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Tissue hemoglobin monitoring of progressive central hypovolemia in humans using broadband diffuse optical spectroscopy

J. Biomed. Opt., Vol. 13, 064027 (2008); doi:10.1117/1.3041712

Published 16 December 2008
Jangwoen Lee, Jae G. Kim, Sari Mahon, and Bruce J. Tromberg
University of California, Irvine, Beckman Laser Institute and Medical Clinic, 1002 Health Sciences Road East, Irvine, California 92612

Kathy L. Ryan, Victor A. Convertino, and Caroline A. Rickards
U.S. Army Institute of Surgical Research, Fort Sam Houston, Texas 78234

Kathryn Osann
University of California, Irvine, Department of Medicine, 1002 Health Sciences Road East, Irvine, California 92612

Matthew Brenner
University of California, Irvine, Beckman Laser Institute and Medical Clinic, 1002 Health Sciences Road East, Irvine California 92612 and University of California, Irvine Medical Center, Pulmonary and Critical Care Division, Building 53, Room 119, 101 City Drive South, Orange, California 92868
We demonstrate noninvasive near-infrared diffuse optical spectroscopy (DOS) measurements of tissue hemoglobin contents that can track progressive reductions in central blood volume in human volunteers. Measurements of mean arterial blood pressure (MAP), heart rate (HR), stroke volume (SV), and cardiac output (Q) are obtained in ten healthy human subjects during baseline supine rest and exposure to progressive reductions of central blood volume produced by application of lower body negative pressure (LBNP). Simultaneous quantitative noninvasive measurements of tissue oxyhemoglobin (OHb), deoxyhemoglobin (RHb), total hemoglobin concentration (THb), and tissue hemoglobin oxygen saturation (StO2) are performed throughout LBNP application using broadband DOS. As progressively increasing amounts of LBNP are applied, HR increases, and MAP, SV, and Q decrease (p<0.001). OHb, StO2, and THb decrease (p<0.001) in correlation with progressive increases in LBNP, while tissue RHb remained relatively constant (p=0.378). The average fractional changes from baseline values in DOS OHb (fOHb) correlate closely with independently measured changes in SV (r2=0.95) and Q (r2=0.98) during LBNP. Quantitative noninvasive broadband DOS measurements of tissue hemoglobin parameters of peripheral perfusion are capable of detecting progressive reductions in central blood volume, and appear to be sensitive markers of early hypoperfusion associated with hemorrhage as simulated by LBNP.

©2008 Society of Photo-Optical Instrumentation Engineers
History: Received 3 July 2008; revised 10 October 2008; accepted 10 October 2008; published 16 December 2008
DOI Link: http://dx.doi.org/10.1117/1.3041712
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KEYWORDS and PACS

Keywords
PACS
  • 87.64.km
    Infrared spectroscopy in biophysics and medical physics
  • 87.14.E-
    Proteins
  • 87.63.L-
    Visual medical imaging
  • YEAR: 2008

JOURNAL DATA

ISSN:
1083-3668 (print)   1560-2281 (online)
Publisher:
AIP is a member of CrossRef SPIE

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