Strauss, Catharina and Anker, Alexandra and Klein, Silvan and Kemper, Robert and Brebant, Vanessa and Prantl, Lukas and Geis, Sebastian (2022) Monitoring free flaps and replanted digits via perfusion index - A proof of concept study. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 80 (4). pp. 363-371. ISSN 1386-0291, 1875-8622
Full text not available from this repository. (Request a copy)Abstract
BACKGROUND: Early detection and treatment of vascular complications in replanted digits is essential for the survival. The perfusion index (PI) represents a marker of peripheral perfusion as it shows the ratio of pulsatile to non-pulsatile blood flow. OBJECTIVE: To evaluate the feasibility and applicability of the PI as a monitoring tool for free flaps and replanted digits by measuring the inter- and intraindividual changes in PI. METHODS: Five patients were postoperatively monitored according to intern standards by hourly clinical evaluation. Additionally, a pulse oximeter with SET-technology (R) (Masimo Radial 7, Masimo Corporation, Irvine, USA) was added with a LNCS (R) Red TFA-1 SpO2 sensor (Masimo Corporation, Irvine, USA) and respectively a LNCS (R) Neo-3 neonatal finger clip to evaluate the perfusion via PI and SpO2. RESULTS: All patients showed sufficient perfusion in clinical controls. There was no detectable vascular complication during follow-up. Mean perfusion index was 0.93 with a median of 0.44. The patients showed a mean SpO2 of 90.59% with a median of 89.21%. CONCLUSION: Our results show a great intra- and interindividual range of PI and SpO2. SpO2 provided an even greater range than PI. Trends in intraindividual PI changes may be a promising monitoring tool for free flaps and replanted digits.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PULSE OXIMETRY; PERIPHERAL PERFUSION; DETECT; TOOL; Perfusion index; monitoring; free flap; replanted digits |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 13 Feb 2024 10:03 |
| Last Modified: | 13 Feb 2024 10:03 |
| URI: | https://pred.uni-regensburg.de/id/eprint/57147 |
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