Real-time neurochemical measurement of dynamic metabolic events during cardiac arrest and resuscitation in a porcine model
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Supporting information
Accepted version
Author(s)
Type
Journal Article
Abstract
This work describes a fully-integrated portable microfluidic analysis system for real-time monitoring of dynamic changes in glucose and lactate occurring in the brain as a result of cardiac arrest and resuscitation. Brain metabolites are sampled using FDA-approved microdialysis probes and coupled to a high temporal resolution 3D printed microfluidic chip housing glucose and lactate biosensors. The microfluidic biosensors are integrated with a wireless 2 channel potentiostat forming a compact analysis system that is ideal for use in a crowded operating theatre. Data are transmitted to a custom-written app running on a tablet for real-time visualisation of metabolic trends. In a proof of-concept porcine model of cardiac arrest, the integrated analysis system proved reliable in a challenging environment resembling a clinical setting; noise levels were found to be comparable with those seen in the lab and were not affected by major clinical interventions such as defibrillation of the heart. Using this system, we were able, for the first time, to measure changes in brain glucose and lactate levels caused by cardiac arrest and resuscitation; the system was sensitive to clinical interventions such as infusion of adrenaline. Trends suggest that cardiopulmonary resuscitation alone does not meet the high energy demands of the brain as metabolite levels only return to their values preceding cardiac arrest upon return of spontaneous circulation.
Date Issued
2020-01-24
Date Acceptance
2019-11-28
Citation
The Analyst, 2020, 145 (5), pp.1894-1902
ISSN
0003-2654
Publisher
Royal Society of Chemistry
Start Page
1894
End Page
1902
Journal / Book Title
The Analyst
Volume
145
Issue
5
Copyright Statement
© The Royal Society of Chemistry 2020
Sponsor
Engineering & Physical Science Research Council (EPSRC)
Imperial College Healthcare NHS Trust- BRC Funding
Engineering & Physical Science Research Council (E
Identifier
https://pubs.rsc.org/en/content/articlelanding/2020/AN/C9AN01950B#!divAbstract
Grant Number
EP/K503381/1
RDF01
EP/R511547/1
Subjects
Science & Technology
Physical Sciences
Chemistry, Analytical
Chemistry
RAPID SAMPLING MICRODIALYSIS
ONLINE MICRODIALYSIS
BRAIN-INJURY
IMMOBILIZATION
BIOSENSORS
LACTATE
GLUCOSE
SYSTEM
0301 Analytical Chemistry
0399 Other Chemical Sciences
Analytical Chemistry
Publication Status
Published online
Date Publish Online
2020-01-24