A noninvasive hemoglobin monitor in the pediatric intensive care unit

The Journal of Surgical Research
Michael R PhillipsSean E McLean

Abstract

Critically ill pediatric patients frequently require hemoglobin monitoring. Accurate noninvasive Hb (SpHb) would allow practitioners to decrease anemia from repeated blood draws, traumatic blood draws, and a decreased number of laboratory Hb (LabHb) medical tests. The Food and Drug Administration has approved the Masimo Pronto SpHb and associated Rainbow probes; however, its use in the pediatric intensive care unit (PICU) is controversial. In this study, we define the degree of agreement between LabHb and SpHb using the Masimo Pronto SpHb Monitor and identify clinical and demographic conditions associated with decreased accuracy. We performed a prospective, observational study in a large PICU at an academic medical center. Fifty-three pediatric patients (30-d and 18-y-old), weighing >3 kg, admitted to the PICU from January-April 2013 were examined. SpHb levels measured at the time of LabHb blood draw were compared and analyzed. Only 83 SpHb readings were obtained in 118 attempts (70.3%) and 35 readings provided a result of "unable to obtain." The mean LabHb and SpHb were 11.1 g/dL and 11.2 g/dL, respectively. Bland-Altman analysis showed a mean difference of 0.07 g/dL with a standard deviation of ±2.59 g/dL. Pearson correlation...Continue Reading

References

Jun 1, 1995·Journal of Developmental and Behavioral Pediatrics : JDBP·K J SliferM D Cataldo
Feb 6, 2013·Clinical Chemistry and Laboratory Medicine : CCLM·Krystyna SztefkoPrzemysław Tomasik

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Citations

Mar 5, 2016·The Journal of Bone and Joint Surgery. American Volume·J Ryan MartinRobert T Trousdale
Mar 12, 2020·Paediatric Anaesthesia·Mohamed Maher KamelSarah A Elmetwally
Jul 9, 2016·The Journal of Trauma and Acute Care Surgery·Mark Leo RyanRegan F Williams
Mar 30, 2016·Current Opinion in Anaesthesiology·Aryeh Shander, Mazyar Javidroozi
Aug 15, 2021·Pediatrics and Neonatology·Kanzo OkazakiHiroshi Hataya

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