Hypovolemia
Conditions
Keywords
Photoplethysmography, Vital signs, Hemodynamics
Brief summary
Hypovolemia caused by acute bleeding increased morbi-mortality in emergency and operatin rooms. Precise real-time diagnosis of incipient acute hypovolemia is lacking at the bedside. We hypothesize that the infrared-red signals of pulse oximetry are sensitive to acute changes in patient's volemia. We aimed to test this hypothesis in a cohort of healthy blood donors as a model of simulated acute hypovolemia.
Detailed description
This is a prospective and observational study designed to determine if the changes observed in finger photoplethysmographic waveform can detect incipient hypovolemia. The investigators will studied 60 blood donor volunteers as a model of slight hypovolemia (8-10% of the volemia). Vital signs and photoplethysmography will be recorded in the thumb of the tested hand during a standard blood donation protocol. Recorded data will be analyzed and compared before and after blood donation .
Interventions
Finger photoplethysmography in tested hand, noninvasive blood pressure and heart rate during blood donation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Written Inform Consent * weight \> 50 kg, * hemoglobin \>12.5 gr/dl
Exclusion criteria
* pregnancy, * ≤ 12 months from delivery or abortion, * symptoms of allergy, * fever \>37 °C, * infectious diseases, * addictions, * volunteers that received previous blood transfusions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analysis of the continuous component (DC) of the photoplethysmography signal. | 15 minutes | The DC components of photoplethysmography is measured in arbitrary units (a.u). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analysis of non-invasive arterial blood pressure (NIBP) | 15 minutes | NIBP is recorded in mmHg. This information is analyzed before and after blood donation. |
Countries
Argentina