Hemorrhagic shock Hypovolemia
Conditions
Interventions
None listed
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Healthy Normotensive Non-smoking > 18 years
Exclusion criteria
Exclusion criteria: Smoking Diabetes Hypertension Cardiovascular disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodynamic measurements Heart rate, beat-by-beat SBP, diastolic blood pressure, and stroke volume will be measured non-invasively using an infrared finger photoplethysmograph (Finometer Blood Pressure Monitor, TNO-TPD Biomedical Instrumentation, Amsterdam, The Netherlands) and a bio-impedance measurement system (Cheetah BioImpedance Cardiography). The Finometer blood pressure cuff will be placed on the middle finger of the left hand which, in turn, will be laid at heart level. Mean arterial pressure will be calculated by dividing the sum of SBP and twice diastolic blood pressure by 3. Non-invasive measurement of forearm and thenar oxygen saturation All patients will be tested with one multi-depth InSpectra device on the forearm and one multi-depth InSpectra device on the thenar, simultaneously. StO2 will be continuously and non-invasively measured using two InSpectra Tissue Spectrometers (Multi-depth Model, Hutchinson Technology Inc., Hutchinson, MN), which use reflectance mode probes which have one 1.5 mm optical fiber to illuminate the tissue and 3 optical fibers to detect the backscattered light from the tissue. The spatial separation between the illumination fiber and the 3 detection fibers will be 2.5, 15, and 25 mm. The relative optical attenuation of the backscattered light at four wavelengths (680, 720, 760, and 800 nm) is measured to calculate two second-derivative attenuation values, one centered at 720 nm, and the other at 760 nm. A ratio of the 720 nm to 760 nm second derivative values is directly related to StO2, defined as [HbO2]/[Hb]+[HbO2], via a calibration table. The calibration table relating StO2 to the second derivative attenuation ratio is stored permanently within the monitor and common to each monitor and probe used. The NIRS devices were calibrated before the first measurement in each subject using a light-scatter calibrator. The devices are both equipped with two temperature sensors: one for core temperature mea | — |
Secondary
| Measure | Time frame |
|---|---|
| n.v.t | — |
Countries
Netherlands
Outcome results
None listed