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Continuous mixed venous and central venous oxygen saturation in cardiac surgery with cardiopulmonary bypass.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lequeux, Pierre-Yves Bouckaert, Yves Sekkat, Hicham Van der Linden, Philippe Stefanidis, Constantin Huynh, Chi-Hoang Bejjani, Gilbert Bredas, Philippe
Description	Country affiliation: Belgium Author Affiliation: Lequeux PY ( Department of Anesthesiology, Intensive Care Unit, CHU-Tivoli, La Louviere, Belgium. pilequeu@ulb.ac.be)
Abstract	BACKGROUND AND OBJECTIVE: Replacing mixed venous oxygen saturation (SvO2) monitoring by central venous oxygen saturation (ScvO2) monitoring in order to avoid the use of a pulmonary artery catheter and its related complications is still controversial in the setting of cardiac surgery. The influence of surgery, cardiopulmonary bypass and anaesthesia drugs on the relationship between SvO2 and ScvO2 has never been studied. METHODS: Fifteen patients scheduled for cardiac surgery with cardiopulmonary bypass were included in the study. SvO2 (from the pulmonary artery) and ScvO2 (from the superior vena cava) were continuously measured with fibre-optic catheters from induction of anaesthesia to 24 h postoperatively. RESULTS: A total of 9267 pairs of measurements were recorded. Mean bias between SvO2 and ScvO2 was 4.4% with limits of agreement of -13.6 and +22.5%, respectively. Trends of SvO2 and ScvO2 values followed very different patterns for some patients. Surgery, cardiopulmonary bypass and anaesthesia drugs did not influence the relationship between the two methods. CONCLUSION: Because of the large interindividual variability in the difference between SvO2 and ScvO2, the measure of ScvO2 should not replace the measure of SvO2 with a pulmonary artery catheter for the management of patients undergoing cardiac surgery with cardiopulmonary bypass.
File Format	HTM / HTML
ISSN	02650215
Issue Number	3
Volume Number	27
e-ISSN	13652346
Journal	European Journal of Anaesthesiology
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2010-03-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Cardiac Surgical Procedures Methods Cardiopulmonary Bypass Catheterization, Central Venous Monitoring, Intraoperative Oxygen Consumption Aged Aged, 80 And Over Female Humans Male Middle Aged Physiology Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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