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Biomedical subjects

P Rolfe

Publications and source records attributed to P Rolfe.

At least 37 records · Page 2Linked to original sources
PubMed1996

The selected ion flow tube (SIFT)--a novel technique for biological monitoring.

We describe the use of our selected ion flow tube (SIFT) technique for the rapid detection and quantification of trace gases in atmospheric air, with special reference to the analysis of human breath. It is based on the chemical ionization of the breath trace gases to the exclusion of the major breath gases, using 'soft' proton transfer from H3O+ ions. Breath samples can either be introduced into the SIFT from bags or by direct breathing into the apparatus, the advantage of the latter approach being that surface active gases such as ammonia and many organic vapours which adsorb onto bag surfaces can be more accurately quantified. We present examples of the analysis of laboratory air, the breath of a non-smoker and of a smoker taken from bag samples, and illustrate the rapid time response of the technique by showing the time profile of acetone on breath during direct breathing into the apparatus. The current partial pressure sensitivity of our SIFT method is within the range 30 ppb to in excess of 100 ppm, but with further development the device could be made more sensitive, 1 ppb being well within reach. A transportable SIFT device is under development which will have applications in environmental, medical and biological research, health and safety monitoring, and in clinical diagnosis.

Breath Tests↗
PubMed1995

Investigation of neonatal brain cytochrome redox by NIRS.

Near Infrared Spectroscopy (NIRS) has been used to detect changes in cerebral blood and tissue oxygenation. Redox state of enzyme cytochrome aa3 (Cyt aa3 is thought to give an indication of tissue oxygenation. This information would be of value in exploring the aetiology of cerebral ischaemic lesions in preterm infants. However we have found that the change in cerebral cytochrome redox in infants following desaturation was inconsistent and insignificant.

Brain↗
PubMed1995

Multivariate autoregressive modelling combined with transcephalic electrical impedance: method to relate neonatal systemic circulation and respiration to cerebral circulation.

We studied the pulsatile component of cerebral circulation with transcephalic electrical impedance (delta Z) in six preterm newborns, three of whom had severe cerebral bleeding, peri-intraventricular haemorrhage (PIVH). The transcephalic electrical impedance delta Z signal, ECG, arterial blood pressure, (aBP) and respirogram were recorded on analogue magnetic tape for 30 min. Artefact-free stationary segments (lasting for 2 min) of the four signals were digitised. A digital multivariate autoregressive (MAR) model was used to study frequency-specific variability in the signals and to quantify interrelations between the variabilities of delta Z, HR, aBP and respiratory signals. MAR modelling describes a system where all the signals simultaneously explain each other. The inherent variability of delta Z was lower and the influences of respiration and aBP on delta Z significantly greater in infants with severe PIVH than in controls. These changes were observed at high frequencies corresponding to respiration and heart rate. This may be interpreted as a marker of pressure passivism in the cerebral circulation following PIVH. We conclude that in preterm babies the application of MAR modelling, together with transcephalic impedance, may be a new, helpful and quantitative method for the study of simultaneous interrelations between variables of cerebral and systemic circulations and respiration.

Cerebral Hemorrhage↗
PubMed1995

Haemocompatibility of invasive sensors.

In recent years the importance and utilisation of invasive chemical sensors have increased, especially in respect to their function and behaviour in a biological environment. This review aims to highlight the development of various sensors and reflect on the problems which can occur when the sensors come into contact with blood. Thus their haemocompatibility is a key area of importance. A clear understanding of their interaction with plasma proteins at the point of interface is fundamental as this determines their ultimate capability to function safely and effectively. There is also an overview of various techniques that have been developed, together with a broad summary of inherent problems which may arise when aiming to improve the haemocompatibility of invasive sensors for in vivo applications.

Biocompatible Materials↗
PubMed1995

Fibre-optical sensor based on fluorescent indicator for monitoring physiological pH values.

A fibre-optical sensor has been developed based on the fluorescent indicator 8-hydroxyl-1,3,6-pyrene trisulphonic acid trisodium salt (HOPSA) for monitoring physiological pH values. Dowex-1 strongly basic anion exchange resin is used as the medium to immobilise the indicator on the end of an optical fibre. Polyurethane is coated on the sensor as the permeable membrane for H+. The properties of HOPSA in solution, as well as when immobilised on the sensor, are studied and found to have the potential for monitoring physiological pH values.

Biosensing Techniques↗
PubMed1995

In vivo assessment of catheter-tip PO2 sensor: sampling lumen fabrication.

Fabrication of the sampling lumen of an intra-arterial PO2 sensor is performed in standard catheters mechanically or by laser. Clinical evaluation is performed with respect to catheter insertion, complications, accuracy of oxygen sensor data and fibrin deposition on the catheter surface. The success rate for catheter insertion is 57% for 138 standard and 50% for 74 laser-cut catheters studied. The proportion of catheter failures (blocked or non-reading) is 14% in laser-cut compared with 30% in standard. These differences are not statistically significant at the 5% level. There is no clinically significant difference in sensor accuracy, with 37.5% of results within +/- 0.05 kPa and 80% within +/- 2.0 kPa of simultaneous blood gas values. Drift is within +/- 0.3 kPa h-1 for 78% of monitoring time. Significant errors of recalibration occur in 6% of calibrations. Scanning electron micrographs demonstrate a much smaller sampling lumen in the laser-cut group, but no reduction in fibrin deposition at the site of the sampling hole. The low success rate for catheter insertion is a problem because of cost implications. The accuracy of the system is usually sufficient for clinical purposes, provided the calibration is checked every 4 h.

Catheterization, Peripheral↗
PubMed1995

Is allopurinol beneficial in the prevention of renal ischaemia-reperfusion injury in the rat?: evaluation by near-infrared spectroscopy.

1. The role of allopurinol in the protection of kidney function following ischaemia-reperfusion injury has been investigated using the novel technique of near-infrared spectroscopy. 2. An in vivo model of rat kidney ischaemia was used, with the expected falls in blood and tissue oxygenation seen and confirmed by near-infrared spectroscopy. 3. Allopurinol infusion increased the rate of reperfusion of oxygenated blood seen in control rats (P < 0.05). 4. Allopurinol enhanced the rate of tissue oxygenation during early reperfusion (P < 0.01). 5. This study provides further evidence for the proposed benefits of allopurinol in ischaemia-reperfusion injury. Furthermore, the potential of near-infrared spectroscopy as a technique of value in interventional studies of this nature is confirmed.

Allopurinol↗
PubMed1995

Experience with invasive and non-invasive sensors for anaesthesia.

This paper reviews experiences with the development and clinical use of invasive and non-invasive sensors for continuous real-time monitoring. The clinical focus, and inspiration, for this work has been the fetus and the newborn baby, but the work described is also directly relevant to the challenges of performing timely assessments of blood gas and acid-base status in subjects undergoing anaesthesia and critical care. The first results obtained from the use of invasive PO2, PCO2, and pH sensors in humans, in the late 1960's, provided exciting new insights in to basic physiological processes, but the sensors were very limited in their performance, particularly with regard to haemocompatibility. Research since that time has been concerned with attempting to overcome the problems of blood interactions with sensor surfaces, and an approach based on the mimicry of cell membrane phospholipid biochemistry is described here. The issue of haemocompatibility may be obviated by the utilisation of non-invasive methods. The interrogation of tissues by near infra-red radiation (700-1000 nm) is described, with particular emphasis on the development of spectrophotometric techniques for the measurement of HHb, HbO2, and Hbtot in the brain. Prospects for the measurement of other species, such as glucose, and of achieving spatial discrimination within tissues are also considered.

Anesthesia↗
PubMed1995

Effects of positive and negative pressure ventilation on cerebral blood volume of newborn infants.

The effects of intermittent positive airway and continuous negative extrathoracic pressure ventilation on cerebral blood volume in preterm infants were studied using near infrared spectroscopy. In 12 infants continuous negative extrathoracic pressure caused a median decrease in cerebral blood volume of 0.14 ml/100 ml brain (95% confidence intervals (CI) 0.035-0.280) compared with no respiratory support. Oxygenated and deoxygenated haemoglobin also decreased, implying increased venous drainage as the main effect. In 17 infants intermittent positive pressure ventilation also caused a median reduction in cerebral blood volume of 0.06 ml/100 ml brain (95% CI 0.010-0.115) compared with endotracheal positive airway pressure. Deoxygenated haemoglobin increased by 0.07 ml/100 ml brain (95% CI 0.010-0.100) while oxygenated haemoglobin decreased by 0.10 ml/100 ml brain (95% CI 0.005-0.175). The increase in deoxygenated haemoglobin implies decreased venous drainage and the decrease in oxygenated haemoglobin implies that other factors may also be significant. Heart rate, blood pressure and oxygen saturation were monitored continuously and remained stable.

Blood Gas Analysis↗
PubMed1994

Negative extrathoracic pressure ventilation--evaluation of the neck seal.

The effect of the neck seal used in the application of negative extra-thoracic pressure ventilation was studied using near infrared spectroscopy. Changes in cerebral blood volume (CBV) were monitored during discontinuation of negative pressure and during removal of the neck seal. CBV increased by 0.17 ml 100 ml brain-1 (95% CI +0.0875 to +0.481) when negative pressure was discontinued. Removal of the neck seal had no significant effect on CBV. It is concluded that the neck seal does not cause significant jugular venous occlusion.

Blood Volume Determination↗