Measurement of transcutaneous hemoglobin concentration by noninvasive white-light spectroscopy in infants

Pediatrics. 2005 Oct;116(4):841-3. doi: 10.1542/peds.2004-2142.

Abstract

Objective: To compare transcutaneously spectroscopically measured hemoglobin values with venous hemoglobin values in infants.

Study design: Prospective study in healthy preterm and term infants who were breathing spontaneously.

Results: Recordings were obtained from 85 stable infants (median gestational age at measurement: 36 weeks [range: 34-43 weeks]; median body weight: 1890 g [range: 1095-4360 g]). The spectroscopic hemoglobin values were corrected for inhomogeneous distribution of hemoglobin in the tissue. The venous and spectroscopic hemoglobin values were then compared by using the Bland-Altman method, which gave an error of <5%.

Conclusions: This pilot study could illustrate a good relation between the 2 methods for measuring hemoglobin. Larger studies are required to validate the spectroscopic method in those with conditions that affect the skin microcirculation (eg, septicemia).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Capillaries
  • Gestational Age
  • Hemoglobins / analysis*
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Microcirculation
  • Skin / blood supply*
  • Spectrum Analysis* / instrumentation
  • Spectrum Analysis* / methods
  • Veins

Substances

  • Hemoglobins