Can noninvasive hemoglobin measurement reduce the need for preoperative venipuncture in pediatric outpatient surgery?
Summary Background Noninvasive measurements of hemoglobin in the pediatric perioperative setting could be helpful to avoid venipunctures in children. The present study aims to evaluate this by using a noninvasive device for hemoglobin determination. We compared noninvasively obtained hemoglobin with...
Saved in:
Published in | Pediatric anesthesia Vol. 27; no. 11; pp. 1131 - 1135 |
---|---|
Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
France
Wiley Subscription Services, Inc
01.11.2017
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Summary
Background
Noninvasive measurements of hemoglobin in the pediatric perioperative setting could be helpful to avoid venipunctures in children. The present study aims to evaluate this by using a noninvasive device for hemoglobin determination. We compared noninvasively obtained hemoglobin with laboratory hemoglobin concentrations in children during their preoperative assessment.
Methods
In an observational study, 122 nonanemic children (age 4.2 ± 1.6 years) who were scheduled to undergo different surgical procedures under general anesthesia were included. In their preoperative preparations, single invasive blood samples for laboratory hemoglobin concentrations were routinely taken following hospital policy and compared to simultaneous noninvasive determinations of hemoglobin. A preoperative invasive value ≤9 g/dL would have caused cancelation of surgery and implied further investigations.
Results
A Bland‐Altman plot showed that the average difference between noninvasively obtained hemoglobin and laboratory hemoglobin concentration was −0.44 g/dL (bias) with a standard deviation of the mean bias of 1.04 g/dL. A hemoglobin error grid showed that the noninvasive device could identify almost all invasive hemoglobin values >9 g/dL. In total, there were 4 false‐positive values where noninvasively obtained hemoglobin observations were below while the paired invasive values were above 9 g/dL.
Conclusion
The data in this pediatric setting suggest that the device may eliminate the need for venipuncture in nonanemic children. |
---|---|
Bibliography: | Funding information Department of Health, Zhejiang Province, WKJ2010‐2‐017 (Qingquan Lian), 2012RCA044 (Ruifeng Zeng) and 2012RCA045 (Wangning Shangguan); International exchange program of Health and Family Planning Commission of Zhejiang Province, 2014116 (Ruifeng Zeng); The Zhejiang Province Public Welfare Technology Foundation of China 2015C33100 (Huacheng Liu); Zhejiang Medical Supported Discipline (Anesthesiology, 201602, Ruifeng Zeng) and Wenzhou City Public Welfare Science and Technology Project (Y20170138, Ruifeng Zeng). ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
ISSN: | 1155-5645 1460-9592 1460-9592 |
DOI: | 10.1111/pan.13229 |