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reliability. We had minor mechanical issues: capturing angle of smart device getting displaced; device getting knocked off the table; and charge cord dislodging. Auto-lock needs to be turned off on the capturing smart device. On one occasion, the camera app needed restarting due to automatic software update. These glitches were each corrected by a phone call to the nurse or by the provider in person. For one flap, nursing over-sedated the patient leading to profound hypotension. The steady decline in the laser Doppler reading witnessed by the surgeon remotely allowed him the opportunity to rapidly return to the ICU to resuscitate the patient, thus avoiding anastomotic thrombosis from hypoperfusion.

Abstract: Quantifying Indocyanine Green Concentration to Measure Direct Tissue Perfusion