SummaryThis study determined the relation between hematocrit and resistivity of fetal blood and compared it with values obtained in similar studies on adult blood. Both exponential and MaxwellFrick-estimatnd relationships were calculated and compared. The results indicate that there is no significant difference between resistivity in adult and fetal blood. The best relation between blood resistivity and fetal hematocrit is obtained by using the MaxwellFrick estimated curve calculated in the following manner: where h = H/100 (H = hematocrit).
SpeculationHematocrit varies over a wide range during the newborn period. Accurate knowledge of resistivity-hematocrit relationships over the entire hematocrit range is essential whenever blood resistivities are to be estimated from hematocrit values. This study reveals that a better correlation is obtained when using the Maxwell-Frick model instead of the ordinary exponential model. Thus, a tool is offered to improve the accuracy of the impedance cardiography method in newborns.The need for noninvasive methods in measuring physiologic and pathophysiologic conditions and courses in the newborn baby is evident.Impedance cardiography, one method to measure the cardiac stroke volume in healthy adults, was developed by Kubicek et al. (5). The ability of the method to measure pulmonary blood flow in the presence of left to right shunt in children was described by Lababidi et al. (6). The cardiac stroke volume is calculated according to the formuladeveloped by Kubicek et al. where SV = cardiac stroke volume in ml; p = blood resistivity in ohm cm; L = distance between the detecting inner electrodes in cm; zo = basal transthoracic impedance in ohm; dz/dt = minimum first derivative in ohm/s; T = ventricular ejection time in sec. The resistivity, p, is a material constant. Considering blood as a suspension of blood cells in plasma, overall resistivity can be expressed in terms of one, resistivity and volume relation of the cells and plasma and, two, a factor dependent on the shape of the suspended particles (2,7,12
MATERIALS AND METHODSA conductivity cell filled with human fetal umbilical cord blood, never older than 24 hr, was used for the measurements. The cord blood was collected immediately after delivery. To avoid clotting, heparin (5000 IU/ml) was added to the blood samples to yield an amount of 1 m1/10 ml blood. This amount of heparin had no significant influence on the resistivity (see below). The conductivity cell was placed in a water-bath maintained at 37OC and rotated to prevent the cells from settling. To make sure that the blood sample had reached a stable temperature, resistivity values were recorded only after remaining stable for at least 5 min. The low hematocrit values were created by diluting the blood samples with plasma from adults.The conductivity cell (Fig. 1) is the same as the one described by Axenborg (1) and essentially the same as the one described by Geddes and Da Costa (3). It consists of a syringe equipped with two-plane parallel stainless steel electr...