V V Osovskikh, L N Kiseleva, I N Kolokolnikov, M S Vasilieva, A E Bautin
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SBS method resulted erroneous data in 0.6% of cases. Certain correlation (<i>r</i>=0.79, <i>p</i><0.001) was found between the reference method (SBS with spectrophotometry) and the PDD method. Bland-Altman plot for these two methods showed that proportional bias of mean difference was caused by extremely high PDR<sub>ICG</sub> of the PDD method (for example, more than 30%/min). Comparison of two SBS variants (spectrophotometer and experimental photometer) revealed good correlation (<i>r</i>=0.91, <i>p</i><0.001).</p><p><strong>Conclusion: </strong>SBS method for measuring PDR<sub>ICG</sub> ensures accurate results under mechanical interferences in patients with impaired capillary blood flow. This eliminates the need for redo measurement. Duplication of the PDD and SBS methods is recommended when repeating the test is not possible (organ donors).</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2. Vyp. 2","pages":"5-12"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Analysis of indocyanine green plasma disappearance rate in clinical practice].\",\"authors\":\"V V Osovskikh, L N Kiseleva, I N Kolokolnikov, M S Vasilieva, A E Bautin\",\"doi\":\"10.17116/hirurgia20240225\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To justify the optimal method for determining indocyanine green plasma disappearance rate (PDR<sub>ICG</sub>).</p><p><strong>Material and methods: </strong>We analyzed PDR<sub>ICG</sub> in intensive care units. Indocyanine green was administered intravenously at a dose of 0.25 mg/kg. PDR<sub>ICG</sub> was analyzed simultaneously by using of three methods: 1) PDD (PiCCO2 LiMON device), 2) SBS with analysis of plasma samples on precise spectrophotometer, 3) SBS with analysis of plasma samples on simple experimental photometer.</p><p><strong>Results: </strong>PDD method was used for 346 PDR<sub>ICG</sub> tests in 256 patients. Of these, 14.3% of measurements were erroneous. Paired tests using PDD and SBS methods were performed in 299 cases. SBS method resulted erroneous data in 0.6% of cases. Certain correlation (<i>r</i>=0.79, <i>p</i><0.001) was found between the reference method (SBS with spectrophotometry) and the PDD method. Bland-Altman plot for these two methods showed that proportional bias of mean difference was caused by extremely high PDR<sub>ICG</sub> of the PDD method (for example, more than 30%/min). 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引用次数: 0
摘要
目的:论证测定吲哚菁绿血浆消失率(PDRICG)的最佳方法:证明测定吲哚菁绿血浆消失率(PDRICG)的最佳方法:我们分析了重症监护病房的 PDRICG。吲哚菁绿的静脉注射剂量为 0.25 mg/kg。同时使用三种方法分析 PDRICG:1)PDD(PiCCO2 LiMON 装置);2)SBS,使用精密分光光度计分析血浆样本;3)SBS,使用简易实验光度计分析血浆样本:结果:256 名患者的 346 次 PDRICG 检测使用了 PDD 方法。其中,14.3%的测量出现错误。使用 PDD 和 SBS 方法对 299 例患者进行了配对测试。SBS 方法导致 0.6% 的病例出现数据错误。PDD 方法的 pICG 具有一定的相关性(例如,超过 30%/分钟)(r=0.79)。两种 SBS 变体(分光光度计和实验光度计)的比较显示出良好的相关性(r=0.91,pCG):在毛细血管血流受损的患者中,SBS 测量 PDRICG 的方法可确保在机械干扰下得出准确的结果。这消除了重做测量的需要。如果无法重复测试(器官捐献者),建议重复使用 PDD 和 SBS 方法。
[Analysis of indocyanine green plasma disappearance rate in clinical practice].
Objective: To justify the optimal method for determining indocyanine green plasma disappearance rate (PDRICG).
Material and methods: We analyzed PDRICG in intensive care units. Indocyanine green was administered intravenously at a dose of 0.25 mg/kg. PDRICG was analyzed simultaneously by using of three methods: 1) PDD (PiCCO2 LiMON device), 2) SBS with analysis of plasma samples on precise spectrophotometer, 3) SBS with analysis of plasma samples on simple experimental photometer.
Results: PDD method was used for 346 PDRICG tests in 256 patients. Of these, 14.3% of measurements were erroneous. Paired tests using PDD and SBS methods were performed in 299 cases. SBS method resulted erroneous data in 0.6% of cases. Certain correlation (r=0.79, p<0.001) was found between the reference method (SBS with spectrophotometry) and the PDD method. Bland-Altman plot for these two methods showed that proportional bias of mean difference was caused by extremely high PDRICG of the PDD method (for example, more than 30%/min). Comparison of two SBS variants (spectrophotometer and experimental photometer) revealed good correlation (r=0.91, p<0.001).
Conclusion: SBS method for measuring PDRICG ensures accurate results under mechanical interferences in patients with impaired capillary blood flow. This eliminates the need for redo measurement. Duplication of the PDD and SBS methods is recommended when repeating the test is not possible (organ donors).