Strauss, Catharina and Fodor, Katharina J. and Anker, Alexandra and Kemper, Robert and Prantl, Lukas and Brebant, Vanessa and Bosselmann, Talia and Geis, Sebastian (2024) The perfusion index as a noninvasive method for monitoring revascularized and replanted digits. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 86 (1-2). pp. 143-152. ISSN 1386-0291, 1875-8622
Full text not available from this repository. (Request a copy)Abstract
BACKGROUND: Monitoring replanted digits remains a challenging task in microsurgical units. Previous studies have indicated the perfusion index (PI), a parameter directly proportional to the blood flow, might be a useful tool. OBJECTIVE: The PI is evaluated as a monitoring tool in patients with replanted digits. METHODS: This prospective, non-interventional study includes 31 patients with revascularized or replanted digits. After successful revascularization or replantation, the PI and peripheral oxygen saturation of the affected finger and its contralateral equivalent were measured simultaneously. The values were detected by the device Radical-97 (R) Pulse CO-Oximeter (R) (Masimo Corporation, 52 Discovery, Irvine, CA 92618, USA). RESULTS: The median PI of affected fingers was 3.5 +/- 0.56 for revascularized and 2.2 +/- 0.8 for replanted fingers. The difference between the PI values of replanted digits and the healthy contralateral side was highly significant (p < 0.0001). The area under the curve in the receiver operating characteristics was 0.92 for a PI difference > 80.49% and predicted a loss of replant with a specificity of 100% and a sensitivity of 75%. CONCLUSION: The assessment of the PI in patients with reperfusion of a vascular compromised digit is a useful tool to continuously monitor peripheral perfusion. The dynamic behavior of the PI is essential to detect perfusion disturbance.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PULSE OXIMETRY; PERIPHERAL PERFUSION; SIGNAL; Replanted digits; microsurgery; perfusion index; monitoring |
| 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: | 16 Oct 2025 06:46 |
| Last Modified: | 16 Oct 2025 06:46 |
| URI: | https://pred.uni-regensburg.de/id/eprint/64558 |
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