Prognostic Value of Tissue Oxygen Saturation Using a Vascular Occlusion Test in Patients in the Early Phase of Multiorgan Dysfunction Syndrome.

Background: Multiple organ dysfunction syndrome (MODS) is a common disease pattern in intensive care units which is associated with an increased mortality. The aim of this study was to investigate whether a near-infrared spectroscopy (NIRS)-based noninvasive ischemia-reperfusion test (vascular occlusion test) using the parameter of tissue oxygen saturation (StO2) contains prognostic information for patients in the early phase of MODS.

Methods: Within a period of 18 months between 2010 and 2012, 56 patients who newly developed MODS (≤24 h after diagnosis, Acute Physiology and Chronic Health Evaluation [APACHE] II score ≥20, subgroups: cardiogenic MODS [cMODS] and septic MODS [sMODS]) were included into the study.

Integrated optical auto-correlator based on third-harmonic generation in a silicon photonic crystal waveguide.

The ability to use coherent light for material science and applications is linked to our ability to measure short optical pulses. While free-space optical methods are well established, achieving this on a chip would offer the greatest benefit in footprint, performance and cost, and allow the integration with complementary signal-processing devices. A key goal is to achieve operation at sub-watt peak power levels and on sub-picosecond timescales.