

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References

Dewhirst E, Naguib A, Winch P, Rice J, Galantowicz M, McConnell P . Accuracy of noninvasive and continuous hemoglobin measurement by pulse co-oximetry during preoperative phlebotomy. J Intensive Care Med. 2013; 29(4):238-42. DOI: 10.1177/0885066613485355. View

Park Y, Lee J, Song H, Byon H, Kim H, Kim J . The accuracy of noninvasive hemoglobin monitoring using the radical-7 pulse CO-Oximeter in children undergoing neurosurgery. Anesth Analg. 2012; 115(6):1302-7. DOI: 10.1213/ANE.0b013e31826b7e38. View

Gayat E, Bodin A, Sportiello C, Boisson M, Dreyfus J, Mathieu E . Performance evaluation of a noninvasive hemoglobin monitoring device. Ann Emerg Med. 2011; 57(4):330-3. DOI: 10.1016/j.annemergmed.2010.11.032. View

Noiri E, Kobayashi N, Takamura Y, Iijima T, Takagi T, Doi K . Pulse total-hemoglobinometer provides accurate noninvasive monitoring. Crit Care Med. 2005; 33(12):2831-5. DOI: 10.1097/01.ccm.0000190430.96750.51. View

Bland J, Altman D . Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986; 1(8476):307-10. View

Lamhaut L, Apriotesei R, Combes X, Lejay M, Carli P, Vivien B . Comparison of the accuracy of noninvasive hemoglobin monitoring by spectrophotometry (SpHb) and HemoCue® with automated laboratory hemoglobin measurement. Anesthesiology. 2011; 115(3):548-54. DOI: 10.1097/ALN.0b013e3182270c22. View

Rabe H, Fernandez Alvarez R, Whitfield T, Lawson F, JUNGMANN H . Spectroscopic noninvasive measurement of hemoglobin compared with capillary and venous values in neonates. Neonatology. 2010; 98(1):1-5. DOI: 10.1159/000261019. View

Rice M, Gravenstein N, Morey T . Noninvasive hemoglobin monitoring: how accurate is enough?. Anesth Analg. 2013; 117(4):902-907. DOI: 10.1213/ANE.0b013e31829483fb. View

Causey M, Miller S, Foster A, Beekley A, Zenger D, Martin M . Validation of noninvasive hemoglobin measurements using the Masimo Radical-7 SpHb Station. Am J Surg. 2011; 201(5):592-8. DOI: 10.1016/j.amjsurg.2011.01.020. View

10.

Jung Y, Lee J, Kim H, Shin S, Sohn J, Kim E . The efficacy of noninvasive hemoglobin measurement by pulse CO-oximetry in neonates. Pediatr Crit Care Med. 2012; 14(1):70-3. DOI: 10.1097/PCC.0b013e318260117d. View

11.

Butwick A, Hilton G, Carvalho B . Non-invasive haemoglobin measurement in patients undergoing elective Caesarean section. Br J Anaesth. 2011; 108(2):271-7. DOI: 10.1093/bja/aer373. View

12.

Isosu T, Obara S, Hosono A, Ohashi S, Nakano Y, Imaizumi T . Validation of continuous and noninvasive hemoglobin monitoring by pulse CO-oximetry in Japanese surgical patients. J Clin Monit Comput. 2012; 27(1):55-60. DOI: 10.1007/s10877-012-9397-2. View

13.

Macknet M, Allard M, Applegate 2nd R, Rook J . The accuracy of noninvasive and continuous total hemoglobin measurement by pulse CO-Oximetry in human subjects undergoing hemodilution. Anesth Analg. 2010; 111(6):1424-6. DOI: 10.1213/ANE.0b013e3181fc74b9. View

14.

Frasca D, Dahyot-Fizelier C, Catherine K, Levrat Q, Debaene B, Mimoz O . Accuracy of a continuous noninvasive hemoglobin monitor in intensive care unit patients. Crit Care Med. 2011; 39(10):2277-82. DOI: 10.1097/CCM.0b013e3182227e2d. View

15.

DeFrances C, Lucas C, Buie V, Golosinskiy A . 2006 National Hospital Discharge Survey. Natl Health Stat Report. 2008; (5):1-20. View

16.

Butwick A, Hilton G, Riley E, Carvalho B . Non-invasive measurement of hemoglobin during cesarean hysterectomy: a case series. Int J Obstet Anesth. 2011; 20(3):240-5. DOI: 10.1016/j.ijoa.2011.03.009. View

17.

Raikhel M . Accuracy of noninvasive and invasive point-of-care total blood hemoglobin measurement in an outpatient setting. Postgrad Med. 2012; 124(4):250-5. DOI: 10.3810/pgm.2012.07.2584. View