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Hypovolemia caused by acute bleeding increased morbi-mortality in emergency and operatin rooms. Precise real-time diagnosis of incipient acute hypovolemia is lacking at the bedside. We hypothesize that the infrared-red signals of pulse oximetry are sensitive to acute changes in patient's volemia. We aimed to test this hypothesis in a cohort of healthy blood donors as a model of simulated acute hypovolemia.
This is a prospective and observational study designed to determine if the changes observed in finger photoplethysmographic waveform can detect incipient hypovolemia. The investigators will studied 60 blood donor volunteers as a model of slight hypovolemia (8-10% of the volemia). Vital signs and photoplethysmography will be recorded in the thumb of the tested hand during a standard blood donation protocol. Recorded data will be analyzed and compared before and after blood donation .
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Finger photoplethysmography | Diagnostic Test | Finger photoplethysmography in tested hand, noninvasive blood pressure and heart rate during blood donation. |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of the continuous component (DC) of the photoplethysmography signal. | The DC components of photoplethysmography is measured in arbitrary units (a.u). | 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Analysis of non-invasive arterial blood pressure (NIBP) | NIBP is recorded in mmHg. This information is analyzed before and after blood donation. | 15 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy blood donor volunteers.
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| Name | Affiliation | Role |
|---|---|---|
| Gerardo Tusman, MD | Hospital Privado de Comunidad | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Privado de Comunidad | Mar del Plata | Buenos Aires | 7600 | Argentina |
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| ID | Term |
|---|---|
| D020896 | Hypovolemia |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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