Noninvasive tissue oxygen saturation determined by near-infrared spectroscopy following peripheral nerve block
Background Noninvasive physiologic measurement of cutaneous tissue oxygenation using near‐infrared spectroscopy (NIRS) has become increasingly common in cardiovascular and plastic surgery. The aim of this study was to determine whether clinically available NIRS‐based monitors could detect changes in...
Gespeichert in:
Veröffentlicht in: | Acta anaesthesiologica Scandinavica 2011-11, Vol.55 (10), p.1239-1246 |
---|---|
Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1246 |
---|---|
container_issue | 10 |
container_start_page | 1239 |
container_title | Acta anaesthesiologica Scandinavica |
container_volume | 55 |
creator | TIGHE, P.J. ELLIOTT, C.E. LUCAS, S.D. BOEZAART, A.P. |
description | Background
Noninvasive physiologic measurement of cutaneous tissue oxygenation using near‐infrared spectroscopy (NIRS) has become increasingly common in cardiovascular and plastic surgery. The aim of this study was to determine whether clinically available NIRS‐based monitors could detect changes in tissue oxygen saturation (rSO2) following a variety of peripheral nerve blocks. We hypothesize that peripheral nerve blocks will produce detectable changes in cutaneous tissue oxygenation levels that can be measured by noninvasive NIRS‐based oximetry.
Methods
Forty adult patients scheduled for pre‐operative peripheral nerve block placement were enrolled. Prior to block placement, NIRS sensors were placed on the operative and nonoperative (control) limb. Baseline tissue oxygen saturation values were obtained prior to dosing of the nerve block, and measurements were recorded every 5 min thereafter.
Results
Initial rSO2 values were higher in the operative vs. control limbs prior to nerve block placement. Tissue oxygen saturation increased in the blocked, but not control, limbs with time. Subgroup analysis suggested statistically significant differences in rSO2 values in blocked vs. control limbs for cervical paravertebral, infraclavicular, and femoral nerve blocks.
Conclusions
Our results demonstrated sustained increases in tissue rSO2 values following peripheral nerve block placement, in addition to higher initial rSO2 values in operative limbs prior to block placement. Further investigations are necessary to define the expected baseline rSO2 values in operative and control limbs. Future efforts utilizing NIRS‐based detection of tissue ischemia should consider the small but significant changes in rSO2 resulting from a successful nerve block. |
doi_str_mv | 10.1111/j.1399-6576.2011.02533.x |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_905674532</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>905674532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5023-6f756f26a630ed7c187eb38060a63edec4e835ee7df083f3d3f23fbcb402d63b3</originalsourceid><addsrcrecordid>eNqNkEtv1DAURi0EokPhL6BsEKsEPxInWbAYVVBaVUWIl9SN5TjXxVOPndpJO_n3OMwwbPHG9vX5ru2DUEZwQdJ4tykIa9ucVzUvKCakwLRirNg9QavjwVO0whiTvCI1PUEvYtykLSvb9jk6oRS3lNB2hdy1d8Y9yGgeIBtNjBNkfjffgsuiHKcgR-Nd1sMIYWsc9Fk3Zw5kyI3TQYZUiAOoMfio_DBn2lvrH427zQYIZvgFQdrEh9S8s17dvUTPtLQRXh3mU_T944dvZ5_yq8_nF2frq1xVmLKc67rimnLJGYa-VqSpoWMN5jhVoAdVQsMqgLrXuGGa9UxTpjvVlZj2nHXsFL3d9x2Cv58gjmJrogJrpQM_RdHiitdlxWgimz2p0h9iAC2GYLYyzIJgscgWG7E4FYtTscgWf2SLXYq-PlwydVvoj8G_dhPw5gDIqKRNwpwy8R9XcswYaRL3fs89Ggvzfz9ArNdfl1XK5_u8iSPsjnkZ7gSvWV2Jn9fn4rIpv9zQmx-iZL8BNVmsyA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>905674532</pqid></control><display><type>article</type><title>Noninvasive tissue oxygen saturation determined by near-infrared spectroscopy following peripheral nerve block</title><source>MEDLINE</source><source>Wiley Online Library</source><creator>TIGHE, P.J. ; ELLIOTT, C.E. ; LUCAS, S.D. ; BOEZAART, A.P.</creator><creatorcontrib>TIGHE, P.J. ; ELLIOTT, C.E. ; LUCAS, S.D. ; BOEZAART, A.P.</creatorcontrib><description>Background
Noninvasive physiologic measurement of cutaneous tissue oxygenation using near‐infrared spectroscopy (NIRS) has become increasingly common in cardiovascular and plastic surgery. The aim of this study was to determine whether clinically available NIRS‐based monitors could detect changes in tissue oxygen saturation (rSO2) following a variety of peripheral nerve blocks. We hypothesize that peripheral nerve blocks will produce detectable changes in cutaneous tissue oxygenation levels that can be measured by noninvasive NIRS‐based oximetry.
Methods
Forty adult patients scheduled for pre‐operative peripheral nerve block placement were enrolled. Prior to block placement, NIRS sensors were placed on the operative and nonoperative (control) limb. Baseline tissue oxygen saturation values were obtained prior to dosing of the nerve block, and measurements were recorded every 5 min thereafter.
Results
Initial rSO2 values were higher in the operative vs. control limbs prior to nerve block placement. Tissue oxygen saturation increased in the blocked, but not control, limbs with time. Subgroup analysis suggested statistically significant differences in rSO2 values in blocked vs. control limbs for cervical paravertebral, infraclavicular, and femoral nerve blocks.
Conclusions
Our results demonstrated sustained increases in tissue rSO2 values following peripheral nerve block placement, in addition to higher initial rSO2 values in operative limbs prior to block placement. Further investigations are necessary to define the expected baseline rSO2 values in operative and control limbs. Future efforts utilizing NIRS‐based detection of tissue ischemia should consider the small but significant changes in rSO2 resulting from a successful nerve block.</description><identifier>ISSN: 0001-5172</identifier><identifier>EISSN: 1399-6576</identifier><identifier>DOI: 10.1111/j.1399-6576.2011.02533.x</identifier><identifier>PMID: 22092129</identifier><identifier>CODEN: AANEAB</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Amides ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics, Local ; Biological and medical sciences ; Conscious Sedation ; Female ; Humans ; Least-Squares Analysis ; Lower Extremity ; Male ; Medical sciences ; Middle Aged ; Models, Statistical ; Nerve Block ; Oximetry - methods ; Oxygen Consumption - physiology ; Spectroscopy, Near-Infrared - methods ; Subcutaneous Tissue - chemistry ; Subcutaneous Tissue - metabolism ; Treatment Outcome ; Upper Extremity ; Young Adult</subject><ispartof>Acta anaesthesiologica Scandinavica, 2011-11, Vol.55 (10), p.1239-1246</ispartof><rights>2011 The Authors. Acta Anaesthesiologica Scandinavica © 2011 The Acta Anaesthesiologica Scandinavica Foundation</rights><rights>2015 INIST-CNRS</rights><rights>2011 The Authors. Acta Anaesthesiologica Scandinavica © 2011 The Acta Anaesthesiologica Scandinavica Foundation.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5023-6f756f26a630ed7c187eb38060a63edec4e835ee7df083f3d3f23fbcb402d63b3</citedby><cites>FETCH-LOGICAL-c5023-6f756f26a630ed7c187eb38060a63edec4e835ee7df083f3d3f23fbcb402d63b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-6576.2011.02533.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-6576.2011.02533.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24603318$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22092129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TIGHE, P.J.</creatorcontrib><creatorcontrib>ELLIOTT, C.E.</creatorcontrib><creatorcontrib>LUCAS, S.D.</creatorcontrib><creatorcontrib>BOEZAART, A.P.</creatorcontrib><title>Noninvasive tissue oxygen saturation determined by near-infrared spectroscopy following peripheral nerve block</title><title>Acta anaesthesiologica Scandinavica</title><addtitle>Acta Anaesthesiol Scand</addtitle><description>Background
Noninvasive physiologic measurement of cutaneous tissue oxygenation using near‐infrared spectroscopy (NIRS) has become increasingly common in cardiovascular and plastic surgery. The aim of this study was to determine whether clinically available NIRS‐based monitors could detect changes in tissue oxygen saturation (rSO2) following a variety of peripheral nerve blocks. We hypothesize that peripheral nerve blocks will produce detectable changes in cutaneous tissue oxygenation levels that can be measured by noninvasive NIRS‐based oximetry.
Methods
Forty adult patients scheduled for pre‐operative peripheral nerve block placement were enrolled. Prior to block placement, NIRS sensors were placed on the operative and nonoperative (control) limb. Baseline tissue oxygen saturation values were obtained prior to dosing of the nerve block, and measurements were recorded every 5 min thereafter.
Results
Initial rSO2 values were higher in the operative vs. control limbs prior to nerve block placement. Tissue oxygen saturation increased in the blocked, but not control, limbs with time. Subgroup analysis suggested statistically significant differences in rSO2 values in blocked vs. control limbs for cervical paravertebral, infraclavicular, and femoral nerve blocks.
Conclusions
Our results demonstrated sustained increases in tissue rSO2 values following peripheral nerve block placement, in addition to higher initial rSO2 values in operative limbs prior to block placement. Further investigations are necessary to define the expected baseline rSO2 values in operative and control limbs. Future efforts utilizing NIRS‐based detection of tissue ischemia should consider the small but significant changes in rSO2 resulting from a successful nerve block.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Amides</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Local</subject><subject>Biological and medical sciences</subject><subject>Conscious Sedation</subject><subject>Female</subject><subject>Humans</subject><subject>Least-Squares Analysis</subject><subject>Lower Extremity</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Nerve Block</subject><subject>Oximetry - methods</subject><subject>Oxygen Consumption - physiology</subject><subject>Spectroscopy, Near-Infrared - methods</subject><subject>Subcutaneous Tissue - chemistry</subject><subject>Subcutaneous Tissue - metabolism</subject><subject>Treatment Outcome</subject><subject>Upper Extremity</subject><subject>Young Adult</subject><issn>0001-5172</issn><issn>1399-6576</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtv1DAURi0EokPhL6BsEKsEPxInWbAYVVBaVUWIl9SN5TjXxVOPndpJO_n3OMwwbPHG9vX5ru2DUEZwQdJ4tykIa9ucVzUvKCakwLRirNg9QavjwVO0whiTvCI1PUEvYtykLSvb9jk6oRS3lNB2hdy1d8Y9yGgeIBtNjBNkfjffgsuiHKcgR-Nd1sMIYWsc9Fk3Zw5kyI3TQYZUiAOoMfio_DBn2lvrH427zQYIZvgFQdrEh9S8s17dvUTPtLQRXh3mU_T944dvZ5_yq8_nF2frq1xVmLKc67rimnLJGYa-VqSpoWMN5jhVoAdVQsMqgLrXuGGa9UxTpjvVlZj2nHXsFL3d9x2Cv58gjmJrogJrpQM_RdHiitdlxWgimz2p0h9iAC2GYLYyzIJgscgWG7E4FYtTscgWf2SLXYq-PlwydVvoj8G_dhPw5gDIqKRNwpwy8R9XcswYaRL3fs89Ggvzfz9ArNdfl1XK5_u8iSPsjnkZ7gSvWV2Jn9fn4rIpv9zQmx-iZL8BNVmsyA</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>TIGHE, P.J.</creator><creator>ELLIOTT, C.E.</creator><creator>LUCAS, S.D.</creator><creator>BOEZAART, A.P.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>201111</creationdate><title>Noninvasive tissue oxygen saturation determined by near-infrared spectroscopy following peripheral nerve block</title><author>TIGHE, P.J. ; ELLIOTT, C.E. ; LUCAS, S.D. ; BOEZAART, A.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5023-6f756f26a630ed7c187eb38060a63edec4e835ee7df083f3d3f23fbcb402d63b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amides</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Local</topic><topic>Biological and medical sciences</topic><topic>Conscious Sedation</topic><topic>Female</topic><topic>Humans</topic><topic>Least-Squares Analysis</topic><topic>Lower Extremity</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Nerve Block</topic><topic>Oximetry - methods</topic><topic>Oxygen Consumption - physiology</topic><topic>Spectroscopy, Near-Infrared - methods</topic><topic>Subcutaneous Tissue - chemistry</topic><topic>Subcutaneous Tissue - metabolism</topic><topic>Treatment Outcome</topic><topic>Upper Extremity</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TIGHE, P.J.</creatorcontrib><creatorcontrib>ELLIOTT, C.E.</creatorcontrib><creatorcontrib>LUCAS, S.D.</creatorcontrib><creatorcontrib>BOEZAART, A.P.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta anaesthesiologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TIGHE, P.J.</au><au>ELLIOTT, C.E.</au><au>LUCAS, S.D.</au><au>BOEZAART, A.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noninvasive tissue oxygen saturation determined by near-infrared spectroscopy following peripheral nerve block</atitle><jtitle>Acta anaesthesiologica Scandinavica</jtitle><addtitle>Acta Anaesthesiol Scand</addtitle><date>2011-11</date><risdate>2011</risdate><volume>55</volume><issue>10</issue><spage>1239</spage><epage>1246</epage><pages>1239-1246</pages><issn>0001-5172</issn><eissn>1399-6576</eissn><coden>AANEAB</coden><abstract>Background
Noninvasive physiologic measurement of cutaneous tissue oxygenation using near‐infrared spectroscopy (NIRS) has become increasingly common in cardiovascular and plastic surgery. The aim of this study was to determine whether clinically available NIRS‐based monitors could detect changes in tissue oxygen saturation (rSO2) following a variety of peripheral nerve blocks. We hypothesize that peripheral nerve blocks will produce detectable changes in cutaneous tissue oxygenation levels that can be measured by noninvasive NIRS‐based oximetry.
Methods
Forty adult patients scheduled for pre‐operative peripheral nerve block placement were enrolled. Prior to block placement, NIRS sensors were placed on the operative and nonoperative (control) limb. Baseline tissue oxygen saturation values were obtained prior to dosing of the nerve block, and measurements were recorded every 5 min thereafter.
Results
Initial rSO2 values were higher in the operative vs. control limbs prior to nerve block placement. Tissue oxygen saturation increased in the blocked, but not control, limbs with time. Subgroup analysis suggested statistically significant differences in rSO2 values in blocked vs. control limbs for cervical paravertebral, infraclavicular, and femoral nerve blocks.
Conclusions
Our results demonstrated sustained increases in tissue rSO2 values following peripheral nerve block placement, in addition to higher initial rSO2 values in operative limbs prior to block placement. Further investigations are necessary to define the expected baseline rSO2 values in operative and control limbs. Future efforts utilizing NIRS‐based detection of tissue ischemia should consider the small but significant changes in rSO2 resulting from a successful nerve block.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>22092129</pmid><doi>10.1111/j.1399-6576.2011.02533.x</doi><tpages>8</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0001-5172 |
ispartof | Acta anaesthesiologica Scandinavica, 2011-11, Vol.55 (10), p.1239-1246 |
issn | 0001-5172 1399-6576 |
language | eng |
recordid | cdi_proquest_miscellaneous_905674532 |
source | MEDLINE; Wiley Online Library |
subjects | Adolescent Adult Aged Aged, 80 and over Amides Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Local Biological and medical sciences Conscious Sedation Female Humans Least-Squares Analysis Lower Extremity Male Medical sciences Middle Aged Models, Statistical Nerve Block Oximetry - methods Oxygen Consumption - physiology Spectroscopy, Near-Infrared - methods Subcutaneous Tissue - chemistry Subcutaneous Tissue - metabolism Treatment Outcome Upper Extremity Young Adult |
title | Noninvasive tissue oxygen saturation determined by near-infrared spectroscopy following peripheral nerve block |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T12%3A27%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Noninvasive%20tissue%20oxygen%20saturation%20determined%20by%20near-infrared%20spectroscopy%20following%20peripheral%20nerve%20block&rft.jtitle=Acta%20anaesthesiologica%20Scandinavica&rft.au=TIGHE,%20P.J.&rft.date=2011-11&rft.volume=55&rft.issue=10&rft.spage=1239&rft.epage=1246&rft.pages=1239-1246&rft.issn=0001-5172&rft.eissn=1399-6576&rft.coden=AANEAB&rft_id=info:doi/10.1111/j.1399-6576.2011.02533.x&rft_dat=%3Cproquest_cross%3E905674532%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=905674532&rft_id=info:pmid/22092129&rfr_iscdi=true |