Is Pulse Co-Oximetry a Reliable Alternative to Invasive Hemoglobin Measurement in Pediatric Neurosurgical Procedures?

Is Pulse Co-Oximetry a Reliable Alternative to Invasive Hemoglobin Measurement in Pediatric Neurosurgical Procedures?

The study evaluated the diagnostic accuracy and clinical utility of continuous SpHb across a comprehensive pediatric age spectrum-ranging from neonates to adolescents-undergoing high-risk neurosurgical procedures (cranial and spinal) characterized by significant potential for blood loss.

Inclusion Criteria:

• ASA I-IV,
• Scheduled for elective complex spinal surgery or cranial procedures under general anesthesia

Exclusion Criteria:

• congenital heart disease
• requirement for emergency surgery
• pre-existing peripheral circulatory disorders