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Noninvasive Continuous Hemoglobin Monitoring: Role in Cardiovascular Surgery
Jaffer M Odeh1, Steven E Hill1
1University of Texas Southwestern Medical Center, Dallas, TX.
Journal of Cardiothoracic and Vascular Anesthesia
|July 8, 2019
Summary
Continuous noninvasive hemoglobin monitoring (SpHb) may reduce costs and complications from blood transfusions in surgery. This review assesses SpHb accuracy and its potential operating room applications.
Area of Science:
- Anesthesiology
- Medical Devices
- Hematology
Background:
- Blood transfusions in the operating room are linked to higher morbidity, mortality, and costs.
- Acute blood loss anemia from surgical bleeding requires timely diagnosis and treatment.
- Continuous noninvasive hemoglobin monitoring (SpHb) technology offers a potential solution.
Purpose of the Study:
- To review the accuracy of continuous noninvasive hemoglobin monitoring (SpHb) technology.
- To evaluate the potential role of SpHb in the operating room setting.
- To explore how SpHb can reduce costs and improve patient outcomes.
Main Methods:
- Literature review of studies on noninvasive hemoglobin monitoring accuracy.
- Analysis of the potential impact of SpHb on laboratory draws and transfusion practices.
- Examination of the relationship between SpHb and surgical bleeding management.
Main Results:
- The accuracy of SpHb technology in the operating room has been a subject of debate.
- SpHb has the potential to decrease the frequency of laboratory blood draws.
- Implementing SpHb could lead to a reduction in unnecessary blood transfusions.
Conclusions:
- Noninvasive hemoglobin monitoring accuracy requires further validation for operating room use.
- SpHb may play a significant role in optimizing blood management during surgery.
- Widespread adoption of SpHb could decrease transfusion-related complications and healthcare costs.
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