Evidence map›Paper›PMID 39191463›Full record

ArticleTransfusion medicine (Oxford, England)2025

Myoglobin saturation as an intracellular indicator for transfusion need in oncology patients.

Kenneth A Schenkman, Wayne A Ciesielski, Terry B Gernsheimer, Lorilee S L Arakaki

Abstract readClinical Study
In one paragraph

Article in Transfusion medicine (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Kenneth A SchenkmanDepartments of Pediatrics, Bioengineering, and Anesthesiology, University of Washington, Seattle, Washington, USA.
Wayne A CiesielskiDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.
Terry B GernsheimerDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Lorilee S L ArakakiDepartment of Pediatrics, University of Washington, Seattle, Washington, USA.

Funding

Real-time myoglobin saturation measurement to assess benefit of RBC transfusionR44HL127543 · NHLBI · OPTICYTE, INC. · PI ARAKAKI, LORILEE S. L. · 2016 to 2022
$3.9M
Real-time myoglobin saturation measurement to assess benefit of RBC transfusionR41HL127543 · NHLBI · OPTICYTE, INC. · PI ARAKAKI, LORILEE S. L. · 2015 to 2015
$150k
NHLBI NIH HHS R41 HL127543NHLBI NIH HHS R44 HL127543NIH HHS 2R44HL127543
6 · The paper itself

Abstract

objectivesThis study aims to demonstrate the potential of myoglobin saturation as an indicator of oxygen delivery adequacy to help determine the need for red cell transfusion.

backgroundModern blood management approaches have been established to optimise use of red blood cells for transfusions in patients with anaemia. However, most approaches make recommendations to transfuse based on haemoglobin or haematocrit levels and do not directly address adequacy of oxygen delivery. Intracellular oxygen determined by myoglobin saturation directly measures oxygen delivery at the tissue level. METHODS/MATERIALS: A custom built spectrometer system with an optical fibre probe was used in this pilot study to measure muscle cell myoglobin saturation noninvasively from the first digital interosseous muscles in patients undergoing planned red blood cell transfusion. Patients were recruited from both the in-patient and out-patient oncology service at a major university medical centre. Measurements were made immediately before, immediately after, and 24 h following transfusion. Clinical data and tissue oxygen values from the Somanetics INVOS system were also collected.

resultsMyoglobin saturation, and thus cellular oxygen increased in some, but not all patients receiving a transfusion, and was most pronounced in patients who initially had low myoglobin saturation compared with the group as a whole.

conclusionClinical decisions to transfuse based on haemoglobin or haematocrit thresholds alone are likely insufficient to optimise use of red blood cell transfusions. The combination of haemoglobin or haematocrit with myoglobin saturation may optimally determine who will benefit physiologically from a transfusion.

Indexed as

AnemiaErythrocyte TransfusionMyoglobinNeoplasmsOxygenOxygen SaturationAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsMyoglobinOxygencellular oxygenationmyoglobintransfusion

Identifiers

PMID39191463
PMCPMC11835544

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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.