Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity

The disruptive action of an acute or critical illness is frequently manifest through rapid biochemical changes that may require continuous monitoring. Within these changes, resides trend information of predictive value, including responsiveness to therapy. In contrast to physical variables, biochemi...

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Main Author: Pankaj Vadgama
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/20/11/3149
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author Pankaj Vadgama
author_facet Pankaj Vadgama
author_sort Pankaj Vadgama
collection DOAJ
description The disruptive action of an acute or critical illness is frequently manifest through rapid biochemical changes that may require continuous monitoring. Within these changes, resides trend information of predictive value, including responsiveness to therapy. In contrast to physical variables, biochemical parameters monitored on a continuous basis are a largely untapped resource because of the lack of clinically usable monitoring systems. This is despite the huge testing repertoire opening up in recent years in relation to discrete biochemical measurements. Electrochemical sensors offer one of the few routes to obtaining continuous readout and, moreover, as implantable devices information referable to specific tissue locations. This review focuses on new biological insights that have been secured through in vivo electrochemical sensors. In addition, the challenges of operating in a reactive, biological, sample matrix are highlighted. Specific attention is given to the choreographed host rejection response, as evidenced in blood and tissue, and how this limits both sensor life time and reliability of operation. Examples will be based around ion, O<sub>2</sub>, glucose, and lactate sensors, because of the fundamental importance of this group to acute health care.
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spelling doaj.art-4a7c3f3daa8b4661a3e2fcaa5ec1b15a2023-11-20T02:36:39ZengMDPI AGSensors1424-82202020-06-012011314910.3390/s20113149Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue ReactivityPankaj Vadgama0School of Engineering and Materials Science, Queen Mary University of London, Mile End, London E1 4NS, UKThe disruptive action of an acute or critical illness is frequently manifest through rapid biochemical changes that may require continuous monitoring. Within these changes, resides trend information of predictive value, including responsiveness to therapy. In contrast to physical variables, biochemical parameters monitored on a continuous basis are a largely untapped resource because of the lack of clinically usable monitoring systems. This is despite the huge testing repertoire opening up in recent years in relation to discrete biochemical measurements. Electrochemical sensors offer one of the few routes to obtaining continuous readout and, moreover, as implantable devices information referable to specific tissue locations. This review focuses on new biological insights that have been secured through in vivo electrochemical sensors. In addition, the challenges of operating in a reactive, biological, sample matrix are highlighted. Specific attention is given to the choreographed host rejection response, as evidenced in blood and tissue, and how this limits both sensor life time and reliability of operation. Examples will be based around ion, O<sub>2</sub>, glucose, and lactate sensors, because of the fundamental importance of this group to acute health care.https://www.mdpi.com/1424-8220/20/11/3149metabolite sensorssensor biocompatibilityion selective electrodesforeign body reactionO<sub>2</sub>glucose
spellingShingle Pankaj Vadgama
Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity
Sensors
metabolite sensors
sensor biocompatibility
ion selective electrodes
foreign body reaction
O<sub>2</sub>
glucose
title Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity
title_full Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity
title_fullStr Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity
title_full_unstemmed Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity
title_short Monitoring with In Vivo Electrochemical Sensors: Navigating the Complexities of Blood and Tissue Reactivity
title_sort monitoring with in vivo electrochemical sensors navigating the complexities of blood and tissue reactivity
topic metabolite sensors
sensor biocompatibility
ion selective electrodes
foreign body reaction
O<sub>2</sub>
glucose
url https://www.mdpi.com/1424-8220/20/11/3149
work_keys_str_mv AT pankajvadgama monitoringwithinvivoelectrochemicalsensorsnavigatingthecomplexitiesofbloodandtissuereactivity