Evidence map›Paper›PMID 26418696›Full record

ArticleAnesthesiology2015

Fiber-optic Monitoring of Spinal Cord Hemodynamics in Experimental Aortic Occlusion.

Angela S Kogler, Thomas V Bilfinger, Robert M Galler, Rickson C Mesquita, Michael Cutrone, Steven S Schenkel, Arjun G Yodh, Thomas F Floyd

Open access · greenAbstract read
In one paragraph

Article in Anesthesiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 25 citations in OpenAlex.

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  7. Lossless Compressed Sensing of Photon Counts for Fast Diffuse Correlation Spectroscopy.IEEE access : practical innovations, open solutions · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Angela S KoglerFrom the Departments of Anesthesiology (A.S.K., M.C., T.F.F.), Surgery (T.V.B.), and Neurological Surgery (R.M.G.), Stony Brook University Medical Center, Stony Brook, New York; Department of Biomedical Engineering, Stony Brook University, Stony Brook, New York (A.S.K., T.F.F.); Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, Pennsylvania (R.C.M., S.S.S., A.G.Y.); and Institute of Physics, University of Campinas, Campinas, São Paulo, Brazil (R.C.M.).
Thomas V Bilfinger
Robert M Galler
Rickson C Mesquita
Michael Cutrone
Steven S Schenkel
Arjun G Yodh
Thomas F Floyd
Stony Brook University Hospital · USStony Brook University · USUniversity of Pennsylvania · USNeurological Surgery · US

Funding

Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
Diffuse Optics for Acute Stroke ManagementR01NS060653 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI YODH, ARJUN G. · 2008 to 2018
$5.5M
NIBIB NIH HHS P41 EB015893NIBIB NIH HHS P41-EB015893NINDS NIH HHS R01 NS060653NINDS NIH HHS R01-NS060653
6 · The paper itself

Abstract

backgroundSpinal cord ischemia occurs frequently during thoracic aneurysm repair. Current methods based on electrophysiology techniques to detect ischemia are indirect, non-specific, and temporally slow. In this article, the authors report the testing of a spinal cord blood flow and oxygenation monitor, based on diffuse correlation and optical spectroscopies, during aortic occlusion in a sheep model.

methodsTesting was carried out in 16 Dorset sheep. Sensitivity in detecting spinal cord blood flow and oxygenation changes during aortic occlusion, pharmacologically induced hypotension and hypertension, and physiologically induced hypoxia/hypercarbia was assessed. Accuracy of the diffuse correlation spectroscopy measurements was determined via comparison with microsphere blood flow measurements. Precision was assessed through repeated measurements in response to pharmacologic interventions.

resultsThe fiber-optic probe can be placed percutaneously and is capable of continuously measuring spinal cord blood flow and oxygenation preoperatively, intraoperatively, and postoperatively. The device is sensitive to spinal cord blood flow and oxygenation changes associated with aortic occlusion, immediately detecting a decrease in blood flow (-65 ± 32%; n = 32) and blood oxygenation (-17 ± 13%, n = 11) in 100% of trials. Comparison of spinal cord blood flow measurements by the device with microsphere measurements led to a correlation of R = 0.49, P < 0.01, and the within-sheep coefficient of variation was 9.69%. Finally, diffuse correlation spectroscopy is temporally more sensitive to ischemic interventions than motor-evoked potentials.

conclusionThe first-generation spinal fiber-optic monitoring device offers a novel and potentially important step forward in the monitoring of spinal cord ischemia.

Indexed as

Fiber Optic TechnologyHemodynamicsTherapeutic OcclusionAnimalsAortaDisease Models, AnimalHypertensionHypotensionHypoxiaMonitoring, PhysiologicReproducibility of ResultsSensitivity and SpecificitySheepSpinal CordSpinal Cord Ischemia

Identifiers

PMID26418696
PMCPMC4679520
OpenAlexW2172802177

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.