Loading…
Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery
Objective It has been argued that venous oxygen saturation from a central venous catheter (ScvO2 ) could be an inexpensive alternative to mixed venous oxygen saturation (SvO2 ). The aim was to evaluate whether ScvO2 measurements could replace SvO2 readings after cardiac surgery and to analyze factor...
Saved in:
| Published in: | Journal of cardiothoracic and vascular anesthesia 2008-12, Vol.22 (6), p.853-857 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3 |
| container_end_page | 857 |
| container_issue | 6 |
| container_start_page | 853 |
| container_title | Journal of cardiothoracic and vascular anesthesia |
| container_volume | 22 |
| creator | Lorentzen, Anne-Grethe, MD Lindskov, Christian, MD Sloth, Erik, MD, PhD Jakobsen, Carl-Johan, MD |
| description | Objective It has been argued that venous oxygen saturation from a central venous catheter (ScvO2 ) could be an inexpensive alternative to mixed venous oxygen saturation (SvO2 ). The aim was to evaluate whether ScvO2 measurements could replace SvO2 readings after cardiac surgery and to analyze factors influencing any differences found. Design A prospective observational study. Setting A university hospital. Participants Twenty patients scheduled for elective cardiac surgery. Interventions Patients were followed postoperatively with corresponding ScvO2 /SvO2 measurements. Measurements and Main Results The overall bias between ScvO2 and SvO2 was 1.9. In coronary artery bypass graft (CABG) patients, the bias was 0.6 compared with 6.4 in procedures involving aortic valve replacement. In situations with peripheral saturation (SAT) |
| doi_str_mv | 10.1053/j.jvca.2008.04.004 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69845220</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1053077008001018</els_id><sourcerecordid>69845220</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3</originalsourceid><addsrcrecordid>eNp9kU2P0zAQhi0EYpeFP8AB-cQtYezYrSMhJFTxJS1aRFmuljOZVA6pU-xktf33OGoRiAMnz-F5X42fYey5gFKArl71ZX-HrpQApgRVAqgH7FLoShZGSfkwz5kqYL2GC_YkpR5ACK3Xj9mFMKZSRolLFjYUpugG_p3COCd-c3_cUeBbN83RTX4MfONCGCf-lQ6DQ-Kf_T21v-m_MB_4lzzltsRvQ0txN_qwy-nYeod8O8cdxeNT9qhzQ6Jn5_eK3b5_923zsbi--fBp8_a6QAX1VHSNqztRKawluBXgigQq3TQCpIZuVYPrtNCtcCg1ioaMlA2hbLQxa4GGqiv28tR7iOPPmdJk9z4hDYMLlBe3q9ooLSVkUJ5AjGNKkTp7iH7v4tEKsIs_29vFsl0sW1A2W86hF-f2udlT-ydy1pqB1yeA8h_vPEWbMKtBan0knGw7-v_3v_knjoMPHt3wg46U-nGOIduzwiZpwW6XnuXMYPKJQZjqF9mepEM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69845220</pqid></control><display><type>article</type><title>Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery</title><source>Elsevier:Jisc Collections:Elsevier Read and Publish Agreement 2022-2024:Freedom Collection (Reading list)</source><creator>Lorentzen, Anne-Grethe, MD ; Lindskov, Christian, MD ; Sloth, Erik, MD, PhD ; Jakobsen, Carl-Johan, MD</creator><creatorcontrib>Lorentzen, Anne-Grethe, MD ; Lindskov, Christian, MD ; Sloth, Erik, MD, PhD ; Jakobsen, Carl-Johan, MD</creatorcontrib><description>Objective It has been argued that venous oxygen saturation from a central venous catheter (ScvO2 ) could be an inexpensive alternative to mixed venous oxygen saturation (SvO2 ). The aim was to evaluate whether ScvO2 measurements could replace SvO2 readings after cardiac surgery and to analyze factors influencing any differences found. Design A prospective observational study. Setting A university hospital. Participants Twenty patients scheduled for elective cardiac surgery. Interventions Patients were followed postoperatively with corresponding ScvO2 /SvO2 measurements. Measurements and Main Results The overall bias between ScvO2 and SvO2 was 1.9. In coronary artery bypass graft (CABG) patients, the bias was 0.6 compared with 6.4 in procedures involving aortic valve replacement. In situations with peripheral saturation (SAT) <92%, the bias was 10.7 compared with 0.8 when SAT was ≥99%. In 25.5% of measurements, the ScvO2 was more than 10% different from SvO2 , and in only 50% the difference was less than 5%. Conclusions The ScvO2 and SvO2 measurements are not interchangeable, and, especially in patients undergoing aortic valve surgery, this lack of agreement is crucial. However, the present data indicate that ScvO2 may be used in CABG patients, although it is not completely accurate in terms of absolute venous saturations. A low SAT, low hemoglobin, or low cardiac index increased the venous gap.</description><identifier>ISSN: 1053-0770</identifier><identifier>EISSN: 1532-8422</identifier><identifier>DOI: 10.1053/j.jvca.2008.04.004</identifier><identifier>PMID: 18834841</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Anesthesia & Perioperative Care ; cardiac output ; cardiac surgery ; Cardiac Surgical Procedures - methods ; Catheterization, Central Venous - methods ; Critical Care ; Female ; Humans ; Male ; Middle Aged ; mixed venous oxygenation ; Monitoring, Intraoperative - methods ; Oxygen - blood ; Oxygen Consumption - physiology ; Postoperative Care - methods ; Prospective Studies ; venous oxygenation</subject><ispartof>Journal of cardiothoracic and vascular anesthesia, 2008-12, Vol.22 (6), p.853-857</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3</citedby><cites>FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18834841$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lorentzen, Anne-Grethe, MD</creatorcontrib><creatorcontrib>Lindskov, Christian, MD</creatorcontrib><creatorcontrib>Sloth, Erik, MD, PhD</creatorcontrib><creatorcontrib>Jakobsen, Carl-Johan, MD</creatorcontrib><title>Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery</title><title>Journal of cardiothoracic and vascular anesthesia</title><addtitle>J Cardiothorac Vasc Anesth</addtitle><description>Objective It has been argued that venous oxygen saturation from a central venous catheter (ScvO2 ) could be an inexpensive alternative to mixed venous oxygen saturation (SvO2 ). The aim was to evaluate whether ScvO2 measurements could replace SvO2 readings after cardiac surgery and to analyze factors influencing any differences found. Design A prospective observational study. Setting A university hospital. Participants Twenty patients scheduled for elective cardiac surgery. Interventions Patients were followed postoperatively with corresponding ScvO2 /SvO2 measurements. Measurements and Main Results The overall bias between ScvO2 and SvO2 was 1.9. In coronary artery bypass graft (CABG) patients, the bias was 0.6 compared with 6.4 in procedures involving aortic valve replacement. In situations with peripheral saturation (SAT) <92%, the bias was 10.7 compared with 0.8 when SAT was ≥99%. In 25.5% of measurements, the ScvO2 was more than 10% different from SvO2 , and in only 50% the difference was less than 5%. Conclusions The ScvO2 and SvO2 measurements are not interchangeable, and, especially in patients undergoing aortic valve surgery, this lack of agreement is crucial. However, the present data indicate that ScvO2 may be used in CABG patients, although it is not completely accurate in terms of absolute venous saturations. A low SAT, low hemoglobin, or low cardiac index increased the venous gap.</description><subject>Aged</subject><subject>Anesthesia & Perioperative Care</subject><subject>cardiac output</subject><subject>cardiac surgery</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Catheterization, Central Venous - methods</subject><subject>Critical Care</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mixed venous oxygenation</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Oxygen - blood</subject><subject>Oxygen Consumption - physiology</subject><subject>Postoperative Care - methods</subject><subject>Prospective Studies</subject><subject>venous oxygenation</subject><issn>1053-0770</issn><issn>1532-8422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp9kU2P0zAQhi0EYpeFP8AB-cQtYezYrSMhJFTxJS1aRFmuljOZVA6pU-xktf33OGoRiAMnz-F5X42fYey5gFKArl71ZX-HrpQApgRVAqgH7FLoShZGSfkwz5kqYL2GC_YkpR5ACK3Xj9mFMKZSRolLFjYUpugG_p3COCd-c3_cUeBbN83RTX4MfONCGCf-lQ6DQ-Kf_T21v-m_MB_4lzzltsRvQ0txN_qwy-nYeod8O8cdxeNT9qhzQ6Jn5_eK3b5_923zsbi--fBp8_a6QAX1VHSNqztRKawluBXgigQq3TQCpIZuVYPrtNCtcCg1ioaMlA2hbLQxa4GGqiv28tR7iOPPmdJk9z4hDYMLlBe3q9ooLSVkUJ5AjGNKkTp7iH7v4tEKsIs_29vFsl0sW1A2W86hF-f2udlT-ydy1pqB1yeA8h_vPEWbMKtBan0knGw7-v_3v_knjoMPHt3wg46U-nGOIduzwiZpwW6XnuXMYPKJQZjqF9mepEM</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Lorentzen, Anne-Grethe, MD</creator><creator>Lindskov, Christian, MD</creator><creator>Sloth, Erik, MD, PhD</creator><creator>Jakobsen, Carl-Johan, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery</title><author>Lorentzen, Anne-Grethe, MD ; Lindskov, Christian, MD ; Sloth, Erik, MD, PhD ; Jakobsen, Carl-Johan, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Anesthesia & Perioperative Care</topic><topic>cardiac output</topic><topic>cardiac surgery</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Catheterization, Central Venous - methods</topic><topic>Critical Care</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>mixed venous oxygenation</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Oxygen - blood</topic><topic>Oxygen Consumption - physiology</topic><topic>Postoperative Care - methods</topic><topic>Prospective Studies</topic><topic>venous oxygenation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lorentzen, Anne-Grethe, MD</creatorcontrib><creatorcontrib>Lindskov, Christian, MD</creatorcontrib><creatorcontrib>Sloth, Erik, MD, PhD</creatorcontrib><creatorcontrib>Jakobsen, Carl-Johan, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lorentzen, Anne-Grethe, MD</au><au>Lindskov, Christian, MD</au><au>Sloth, Erik, MD, PhD</au><au>Jakobsen, Carl-Johan, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery</atitle><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle><addtitle>J Cardiothorac Vasc Anesth</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>22</volume><issue>6</issue><spage>853</spage><epage>857</epage><pages>853-857</pages><issn>1053-0770</issn><eissn>1532-8422</eissn><abstract>Objective It has been argued that venous oxygen saturation from a central venous catheter (ScvO2 ) could be an inexpensive alternative to mixed venous oxygen saturation (SvO2 ). The aim was to evaluate whether ScvO2 measurements could replace SvO2 readings after cardiac surgery and to analyze factors influencing any differences found. Design A prospective observational study. Setting A university hospital. Participants Twenty patients scheduled for elective cardiac surgery. Interventions Patients were followed postoperatively with corresponding ScvO2 /SvO2 measurements. Measurements and Main Results The overall bias between ScvO2 and SvO2 was 1.9. In coronary artery bypass graft (CABG) patients, the bias was 0.6 compared with 6.4 in procedures involving aortic valve replacement. In situations with peripheral saturation (SAT) <92%, the bias was 10.7 compared with 0.8 when SAT was ≥99%. In 25.5% of measurements, the ScvO2 was more than 10% different from SvO2 , and in only 50% the difference was less than 5%. Conclusions The ScvO2 and SvO2 measurements are not interchangeable, and, especially in patients undergoing aortic valve surgery, this lack of agreement is crucial. However, the present data indicate that ScvO2 may be used in CABG patients, although it is not completely accurate in terms of absolute venous saturations. A low SAT, low hemoglobin, or low cardiac index increased the venous gap.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18834841</pmid><doi>10.1053/j.jvca.2008.04.004</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1053-0770 |
| ispartof | Journal of cardiothoracic and vascular anesthesia, 2008-12, Vol.22 (6), p.853-857 |
| issn | 1053-0770 1532-8422 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69845220 |
| source | Elsevier:Jisc Collections:Elsevier Read and Publish Agreement 2022-2024:Freedom Collection (Reading list) |
| subjects | Aged Anesthesia & Perioperative Care cardiac output cardiac surgery Cardiac Surgical Procedures - methods Catheterization, Central Venous - methods Critical Care Female Humans Male Middle Aged mixed venous oxygenation Monitoring, Intraoperative - methods Oxygen - blood Oxygen Consumption - physiology Postoperative Care - methods Prospective Studies venous oxygenation |
| title | Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T04%3A01%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Central%20Venous%20Oxygen%20Saturation%20Cannot%20Replace%20Mixed%20Venous%20Saturation%20in%20Patients%20Undergoing%20Cardiac%20Surgery&rft.jtitle=Journal%20of%20cardiothoracic%20and%20vascular%20anesthesia&rft.au=Lorentzen,%20Anne-Grethe,%20MD&rft.date=2008-12-01&rft.volume=22&rft.issue=6&rft.spage=853&rft.epage=857&rft.pages=853-857&rft.issn=1053-0770&rft.eissn=1532-8422&rft_id=info:doi/10.1053/j.jvca.2008.04.004&rft_dat=%3Cproquest_cross%3E69845220%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c409t-fba9f134c920a60c6e1c45bb10250f690af515d1ac25c1be822bec2b58871c8e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=69845220&rft_id=info:pmid/18834841&rfr_iscdi=true |