Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy

Cardiovascular function monitoring has been suggested as a key parameter to determine patient stability during the anesthetic process. However, the use of pulse co-oximetry has been suggested as a technology to complement the monitoring of this system as a direct way to assess hemoglobin (Hb) blood...

Full description

Bibliographic Details
Main Authors: María Fernanda Espinosa-Morales, Agatha Elisa Miranda-Cortés, Daniel Mota-Rojas, Alejandro Casas-Alvarado, Alejandro Jiménez-Yedra, Alicia Pamela Pérez-Sánchez, Ismael Hernández-Ávalos
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/14/6/822
_version_ 1827307348784316416
author María Fernanda Espinosa-Morales
Agatha Elisa Miranda-Cortés
Daniel Mota-Rojas
Alejandro Casas-Alvarado
Alejandro Jiménez-Yedra
Alicia Pamela Pérez-Sánchez
Ismael Hernández-Ávalos
author_facet María Fernanda Espinosa-Morales
Agatha Elisa Miranda-Cortés
Daniel Mota-Rojas
Alejandro Casas-Alvarado
Alejandro Jiménez-Yedra
Alicia Pamela Pérez-Sánchez
Ismael Hernández-Ávalos
author_sort María Fernanda Espinosa-Morales
collection DOAJ
description Cardiovascular function monitoring has been suggested as a key parameter to determine patient stability during the anesthetic process. However, the use of pulse co-oximetry has been suggested as a technology to complement the monitoring of this system as a direct way to assess hemoglobin (Hb) blood concentration. Therefore, this study aimed to correlate and determine the measurement bias between Hb blood levels with continuously determined blood hemoglobin concentration (SpHb) and arterial oxygen content values (SpOC), both obtained by noninvasive co-oximetry in dogs undergoing elective ovariohysterectomy (OVH). A total of 85 clinically healthy bitches of different breeds that were admitted for elective OVH surgery were evaluated. These animals underwent SpHb and SpOC capture after the in vivo setting for the duration of the surgical procedure. Likewise, five minutes before the end of the surgical procedure, a blood sample was obtained directly from the jugular vein to determine the blood concentration of Hb (Hb<sub>LAB)</sub>. The Bland–Altman analysis showed 95% limits of agreement from −4.22 to 4.99 g/dL with a BIAS (mean difference) of 0.384 ± 2.35 g/dL (r = 0.401). SpHb recordings were correlated with oxygen saturation (SpO<sub>2</sub>) (r = 0.995), SpOC (r = 0.992) and with perfusion index (PI) (r = 0.418). Therefore, SpHb presents a moderate positive correlation with direct blood concentration of Hb. This possibly shows that continuous measurement of SpHb by noninvasive co-oximetry is a reliable and advanced alternative for monitoring Hb concentration in dogs under anesthesia.
first_indexed 2024-04-24T18:37:34Z
format Article
id doaj.art-45dc2d95266f416aa451d21657c68d17
institution Directory Open Access Journal
issn 2076-2615
language English
last_indexed 2024-04-24T18:37:34Z
publishDate 2024-03-01
publisher MDPI AG
record_format Article
series Animals
spelling doaj.art-45dc2d95266f416aa451d21657c68d172024-03-27T13:17:34ZengMDPI AGAnimals2076-26152024-03-0114682210.3390/ani14060822Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective OvariohysterectomyMaría Fernanda Espinosa-Morales0Agatha Elisa Miranda-Cortés1Daniel Mota-Rojas2Alejandro Casas-Alvarado3Alejandro Jiménez-Yedra4Alicia Pamela Pérez-Sánchez5Ismael Hernández-Ávalos6Clinical Pharmacology and Veterinary Anesthesia, Biological Sciences Department, Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de Mexico (UNAM), Cuautitlán 54714, MexicoClinical Pharmacology and Veterinary Anesthesia, Biological Sciences Department, Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de Mexico (UNAM), Cuautitlán 54714, MexicoNeurophysiology of Pain, Behavior and Animal Welfare Assessment, Department of Agricultural and Animal Production (DAAP), Universidad Autónoma Metropolitana (UAM), Xochimilco Campus, Mexico City 04960, MexicoNeurophysiology of Pain, Behavior and Animal Welfare Assessment, Department of Agricultural and Animal Production (DAAP), Universidad Autónoma Metropolitana (UAM), Xochimilco Campus, Mexico City 04960, MexicoDepartment of Anesthesiology in Dogs and Cats, Specialty Veterinary Hospital, Facultad de Medicina Veterinaria y Zootecnia (FMVZ), UNAM, Mexico City 04510, MexicoVeterinary Hospital for Dogs and Cats, Specialty in Medicine and Surgery in Dogs and Cats, Facultad de Medicina Veterinaria y Zootecnia (FMVZ), Universidad Popular Autónoma del Estado de Puebla (UPAEP), Puebla 72410, MexicoClinical Pharmacology and Veterinary Anesthesia, Biological Sciences Department, Facultad de Estudios Superiores Cuautitlán, Universidad Nacional Autónoma de Mexico (UNAM), Cuautitlán 54714, MexicoCardiovascular function monitoring has been suggested as a key parameter to determine patient stability during the anesthetic process. However, the use of pulse co-oximetry has been suggested as a technology to complement the monitoring of this system as a direct way to assess hemoglobin (Hb) blood concentration. Therefore, this study aimed to correlate and determine the measurement bias between Hb blood levels with continuously determined blood hemoglobin concentration (SpHb) and arterial oxygen content values (SpOC), both obtained by noninvasive co-oximetry in dogs undergoing elective ovariohysterectomy (OVH). A total of 85 clinically healthy bitches of different breeds that were admitted for elective OVH surgery were evaluated. These animals underwent SpHb and SpOC capture after the in vivo setting for the duration of the surgical procedure. Likewise, five minutes before the end of the surgical procedure, a blood sample was obtained directly from the jugular vein to determine the blood concentration of Hb (Hb<sub>LAB)</sub>. The Bland–Altman analysis showed 95% limits of agreement from −4.22 to 4.99 g/dL with a BIAS (mean difference) of 0.384 ± 2.35 g/dL (r = 0.401). SpHb recordings were correlated with oxygen saturation (SpO<sub>2</sub>) (r = 0.995), SpOC (r = 0.992) and with perfusion index (PI) (r = 0.418). Therefore, SpHb presents a moderate positive correlation with direct blood concentration of Hb. This possibly shows that continuous measurement of SpHb by noninvasive co-oximetry is a reliable and advanced alternative for monitoring Hb concentration in dogs under anesthesia.https://www.mdpi.com/2076-2615/14/6/822anesthetic monitoringhemoglobinSpHbdogs
spellingShingle María Fernanda Espinosa-Morales
Agatha Elisa Miranda-Cortés
Daniel Mota-Rojas
Alejandro Casas-Alvarado
Alejandro Jiménez-Yedra
Alicia Pamela Pérez-Sánchez
Ismael Hernández-Ávalos
Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy
Animals
anesthetic monitoring
hemoglobin
SpHb
dogs
title Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy
title_full Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy
title_fullStr Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy
title_full_unstemmed Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy
title_short Correlation of Blood Hemoglobin Values with Non-Invasive Co-Oximetry Measurement of SpHb in Dogs Undergoing Elective Ovariohysterectomy
title_sort correlation of blood hemoglobin values with non invasive co oximetry measurement of sphb in dogs undergoing elective ovariohysterectomy
topic anesthetic monitoring
hemoglobin
SpHb
dogs
url https://www.mdpi.com/2076-2615/14/6/822
work_keys_str_mv AT mariafernandaespinosamorales correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy
AT agathaelisamirandacortes correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy
AT danielmotarojas correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy
AT alejandrocasasalvarado correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy
AT alejandrojimenezyedra correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy
AT aliciapamelaperezsanchez correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy
AT ismaelhernandezavalos correlationofbloodhemoglobinvalueswithnoninvasivecooximetrymeasurementofsphbindogsundergoingelectiveovariohysterectomy