Camera-Based Photoplethysmography for Measuring Heartbeat Intervals During General Anesthesia

Author: Ke H-Hsuan, et al.

Anesthesia & Analgesia ():10.1213/ANE.0000000000007635, August 05, 2025. doi:10.1213/ANE.0000000000007635

Summary
Thirty VATS patients were monitored with a camera-based photoplethysmography system (FaCare) across four anesthesia stages and compared against a GE CARESCAPE B850. Agreement was strong: 88.1% of heart-rate correlation coefficients >0.8 and tight Bland–Altman limits for heartbeat intervals. Performance held under OR lighting, suggesting a viable noncontact option.

Practical implications
• Useful as a noncontact adjunct when infection control or patient comfort matter.
• Works under typical OR conditions, but algorithms, sync, and sampling need refinement before routine adoption.
• Consider parallel use with standard monitors during implementation to validate in your setting.

References
Author: Ke H-Hsuan, et al.
Anesthesia & Analgesia ():10.1213/ANE.0000000000007635, August 05, 2025. doi:10.1213/ANE.0000000000007635

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