A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry

In clinical practice, the catheter has to be placed at an accurate position during anesthesia administration. However, effectively guiding the catheter to the accurate position in deeper tissues can be difficult for an inexperienced practitioner. We aimed to address the current issues associated wit...

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Main Authors: Chien-Ching Lee, Chia-Chun Chuang, Bo-Cheng Lai, Yi-Chia Huang, Jen-Yin Chen, Bor-Shyh Lin
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/20/7/1891
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author Chien-Ching Lee
Chia-Chun Chuang
Bo-Cheng Lai
Yi-Chia Huang
Jen-Yin Chen
Bor-Shyh Lin
author_facet Chien-Ching Lee
Chia-Chun Chuang
Bo-Cheng Lai
Yi-Chia Huang
Jen-Yin Chen
Bor-Shyh Lin
author_sort Chien-Ching Lee
collection DOAJ
description In clinical practice, the catheter has to be placed at an accurate position during anesthesia administration. However, effectively guiding the catheter to the accurate position in deeper tissues can be difficult for an inexperienced practitioner. We aimed to address the current issues associated with catheter placement using a novel smart assistance system for blood vessel catheter placement. We used a hollow introducer needle embedded with dual wavelength (690 and 850 nm) optical fibers to advance the tip into the subclavian vessels in anesthetized piglets. The results showed average optical density changes, and the difference between the absorption spectra and hemoglobin concentrations of different tissue components effectively identified different tissues (p < 0.05). The radial basis function neural network (RBFNN) technique was applied to distinguish tissue components (the F-measure value and accuracy were 93.02% and 94%, respectively). Finally, animal experiments were designed to validate the performance of the proposed system. Using this system based on oximetry, we easily navigated the needle tip to the target vessel. Based on the experimental results, the proposed system could effectively distinguish different tissue layers of the animals.
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spelling doaj.art-ab7eac1e1827429ca9708fc27fe7494b2023-11-16T14:34:59ZengMDPI AGSensors1424-82202020-03-01207189110.3390/s20071891A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on OximetryChien-Ching Lee0Chia-Chun Chuang1Bo-Cheng Lai2Yi-Chia Huang3Jen-Yin Chen4Bor-Shyh Lin5Institute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, TaiwanDepartment of Anesthesia, An Nan Hospital, China Medical University, Tainan 70965, TaiwanInstitute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, TaiwanInstitute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, TaiwanDepartment of Anesthesiology, Chimei Medical Center, Tainan 71004, TaiwanInstitute of Imaging and Biomedical Photonics, National Chiao Tung University, Tainan 71150, TaiwanIn clinical practice, the catheter has to be placed at an accurate position during anesthesia administration. However, effectively guiding the catheter to the accurate position in deeper tissues can be difficult for an inexperienced practitioner. We aimed to address the current issues associated with catheter placement using a novel smart assistance system for blood vessel catheter placement. We used a hollow introducer needle embedded with dual wavelength (690 and 850 nm) optical fibers to advance the tip into the subclavian vessels in anesthetized piglets. The results showed average optical density changes, and the difference between the absorption spectra and hemoglobin concentrations of different tissue components effectively identified different tissues (p < 0.05). The radial basis function neural network (RBFNN) technique was applied to distinguish tissue components (the F-measure value and accuracy were 93.02% and 94%, respectively). Finally, animal experiments were designed to validate the performance of the proposed system. Using this system based on oximetry, we easily navigated the needle tip to the target vessel. Based on the experimental results, the proposed system could effectively distinguish different tissue layers of the animals.https://www.mdpi.com/1424-8220/20/7/1891catheter placementanesthesiaabsorption spectratissue componentsoptical density changehemoglobin concentration
spellingShingle Chien-Ching Lee
Chia-Chun Chuang
Bo-Cheng Lai
Yi-Chia Huang
Jen-Yin Chen
Bor-Shyh Lin
A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
Sensors
catheter placement
anesthesia
absorption spectra
tissue components
optical density change
hemoglobin concentration
title A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
title_full A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
title_fullStr A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
title_full_unstemmed A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
title_short A Novel Smart Assistance System for Blood Vessel Approaching: A Technical Report Based on Oximetry
title_sort novel smart assistance system for blood vessel approaching a technical report based on oximetry
topic catheter placement
anesthesia
absorption spectra
tissue components
optical density change
hemoglobin concentration
url https://www.mdpi.com/1424-8220/20/7/1891
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