TY - JOUR
T1 - The measurement of accurate fetal hemoglobin and related oxygen saturation by the hemoximeter
AU - Shiao, Shyang Yun Pamela K.
AU - Ou, Ching Nan
AU - Pierantoni, Hector
N1 - Funding Information:
This study is supported in part by R01-NR04447 grant from the National Institutes of Health. The authors would also like to acknowledge the nurses, physicians, and respiratory therapists at the clinical settings who participated and helped with the blood sample collection.
PY - 2006/12
Y1 - 2006/12
N2 - Background: The purposes of this study were to examine the accuracy of fetal hemoglobin (HbF) as quickly measured by the hemoximeter, verified by the high-performance liquid chromatography method, and to examine related oxygen saturation (SO 2) measurements in neonates. Methods: Thirty-nine neonates with gestational ages ranging from 25 to 38 weeks were investigated (n = 280 blood samples). Twenty younger premature neonates had blood transfusions (n = 188 blood samples, 72 before and 116 after transfusions), and 19 older neonates did not. Results: The bias of the hemoximeter was 23% (± 9.1) against the HPLC; 25% (± 7.9) before, and 19% (± 8.6) after blood transfusions (all P < 0.001), for HbF measurements. A regression line (HbFt by the HPLC = 8.46 + 0.7 × HbF by the hemoximeter) has been provided for the prediction. Oxyhemoglobin dissociation curves with the status of (before and after) blood transfusions were presented. In relation to oxygen tension values of 50-75 mm Hg, in addition to the right-shifted oxyhemoglobin dissociation curves, pulse oximeter ranged from 95 to 98% before the transfusions, but decreased to 94 to 96% after the blood transfusions. Conclusions: Accurate HbF and related oxygen saturation measurements need to be determined, especially for premature neonates, to minimize the risk of oxygen toxicity.
AB - Background: The purposes of this study were to examine the accuracy of fetal hemoglobin (HbF) as quickly measured by the hemoximeter, verified by the high-performance liquid chromatography method, and to examine related oxygen saturation (SO 2) measurements in neonates. Methods: Thirty-nine neonates with gestational ages ranging from 25 to 38 weeks were investigated (n = 280 blood samples). Twenty younger premature neonates had blood transfusions (n = 188 blood samples, 72 before and 116 after transfusions), and 19 older neonates did not. Results: The bias of the hemoximeter was 23% (± 9.1) against the HPLC; 25% (± 7.9) before, and 19% (± 8.6) after blood transfusions (all P < 0.001), for HbF measurements. A regression line (HbFt by the HPLC = 8.46 + 0.7 × HbF by the hemoximeter) has been provided for the prediction. Oxyhemoglobin dissociation curves with the status of (before and after) blood transfusions were presented. In relation to oxygen tension values of 50-75 mm Hg, in addition to the right-shifted oxyhemoglobin dissociation curves, pulse oximeter ranged from 95 to 98% before the transfusions, but decreased to 94 to 96% after the blood transfusions. Conclusions: Accurate HbF and related oxygen saturation measurements need to be determined, especially for premature neonates, to minimize the risk of oxygen toxicity.
KW - Acetylated fetal hemoglobin
KW - Fetal hemoglobin
KW - Hb oxygen saturation
KW - Hemoglobin
KW - Transfusion
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U2 - 10.1016/j.cca.2006.05.042
DO - 10.1016/j.cca.2006.05.042
M3 - Article
C2 - 16844104
AN - SCOPUS:33749989624
SN - 0009-8981
VL - 374
SP - 75
EP - 80
JO - Clinica Chimica Acta
JF - Clinica Chimica Acta
IS - 1-2
ER -