Estimation of Blood Oxygen Saturation in the Circulation Circuit for Extracorporeal Membrane Oxygenation

Extracorporeal membrane oxygenation (ECMO) is a treatment that supports heart and lung functions with a circulation circuit external to the body. In ECMO, it is important to monitor blood oxygen saturation (SO<sub>2</sub>) in the circulation tube. As a means of continuous SO<sub>2&...

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Bibliographic Details
Main Authors: Kazuya Nakano, Makoto Adachi, Takashi Ohnishi, Yutaka Furukawa, Taka-Aki Nakada, Shigeto Oda, Hideaki Haneishi
Format: Article
Language:English
Published: IEEE 2019-01-01
Series:IEEE Access
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Online Access:https://ieeexplore.ieee.org/document/8865042/
Description
Summary:Extracorporeal membrane oxygenation (ECMO) is a treatment that supports heart and lung functions with a circulation circuit external to the body. In ECMO, it is important to monitor blood oxygen saturation (SO<sub>2</sub>) in the circulation tube. As a means of continuous SO<sub>2</sub> measuring, a special connector is inserted into the circuit. However, this method is unsuitable for emergency treatment. Therefore, it is necessary to measure blood SO<sub>2</sub> in the tube without the connector. However, this creates problems for SO<sub>2</sub> estimation, due to varying blood concentration and flow velocity, hemolysis, and wall thickness of the tube. Therefore, we developed a SO<sub>2</sub> estimation method that can calibrate the variation in blood concentration. The method is based on a conversion model between absorbance and SO<sub>2</sub> (CAS), which varies depending on the concentration. In this method, the CAS for the SO<sub>2</sub> estimation is estimated by CAS corresponding to two blood samples prepared in advance with different concentrations. The experiment for SO<sub>2</sub> estimation was conducted with a spectroscope, a halogen light source, and a cut tube. We confirmed that the average error of estimated SO<sub>2</sub> against the SO<sub>2</sub> values measured by a gas analysis was 3.8% within a blood volume concentration range from 50 to 90%. In future work, to improve the estimation accuracy, we will improve our method by investigating other factors that may affect the accuracy.
ISSN:2169-3536