1. Effects of intravenous injection of indocyanine green on the oxygen reserve index (ORi™)
- Author
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Keio Nakatani, Ayako Kobatake, Ken Hashimoto, Hiroshi Kondo, Ryuji Nakamura, and Yukiko Nao
- Subjects
Indocyanine Green ,genetic structures ,Partial Pressure ,viruses ,chemistry.chemical_element ,Oxygen ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,030202 anesthesiology ,Humans ,Medicine ,Coloring Agents ,Oxygen pressure ,Retrospective Studies ,business.industry ,030208 emergency & critical care medicine ,biochemical phenomena, metabolism, and nutrition ,eye diseases ,body regions ,Anesthesiology and Pain Medicine ,chemistry ,Median time ,Anesthesia ,Injections, Intravenous ,business ,Indocyanine green - Abstract
The oxygen reserve index (ORi™) is a parameter used for the noninvasive evaluation of arterial partial pressure of oxygen (PaO2), specifically in the 100–200 mmHg range. We aimed to report on the impact of indocyanine green (ICG) on the ORi™. In this study, we retrospectively examined patients who underwent neurosurgery between April and July 2019 and assessed the impact of ICG on ORi™. We excluded patients who did not use ICG or who were not examined for ORi™. The dose and timing of ICG administration were determined by a neurosurgeon. The changes in ORi™ were measured for up to 30 min. We analyzed ten patients and found that the ORi™ increased to 1.00 in all of them. The median time for ORi ™ to rise to 1.00 after ICG administration was 2 min (range 1–4). After rising to 1.00, ORi ™ decreased and took 27 min to return to the pre-dose value. It is important to consider the initial rapid increase and subsequent slow decrease in ORi™ when using ICG during surgery.
- Published
- 2020