Skip to main content

Experimental Comparison of the Measurement Accuracy of the Licox® and Raumedic® Neurovent–PTO Brain Tissue Oxygen Monitors

  • Chapter
  • First Online:
Intracranial Pressure and Brain Monitoring XIV

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 114))

Abstract

Background: Only a few experimental reports are available on the direct comparison of Licox® and Raumedic®-Neurovent-PTO brain tissue oxygen pressure (PbrO2) monitors. We compared the two systems regarding their measurement properties under experimental in vitro and in vivo conditions.

Materials and methods: Eight Licox® and Raumedic® Neurovent-PTO® sensors were tested for 10 min at 37°C, atmospheric pressure, at an oxygen content of 0% and 100% before and after the in vivo test. The same probes were implanted in German landrace pigs, which underwent hepatectomy. The mean PbrO2 values were recorded every minute. An O2 challenge with inhalation of 100% O2 for 10 min was performed 2 h post-abdominal surgery.

Results: At 0% O2 content values varied from 0.2 to 7 mmHg, at 100% O2 content from 130 to 165 mmHg. No difference between probes was found. In vivo tests: Raumedic® showed higher PbrO2 values (mean +6.3 mmHg, p < 0.0001) compared with Licox®. During O2 challenge, both probes responded similarly; however, Raumedic® had a 10% higher response amplitude (p < 0.005). After explantation there was again no difference between the two sensors.

Conclusion: Raumedic® sensors measured higher PbrO2 values. There was no significant difference regarding overall measurement of in vitro accuracy between the two probes, which proved to be robust when used consecutively for longer periods and in different environments.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barth M, Woitzik J, Muench E, Diepers M, Schmiedek P, Kasuya H, Vajikoczy P (2010) Correlation of clinical outcome with pressure-, oxygen-, and flow-related indices of cerebrovascular reactivity in patients following aneurysmal SAH. Neurocrit Care 12(2):234–243

    Article  PubMed  Google Scholar 

  2. Dethloff TJ, Knudsen GM, Larsen FS (2008) Cerebral blood flow autoregulation in experimental liver failure. J Cereb Blood Flow Metab 28(5):916–926

    Article  PubMed  Google Scholar 

  3. Jaeger M, Schuhmann MU, Soehle M, Meixensberger J (2006) Continuous assessment of cerebrovascular autoregulation after traumatic brain injury using brain tissue oxygen pressure reactivity. Crit Care Med 34(6):1783–1788

    Article  PubMed  Google Scholar 

  4. Knubben K, Thiel C, Schenk M, Etspüler A, Schenk T, Morgalla MH, Königsrainer A (2008) A new surgical model for hepatectomy in pigs. Eur Surg Res 40(1):41–46

    Article  PubMed  CAS  Google Scholar 

  5. Purins K, Enblad P, Sandhagen B, Lewén A (2010) Brain tissue oxygen monitoring: a study of in-vitro accuracy and stability of Neurovent-PTO and Licox sensors. Acta Neurochir (Wien) 152(4):681–688

    Article  Google Scholar 

  6. Smielewski P, Lavinio A, Timofeev I, Radolovich D, Perkes JD, Pickard JD, Czosnyka M (2008) ICM+, a flexible platform for investigations of cerebrospinal dynamics in clinical practice. Acta Neurochir Suppl 102:145–151

    Article  PubMed  CAS  Google Scholar 

  7. Stiefel MF, Spiotta A, Gracias VH, Garuffe AM, Guillamondegui O, Maloney-Wilensky E, Bloom S, Grady MS, LeRoux PD (2005) Reduced mortality rate in patients with severe traumatic brain injury treated with brain tissue oxygen monitoring. J Neurosurg 103:805–811

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

Martin U. Schuhmann has received a research grant from Raumedic AG for the implementation of multimodal monitoring in animal research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthias H. Morgalla .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag/Wien

About this chapter

Cite this chapter

Morgalla, M.H. et al. (2012). Experimental Comparison of the Measurement Accuracy of the Licox® and Raumedic® Neurovent–PTO Brain Tissue Oxygen Monitors. In: Schuhmann, M., Czosnyka, M. (eds) Intracranial Pressure and Brain Monitoring XIV. Acta Neurochirurgica Supplementum, vol 114. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0956-4_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-0956-4_32

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0955-7

  • Online ISBN: 978-3-7091-0956-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics