Accuracy and reliability of continuous blood glucose monitoring during pediatric cardiopulmonary bypass
The purpose of this study was to assess the accuracy and reliability of a continuous blood glucose monitoring system (artificial endocrine pancreas; STG-55, Nikkiso, Tokyo, Japan) during pediatric cardiopulmonary bypass surgery. Twenty-five pediatric patients scheduled to undergo cardiovascular surg...
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| Veröffentlicht in: | Journal of artificial organs 2019-12, Vol.22 (4), p.353-356 |
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| creator | Kawahito, Shinji Mita, Naoji Soga, Tomohiro Yagi, Shusuke Kakuta, Nami Satomi, Shiho Kinoshita, Hiroyuki Takaishi, Kazumi Kitagawa, Tetsuya Kitahata, Hiroshi |
| description | The purpose of this study was to assess the accuracy and reliability of a continuous blood glucose monitoring system (artificial endocrine pancreas; STG-55, Nikkiso, Tokyo, Japan) during pediatric cardiopulmonary bypass surgery. Twenty-five pediatric patients scheduled to undergo cardiovascular surgery with cardiopulmonary bypass (age 4 months to 11 years; body weight 5.6–59.7 kg) were enrolled. The glucose sensor line of the artificial endocrine pancreas was connected to the venous side of the cardiopulmonary bypass circuit and used for continuous blood glucose monitoring. We obtained 192 samples for blood gas assessment from the cardiopulmonary bypass circuit, and i-STAT (Abbott, East Windsor, NJ, USA) was used for conventional blood glucose assessment. The accuracies of continuous glucose measurements (STG-55) and conventional intermittent glucose measurements (i-STAT) during cardiopulmonary bypass were compared by means of Clarke error grid analysis. The results were divided into five zones, A, B, C, D, and E, and 78.6% of paired measurements were in zone A, while 21.4% were in zone B. We confirmed that the results of this continuous blood glucose monitoring system for cardiopulmonary bypass during pediatric cardiovascular surgery were highly reliable. An artificial endocrine pancreas may facilitate the safe use of intensive insulin therapy during pediatric cardiovascular surgery. |
| doi_str_mv | 10.1007/s10047-019-01111-9 |
| format | Article |
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Twenty-five pediatric patients scheduled to undergo cardiovascular surgery with cardiopulmonary bypass (age 4 months to 11 years; body weight 5.6–59.7 kg) were enrolled. The glucose sensor line of the artificial endocrine pancreas was connected to the venous side of the cardiopulmonary bypass circuit and used for continuous blood glucose monitoring. We obtained 192 samples for blood gas assessment from the cardiopulmonary bypass circuit, and i-STAT (Abbott, East Windsor, NJ, USA) was used for conventional blood glucose assessment. The accuracies of continuous glucose measurements (STG-55) and conventional intermittent glucose measurements (i-STAT) during cardiopulmonary bypass were compared by means of Clarke error grid analysis. The results were divided into five zones, A, B, C, D, and E, and 78.6% of paired measurements were in zone A, while 21.4% were in zone B. We confirmed that the results of this continuous blood glucose monitoring system for cardiopulmonary bypass during pediatric cardiovascular surgery were highly reliable. An artificial endocrine pancreas may facilitate the safe use of intensive insulin therapy during pediatric cardiovascular surgery.</description><identifier>ISSN: 1434-7229</identifier><identifier>EISSN: 1619-0904</identifier><identifier>DOI: 10.1007/s10047-019-01111-9</identifier><identifier>PMID: 31236730</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Biomedical Engineering and Bioengineering ; Blood ; Blood glucose ; Blood Glucose - metabolism ; Body weight ; Brief Communication ; Cardiac Surgery ; Cardiac Surgical Procedures ; Cardiopulmonary Bypass - methods ; Child ; Child, Preschool ; Circuits ; Error analysis ; Female ; Glucose ; Glucose monitoring ; Heart Defects, Congenital - blood ; Heart Defects, Congenital - surgery ; Heart surgery ; Humans ; Insulin ; Insulin - blood ; Insulin Infusion Systems ; Male ; Medicine ; Medicine & Public Health ; Monitoring ; Monitoring systems ; Monitoring, Intraoperative - methods ; Nephrology ; Pancreas ; Pediatrics ; Reliability analysis ; Reproducibility of Results ; Surgery</subject><ispartof>Journal of artificial organs, 2019-12, Vol.22 (4), p.353-356</ispartof><rights>The Japanese Society for Artificial Organs 2019</rights><rights>Journal of Artificial Organs is a copyright of Springer, (2019). All Rights Reserved.</rights><rights>Copyright Springer Nature B.V. 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-6ea659aa8d7e90fc7787cb6802b82dfcfcea586bed279f61caddd03bd7153d663</citedby><cites>FETCH-LOGICAL-c530t-6ea659aa8d7e90fc7787cb6802b82dfcfcea586bed279f61caddd03bd7153d663</cites><orcidid>0000-0002-9416-3761</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10047-019-01111-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10047-019-01111-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31236730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawahito, Shinji</creatorcontrib><creatorcontrib>Mita, Naoji</creatorcontrib><creatorcontrib>Soga, Tomohiro</creatorcontrib><creatorcontrib>Yagi, Shusuke</creatorcontrib><creatorcontrib>Kakuta, Nami</creatorcontrib><creatorcontrib>Satomi, Shiho</creatorcontrib><creatorcontrib>Kinoshita, Hiroyuki</creatorcontrib><creatorcontrib>Takaishi, Kazumi</creatorcontrib><creatorcontrib>Kitagawa, Tetsuya</creatorcontrib><creatorcontrib>Kitahata, Hiroshi</creatorcontrib><title>Accuracy and reliability of continuous blood glucose monitoring during pediatric cardiopulmonary bypass</title><title>Journal of artificial organs</title><addtitle>J Artif Organs</addtitle><addtitle>J Artif Organs</addtitle><description>The purpose of this study was to assess the accuracy and reliability of a continuous blood glucose monitoring system (artificial endocrine pancreas; STG-55, Nikkiso, Tokyo, Japan) during pediatric cardiopulmonary bypass surgery. Twenty-five pediatric patients scheduled to undergo cardiovascular surgery with cardiopulmonary bypass (age 4 months to 11 years; body weight 5.6–59.7 kg) were enrolled. The glucose sensor line of the artificial endocrine pancreas was connected to the venous side of the cardiopulmonary bypass circuit and used for continuous blood glucose monitoring. We obtained 192 samples for blood gas assessment from the cardiopulmonary bypass circuit, and i-STAT (Abbott, East Windsor, NJ, USA) was used for conventional blood glucose assessment. The accuracies of continuous glucose measurements (STG-55) and conventional intermittent glucose measurements (i-STAT) during cardiopulmonary bypass were compared by means of Clarke error grid analysis. The results were divided into five zones, A, B, C, D, and E, and 78.6% of paired measurements were in zone A, while 21.4% were in zone B. We confirmed that the results of this continuous blood glucose monitoring system for cardiopulmonary bypass during pediatric cardiovascular surgery were highly reliable. An artificial endocrine pancreas may facilitate the safe use of intensive insulin therapy during pediatric cardiovascular surgery.</description><subject>Biomedical Engineering and Bioengineering</subject><subject>Blood</subject><subject>Blood glucose</subject><subject>Blood Glucose - metabolism</subject><subject>Body weight</subject><subject>Brief Communication</subject><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiopulmonary Bypass - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Circuits</subject><subject>Error analysis</subject><subject>Female</subject><subject>Glucose</subject><subject>Glucose monitoring</subject><subject>Heart Defects, Congenital - blood</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Insulin</subject><subject>Insulin - blood</subject><subject>Insulin Infusion Systems</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Monitoring</subject><subject>Monitoring systems</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Nephrology</subject><subject>Pancreas</subject><subject>Pediatrics</subject><subject>Reliability analysis</subject><subject>Reproducibility of Results</subject><subject>Surgery</subject><issn>1434-7229</issn><issn>1619-0904</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kclOBCEQhonRuIy-gAdD4sVLK0sDzdEYt2QSL3omNNATJj1NC81h3l5mURMPkkBB8tVfVP0AXGJ0ixESd6mctagQlmWXVckDcIr55ilRfVjuNa0rQYg8AWcpLRHCggl0DE4oJpQLik7B4t6YHLVZQz1YGF3vdet7P61h6KAJw-SHHHKCbR-ChYs-m5AcXIXBTyH6YQFt3obRWa-n6A00OlofxtwXSMc1bNejTukcHHW6T-5iH2fg4-nx_eGlmr89vz7czyvDKJoq7jRnUuvGCidRZ4RohGl5g0jbENuZzjjNGt46S4TsODbaWotoawVm1HJOZ-BmpzvG8JldmtTKJ-P6Xg-u9KEIqXkZjuCooNd_0GXIcSi_U4RixmqOBP6XIjWTZYqUFYrsKBNDStF1aox-VdpXGKmNWWpnlipmqa1ZSpakq710blfO_qR8u1MAugPSuBmyi7-1_5H9ArNPoOM</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Kawahito, Shinji</creator><creator>Mita, Naoji</creator><creator>Soga, Tomohiro</creator><creator>Yagi, Shusuke</creator><creator>Kakuta, Nami</creator><creator>Satomi, Shiho</creator><creator>Kinoshita, Hiroyuki</creator><creator>Takaishi, Kazumi</creator><creator>Kitagawa, Tetsuya</creator><creator>Kitahata, Hiroshi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9416-3761</orcidid></search><sort><creationdate>20191201</creationdate><title>Accuracy and reliability of continuous blood glucose monitoring during pediatric cardiopulmonary bypass</title><author>Kawahito, Shinji ; Mita, Naoji ; Soga, Tomohiro ; Yagi, Shusuke ; Kakuta, Nami ; Satomi, Shiho ; Kinoshita, Hiroyuki ; Takaishi, Kazumi ; Kitagawa, Tetsuya ; Kitahata, Hiroshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-6ea659aa8d7e90fc7787cb6802b82dfcfcea586bed279f61caddd03bd7153d663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Biomedical Engineering and Bioengineering</topic><topic>Blood</topic><topic>Blood glucose</topic><topic>Blood Glucose - metabolism</topic><topic>Body weight</topic><topic>Brief Communication</topic><topic>Cardiac Surgery</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiopulmonary Bypass - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Circuits</topic><topic>Error analysis</topic><topic>Female</topic><topic>Glucose</topic><topic>Glucose monitoring</topic><topic>Heart Defects, Congenital - blood</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Insulin</topic><topic>Insulin - blood</topic><topic>Insulin Infusion Systems</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Monitoring</topic><topic>Monitoring systems</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Nephrology</topic><topic>Pancreas</topic><topic>Pediatrics</topic><topic>Reliability analysis</topic><topic>Reproducibility of Results</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawahito, Shinji</creatorcontrib><creatorcontrib>Mita, Naoji</creatorcontrib><creatorcontrib>Soga, Tomohiro</creatorcontrib><creatorcontrib>Yagi, Shusuke</creatorcontrib><creatorcontrib>Kakuta, Nami</creatorcontrib><creatorcontrib>Satomi, Shiho</creatorcontrib><creatorcontrib>Kinoshita, Hiroyuki</creatorcontrib><creatorcontrib>Takaishi, Kazumi</creatorcontrib><creatorcontrib>Kitagawa, Tetsuya</creatorcontrib><creatorcontrib>Kitahata, Hiroshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawahito, Shinji</au><au>Mita, Naoji</au><au>Soga, Tomohiro</au><au>Yagi, Shusuke</au><au>Kakuta, Nami</au><au>Satomi, Shiho</au><au>Kinoshita, Hiroyuki</au><au>Takaishi, Kazumi</au><au>Kitagawa, Tetsuya</au><au>Kitahata, Hiroshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy and reliability of continuous blood glucose monitoring during pediatric cardiopulmonary bypass</atitle><jtitle>Journal of artificial organs</jtitle><stitle>J Artif Organs</stitle><addtitle>J Artif Organs</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>22</volume><issue>4</issue><spage>353</spage><epage>356</epage><pages>353-356</pages><issn>1434-7229</issn><eissn>1619-0904</eissn><abstract>The purpose of this study was to assess the accuracy and reliability of a continuous blood glucose monitoring system (artificial endocrine pancreas; STG-55, Nikkiso, Tokyo, Japan) during pediatric cardiopulmonary bypass surgery. Twenty-five pediatric patients scheduled to undergo cardiovascular surgery with cardiopulmonary bypass (age 4 months to 11 years; body weight 5.6–59.7 kg) were enrolled. The glucose sensor line of the artificial endocrine pancreas was connected to the venous side of the cardiopulmonary bypass circuit and used for continuous blood glucose monitoring. We obtained 192 samples for blood gas assessment from the cardiopulmonary bypass circuit, and i-STAT (Abbott, East Windsor, NJ, USA) was used for conventional blood glucose assessment. The accuracies of continuous glucose measurements (STG-55) and conventional intermittent glucose measurements (i-STAT) during cardiopulmonary bypass were compared by means of Clarke error grid analysis. The results were divided into five zones, A, B, C, D, and E, and 78.6% of paired measurements were in zone A, while 21.4% were in zone B. We confirmed that the results of this continuous blood glucose monitoring system for cardiopulmonary bypass during pediatric cardiovascular surgery were highly reliable. An artificial endocrine pancreas may facilitate the safe use of intensive insulin therapy during pediatric cardiovascular surgery.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>31236730</pmid><doi>10.1007/s10047-019-01111-9</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-9416-3761</orcidid></addata></record> |
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| ispartof | Journal of artificial organs, 2019-12, Vol.22 (4), p.353-356 |
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| subjects | Biomedical Engineering and Bioengineering Blood Blood glucose Blood Glucose - metabolism Body weight Brief Communication Cardiac Surgery Cardiac Surgical Procedures Cardiopulmonary Bypass - methods Child Child, Preschool Circuits Error analysis Female Glucose Glucose monitoring Heart Defects, Congenital - blood Heart Defects, Congenital - surgery Heart surgery Humans Insulin Insulin - blood Insulin Infusion Systems Male Medicine Medicine & Public Health Monitoring Monitoring systems Monitoring, Intraoperative - methods Nephrology Pancreas Pediatrics Reliability analysis Reproducibility of Results Surgery |
| title | Accuracy and reliability of continuous blood glucose monitoring during pediatric cardiopulmonary bypass |
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