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Wearable wireless real-time cerebral oximeter for measuring regional cerebral oxygen saturation

Science China(Information Sciences) 2021年第1期64卷 123-132页

作者： Juanning SI Xin ZHANG Meng LI Jian YU Zhiyong ZHANG Qing HE Shaohua CHEN Lianqing ZHU Tianzi JIANG School of Instrumentation Science and Opto-electronics Engineering Beijing Information Science and Technology University Beijing Key Laboratory for Optoelectronic Measurement Technology Beijing Information Science and Technology University Brainnetome Center Institute of AutomationChinese Academy of Sciences National Laboratory of Pattern Recognition Institute of AutomationChinese Academy of Sciences Research and Development Department Casibrain Technology Limited Company Key Laboratory for NeuroInformation of the Ministry of Education School of Life Science and TechnologyUniversity of Electronic Science and Technology of China Chinese Academy of Sciences Center for Excellence in Brain Science Institute of AutomationChinese Academy of Sciences Queensland Brain Institute University of Queensland

Monitoring regional cerebral oxygen saturation throughout the perioperative clinical process is important for successful patient outcomes. cerebral oximeters based on near-infrared spectroscopy(NIRS)have already been used for monitoring brain oxygenation and hemodynamics to avoid intraoperative ischemic stroke and reduce postoperative cognitive dysfunction. The current devices are all designed to be used as a bedside monitor, limiting their use to situations that center around a hospital bed. There is a current lack of wearable, miniaturized, wireless equipment that can extend brain oxygenation monitoring to motion tasks or tight spaces. We design a head-mounted wearable wireless oxygen saturation monitoring on head(WORTH)band based on NIRS for monitoring regional cerebral oxygen saturation. The band is embedded with a highly integrated central block, which comprises an optical module, a microprocessor unit, a wireless communication module, and a power management module. The performance of the WORTH band is evaluated by a controlled hypoxia experiment and a squat-to-stand experiment. The results confirm that the WORTH band can record cerebral oxygen saturation with an accuracy comparable to that of a clinical monitor and demonstrate that it is also effective during motion tasks.

关键词： near-infrared spectroscopy cerebral oxygen saturation oximeter rSO2 wearable

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Effect of Hemodilution on Fluctuation of cerebral oxygen saturation during Cardiopulmonary Bypass in Children with Cyanotic Congenital Heart Disease

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Congenital Heart Disease 2021年第2期16卷 123-136页

作者： Misook Seo In-Kyung Song Hye-Mee Kwon Byungdoo Andrew Lee Won-Jung Shin Department of Anesthesiology Damsoyu HospitalSeoulKorea Department Anesthesiology and Pain Medicine Laboratory for Cardiovascular DynamicsAsan Medical CenterUniversity of Ulsan College of MedicineSeoul05505Korea

Background:In patients with cyanotic congenital heart disease(CHD),cerebral oxygenation may be maintained by elevations in hematocrit(Hct).Hemodilution accompanying cardiopulmonary bypass(CPB),however,can disrupt cerebral oxygen balance,leading to fluctuations in cerebral oxygen saturation(ScO_(2)).The present study investigated the effects of Hct changes on the fluctuation of ScO_(2)during CPB in cyanotic CHD using performance measurement(PM).Methods:Children with CHD(51 acyanotic and 46 cyanotic)who had undergone cardiac surgery using CPB were *** performance error(MDPE),median absolute performance error(MDAPE),and wobble parameters of ScO_(2)were calculated before(reference value),during,and after *** of PM parameters with Hct and reductions in Hct(ΔHct)were also ***:Before CPB,patients with cyanotic CHD had lower MDPE and larger wobble than those with acyanotic CHD,although mean ScO_(2)did not differ significantly between the two *** CPB,ScO_(2)of acyanotic CHD increased asΔHct increased,but PM variables were not associated withΔ*** cyanotic CHD,MDPE(r=−0.324,p=0.032)and MDAPE(r=0.339,p=0.024)correlated significantly withΔHct during *** CPB,MDPE(r=0.574,p=0.025)and MDAPE(r=−0.543,p=0.036)were significantly correlated with Hct in children with cyanotic CHD who underwent palliative ***:Therefore,ScO_(2)fluctuation during CPB in children with cyanotic CHD may be affected by the decrease in Hct,suggesting that excessive hemodilution can negatively influence the maintenance of cerebral oxygenation in these patients.

关键词： Cardiopulmonary bypass cerebral oxygen saturation children congenital heart disease hemodilution

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Neuroprotection of hyperbaric oxygen therapy in sub-acute traumatic brain injury:not by immediately improving cerebral oxygen saturation and oxygen partial pressure

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Neural Regeneration Research 2016年第9期11卷 1445-1449页

作者： Bao-chun Zhou Li-jun Liu Bing Liu Department of Emergency and Intensive Care Unit the Second Affiliated Hospital of Soochow University Department of Neurosurgery High-tech District Branch of the Second Affiliated Hospital of Soochow University

Although hyperbaric oxygen （HBO） therapy can promote the recovery of neural function in patients who have suffered traumatic brain injury （TBI）, the underlying mechanism is unclear. We hypothesized that hyperbaric oxygen treatment plays a neuroprotective role in TBI by increasing regional transcranial oxygen saturation （rSO2） and oxygen partial pressure （PaO2）. To test this idea, we compared two groups： a control group with 20 healthy people and a treatment group with 40 TBI patients. The 40 patients were given 100% oxygen of HBO for 90 minutes. Changes in rSO2 were measured. The controls were also examined for rSO2 and PaO2, but received no treatment, rSO2 levels in the patients did not differ significantly after treatment, but levels before and after treatment were significantly lower than those in the control group. PaO2 levels were significantly decreased after the 30-minute HBO treatment. Our findings suggest that there is a disorder of oxygen metabolism in patients with sub-acute TBI. HBO does not immediately affect cerebral oxygen metabolism, and the underlying mechanism still needs to be studied in depth.

关键词： nerve regeneration hyperbaric oxygen near-infrared spectroscopy cerebral oxygen saturation traumatic brain injury oxygen partialpressure oxygen metabolism wound healing neurological function blood gas analysis neural regeneration

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