Porcine-specific hemoglobin saturation measurements

Author:

Serianni Richard1,Barash Jed1,Bentley Timothy2,Sharma Pushpa1,Fontana John L.1,Via Darin1,Duhm Jochen3,Bunger Rolf4,Mongan Paul D.1

Affiliation:

1. Departments of Anesthesiology and

2. Walter Reed Army Institute of Research, Washington, District of Columbia 20307; and

3. Department of Physiology, University of Munich, Munich, Germany 80539

4. Anatomy, Physiology and Genetics, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814;

Abstract

The determination of O2consumption by using arteriovenous O2content differences is dependent on accurate oxyhemoglobin saturation measurements. Because swine are a common experimental species, we describe the validation of CO-oximeter for porcine-specific oxyhemoglobin saturation. After developing a nonlinear mathematical model of the porcine oxyhemoglobin saturation curve, we made 366 porcine oxyhemoglobin saturation determinations with a calibrated blood-gas analyzer and a porcine-specific CO-oximeter. There was a high degree of correlation with minimal variability ( r2= 0.99, SE of the estimate = 5.2%) between the mathematical model and the porcine-specific CO-oximeter measurements. Bland-Altman comparison showed that the CO-oximeter measurements were biased slightly lower (−0.4 vol%), and the limits of agreement (±2 SD) were 0.7 and −1.5 vol%. This is in contrast to a 10–20 vol% error if human-specific methods were used. The results show excellent agreement between the nonlinear model and CO-oximeter for porcine-specific oxyhemoglobin saturation measurements. In contrast, comparison of the porcine-specific oxyhemoglobin saturations with saturations obtained by using human methods highlights the necessity of species-specific measurement methodology.

Publisher

American Physiological Society

Subject

Physiology (medical),Physiology

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