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Technologies Related to Oxygen Supply to Tissue: Measurements of Oxygen Saturation, Tissue Blood Flow and Arterial Blood Pressure

A special issue of Sensors (ISSN 1424-8220). This special issue belongs to the section "Biomedical Sensors".

Deadline for manuscript submissions: 10 September 2024 | Viewed by 13718

Special Issue Editors


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Guest Editor
Department of Physics/Electro-Optics Engineering, Jerusalem College of Technology, Jerusalem, Israel
Interests: blood pressure measurement; oxygen saturation measurement; photoplethysmography; regional blood flow; autonomic nervous activity
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Neonatology, Schneider Children’s Medical Center of Israel, Petach Tikva, Israel
Interests: pulse oximetry; neonatal resuscitation; cyanotic heart diseases; neonatal respiratory monitoring

Special Issue Information

Dear Colleagues,

Adequate oxygen delivery to tissue is essential for cellular metabolism, in which ATP energy molecules are produced from oxygen and nutrients. The required oxygen is transported from the lungs to the tissue cells through the circulation of blood, mainly using hemoglobin molecules in red blood cells. Therefore, to maintain an adequate tissue oxygen supply, an adequate oxi-hemoglobin concentration in arterial blood and tissue blood flow are necessary, while cardiac output with an adequate arterial blood pressure is required to maintain the latter. To perform a noninvasive assessment of blood oxygenation in the arteries, oxygen saturation is commonly measured via pulse oximetry. On the other hand, venous and tissue oxygen saturation, which provides information on the tissue blood supply and oxygen extraction, can be measured using near-infrared spectroscopy (NIRS) and also non-pulsatile oximetry.

This Special Issue invites researchers to submit both reviews and original research manuscripts on measurements of the physiological parameters which contribute to the oxygen supply to tissue. Both the technical/methodological and clinical aspects of tissue oxygenation measurement may be considered, with the former including, but not being restricted to, optical techniques such as oximetry and NIRS. Studies on the relationship between hypotension, hypoperfusion to vital organs, insufficient oxygen supply to tissue, and clinical outcomes, and on the relationship between hypotension and cerebral dysfunction in particular, are also welcome.

Prof. Dr. Meir Nitzan
Dr. Ruben Bromiker
Guest Editors

Manuscript Submission Information

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Keywords

  • Arterial oxygen saturation
  • Venous oxygen saturation
  • Tissue oxygen saturation
  • Pulse oximetry
  • Cyanotic heart disease neonatal screening
  • Near infrared spectroscopy
  • Cerebral perfusion measurement
  • Preterm oxygen supplementation

Published Papers (3 papers)

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Research

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12 pages, 2267 KiB  
Article
A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
by Chien-Ching Lee, Chia-Chun Chuang, Bo-Cheng Lai, Yi-Chia Huang, Jen-Yin Chen and Bor-Shyh Lin
Sensors 2020, 20(7), 1891; https://doi.org/10.3390/s20071891 - 29 Mar 2020
Cited by 1 | Viewed by 1999
Abstract
In clinical practice, the catheter has to be placed at an accurate position during anesthesia administration. However, effectively guiding the catheter to the accurate position in deeper tissues can be difficult for an inexperienced practitioner. We aimed to address the current issues associated [...] Read more.
In clinical practice, the catheter has to be placed at an accurate position during anesthesia administration. However, effectively guiding the catheter to the accurate position in deeper tissues can be difficult for an inexperienced practitioner. We aimed to address the current issues associated with catheter placement using a novel smart assistance system for blood vessel catheter placement. We used a hollow introducer needle embedded with dual wavelength (690 and 850 nm) optical fibers to advance the tip into the subclavian vessels in anesthetized piglets. The results showed average optical density changes, and the difference between the absorption spectra and hemoglobin concentrations of different tissue components effectively identified different tissues (p < 0.05). The radial basis function neural network (RBFNN) technique was applied to distinguish tissue components (the F-measure value and accuracy were 93.02% and 94%, respectively). Finally, animal experiments were designed to validate the performance of the proposed system. Using this system based on oximetry, we easily navigated the needle tip to the target vessel. Based on the experimental results, the proposed system could effectively distinguish different tissue layers of the animals. Full article
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Review

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28 pages, 1360 KiB  
Review
The Various Oximetric Techniques Used for the Evaluation of Blood Oxygenation
by Meir Nitzan, Itamar Nitzan and Yoel Arieli
Sensors 2020, 20(17), 4844; https://doi.org/10.3390/s20174844 - 27 Aug 2020
Cited by 44 | Viewed by 6927
Abstract
Adequate oxygen delivery to a tissue depends on sufficient oxygen content in arterial blood and blood flow to the tissue. Oximetry is a technique for the assessment of blood oxygenation by measurements of light transmission through the blood, which is based on the [...] Read more.
Adequate oxygen delivery to a tissue depends on sufficient oxygen content in arterial blood and blood flow to the tissue. Oximetry is a technique for the assessment of blood oxygenation by measurements of light transmission through the blood, which is based on the different absorption spectra of oxygenated and deoxygenated hemoglobin. Oxygen saturation in arterial blood provides information on the adequacy of respiration and is routinely measured in clinical settings, utilizing pulse oximetry. Oxygen saturation, in venous blood (SvO2) and in the entire blood in a tissue (StO2), is related to the blood supply to the tissue, and several oximetric techniques have been developed for their assessment. SvO2 can be measured non-invasively in the fingers, making use of modified pulse oximetry, and in the retina, using the modified Beer–Lambert Law. StO2 is measured in peripheral muscle and cerebral tissue by means of various modes of near infrared spectroscopy (NIRS), utilizing the relative transparency of infrared light in muscle and cerebral tissue. The primary problem of oximetry is the discrimination between absorption by hemoglobin and scattering by tissue elements in the attenuation measurement, and the various techniques developed for isolating the absorption effect are presented in the current review, with their limitations. Full article
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Other

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11 pages, 2145 KiB  
Letter
Evaluation of a Novel Ear Pulse Oximeter: Towards Automated Oxygen Titration in Eyeglass Frames
by Fabian Braun, Christophe Verjus, Josep Solà, Marcus Marienfeld, Manuela Funke-Chambour, Jens Krauss, Thomas Geiser and Sabina A. Guler
Sensors 2020, 20(11), 3301; https://doi.org/10.3390/s20113301 - 10 Jun 2020
Cited by 1 | Viewed by 3339
Abstract
Current oxygen delivery modes lack monitoring and can be cumbersome for patients with chronic respiratory diseases. Integrating a pulse oximeter and nasal oxygen cannulas into eyeglasses would reduce the burden of current solutions. An ear pulse oximeter (OxyFrame) was evaluated on 16 healthy [...] Read more.
Current oxygen delivery modes lack monitoring and can be cumbersome for patients with chronic respiratory diseases. Integrating a pulse oximeter and nasal oxygen cannulas into eyeglasses would reduce the burden of current solutions. An ear pulse oximeter (OxyFrame) was evaluated on 16 healthy volunteers and 20 hypoxemic patients with chronic respiratory diseases undergoing a prespecified protocol simulating daily activities. Correlation, error, and accuracy root mean square error (ARMS) were calculated to compare SpO2 measured by OxyFrame, a standard pulse oximeter (MASIMO), and arterial blood gas analysis (aBGA). SpO2 measured by OxyFrame and MASIMO correlated strongly in volunteers, with low error and high accuracy (r = 0.85, error = 0.2 ± 2.9%, ARMS = 2.88%). Performances were similar in patients (r = 0.87, error 0 ± 2.5%, ARMS = 2.49% compared with MASIMO; and r = 0.93, error = 0.4 ± 1.9%, ARMS = 1.94% compared with aBGA). However, the percentage of rejected measurements was high (volunteers 77.2%, patients 46.9%). The OxyFrame cavum conchae pulse oximeter was successfully evaluated, and demonstrated accurate SpO2 measurements, compliant with ISO 80601-2-61:2017. Several reasons for the high rejection rate were identified, and potential solutions were proposed, which might be valuable for optimization of the sensor hardware. Full article
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