pH effect on the COHb absorption spectrum: importance for calibration of the OSM3 and measurement of circulating hemoglobin and blood volume

An easy method to measure blood volume is clinically needed. We used carbon monoxide (CO) and the OSM3 to measure circulating hemoglobin and blood volume with the indicator dilution principle. 50 mL of CO was administered into a closed rebreathing system and taken up via the lungs, and the amount of...

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Bibliographic Details
Published inScandinavian journal of clinical & laboratory investigation. Supplement Vol. 203; p. 247
Main Authors Fogh-Andersen, N, Thomsen, J K, Foldager, N, Siggaard-Andersen, O
Format Journal Article
LanguageEnglish
Published Norway 1990
Subjects
Blood Volume
Carbon Monoxide - blood
Carboxyhemoglobin - metabolism
Hemoglobins - analysis
Humans
Hydrogen-Ion Concentration
Kinetics
Oximetry - standards
Regression Analysis
Spectrophotometry
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Summary:An easy method to measure blood volume is clinically needed. We used carbon monoxide (CO) and the OSM3 to measure circulating hemoglobin and blood volume with the indicator dilution principle. 50 mL of CO was administered into a closed rebreathing system and taken up via the lungs, and the amount of hemoglobin in the blood was calculated from the increase in carboxyhemoglobin fraction after 10 min. Blood volume was calculated by division with the concentration of hemoglobin. We observed that the absorption spectrum of carboxyhemoglobin (COHb) depends on pH and pCO2, which must be controlled when very accurate spectrophotometry is necessary. The bias is 3% COHb per pH unit during calibration of the OSM3, which may be permissible for patients with CO poisoning, but not for the present purpose. With this in mind the method is very accurate, precise and simple.
ISSN:0085-591X
2166-1030
DOI:10.3109/00365519009087518