Title

Noninvasively determined muscle oxygen saturation is an early indicator of central hypovolemia in humans

UMMS Affiliation

Department of Anesthesiology

Publication Date

2008-02-01

Document Type

Article

Subjects

Adipose Tissue; Adult; Blood Pressure; Blood Volume; Electrocardiography; Female; Heart Rate; *Hemodynamics; Humans; Hydrogen-Ion Concentration; Hypovolemia; Lower Body Negative Pressure; Male; Models, Cardiovascular; Muscle, Skeletal; Oxygen; *Oxygen Consumption; Skin; *Spectrophotometry, Infrared; Stroke Volume; Time Factors; Vascular Resistance

Disciplines

Anesthesiology | Cardiovascular System | Diagnosis | Life Sciences | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Pathological Conditions, Signs and Symptoms | Physiology

Abstract

Ten healthy human volunteers were subjected to progressive lower body negative pressure (LBNP) to the onset of cardiovascular collapse to compare the response of noninvasively determined skin and fat corrected deep muscle oxygen saturation (SmO2) and pH to standard hemodynamic parameters for early detection of imminent hemodynamic instability. Muscle SmO2 and pH were determined with a novel near infrared spectroscopic (NIRS) technique. Heart rate (HR) was measured continuously via ECG, and arterial blood pressure (BP) and stroke volume (SV) were obtained noninvasively via Finometer and impedance cardiography on a beat-to-beat basis. SmO2 and SV were significantly decreased during the first LBNP level (-15 mmHg), whereas HR and BP were late indicators of impending cardiovascular collapse. SmO2 declined in parallel with SV and inversely with total peripheral resistance, suggesting, in this model, that SmO2 is an early indicator of a reduction in oxygen delivery through vasoconstriction. Muscle pH decreased later, suggesting an imbalance between delivery and demand. Spectroscopic determination of SmO2 is noninvasive and continuous, providing an early indication of impending cardiovascular collapse resulting from progressive reduction in central blood volume.

Keywords

tissue oxygen, near infrared spectroscopy, physiological monitoring, hemodynamic instability, lower body negative pressure

DOI of Published Version

10.1152/japplphysiol.00600.2007

Source

J Appl Physiol. 2008 Feb;104(2):475-81. Epub 2007 Nov 15. Link to article on publisher's site

Journal/Book/Conference Title

Journal of applied physiology (Bethesda, Md. : 1985)

Related Resources

Link to Article in PubMed

PubMed ID

18006869

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