Correlation between central venous oxygen saturation and oxygen delivery changes following fluid therapy
Background: The rationale for using central venous oxygen saturation (ScvO2) in various clinical scenarios is that it reflects the balance between oxygen delivery (DO2) and demands. In this study, we evaluated the correlation between ScvO2 and DO2 changes (ΔDo2, ΔScvO2) in patients receiving fluid t...
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| Published in | Acta anaesthesiologica Scandinavica Vol. 52; no. 9; pp. 1213 - 1217 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.10.2008
Blackwell |
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| Online Access | Get full text |
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| Abstract | Background: The rationale for using central venous oxygen saturation (ScvO2) in various clinical scenarios is that it reflects the balance between oxygen delivery (DO2) and demands. In this study, we evaluated the correlation between ScvO2 and DO2 changes (ΔDo2, ΔScvO2) in patients receiving fluid therapy following coronary surgery. We also correlated the changes of mean arterial pressure (ΔMAP) and central venous pressure (ΔCVP), with ΔDO2.
Methods: Sixty consecutive sedated and mechanically ventilated adult patients, with cardiac index ≤2.3 L/min/m2 and a pulmonary artery occlusion pressure ≤12 mmHg following coronary surgery, were included. Concomitant hemodynamic parameters, arterial and venous blood gases were measured before (T0) and after (T1) administration of a 500 ml bolus of an isotonic crystalloid solution over 30 min. The correlations between ΔDO2 and ΔScvO2, ΔMAP or ΔCVP were evaluated by linear regression analysis and Pearson test.
Results: Cardiac index (1.9±0.2 vs 2.3±0.5 ml/min/m2), MAP (83±11 vs 94±13mmHg) and CVP (5.7±3 vs 7.1±3 mmHg) were significantly higher at T1 compared with T0. The correlation of ΔDO2 with ΔScvO2 was positive, significant (r=0.41; P=0.004) and superior to its correlation with ΔMAP (r=0.30; P=0.01) or ΔCVP (r=0.03; P=0.78).
Conclusion: A significant correlation between ScvO2 and DO2 changes was found in patients receiving fluid therapy following coronary surgery. ScvO2 could be used as an indicator to track DO2 and to guide volume loading. |
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| AbstractList | BACKGROUNDThe rationale for using central venous oxygen saturation (ScvO(2)) in various clinical scenarios is that it reflects the balance between oxygen delivery (DO(2)) and demands. In this study, we evaluated the correlation between ScvO(2) and DO(2) changes (Delta Do(2), DeltaScvO(2)) in patients receiving fluid therapy following coronary surgery. We also correlated the changes of mean arterial pressure (Delta MAP) and central venous pressure (Delta CVP), with Delta DO(2).METHODSSixty consecutive sedated and mechanically ventilated adult patients, with cardiac index <or=2.3 L/min/m(2) and a pulmonary artery occlusion pressure <or=12 mmHg following coronary surgery, were included. Concomitant hemodynamic parameters, arterial and venous blood gases were measured before (T0) and after (T1) administration of a 500 ml bolus of an isotonic crystalloid solution over 30 min. The correlations between Delta DO(2) and DeltaScvO(2), Delta MAP or Delta CVP were evaluated by linear regression analysis and Pearson test.RESULTSCardiac index (1.9+/-0.2 vs 2.3+/-0.5 ml/min/m(2)), MAP (83+/-11 vs 94+/-13 mm Hg) and CVP (5.7+/-3 vs 7.1+/-3 mmHg) were significantly higher at T1 compared with T0. The correlation of Delta DO(2) with DeltaScvO(2) was positive, significant (r=0.41; P=0.004) and superior to its correlation with Delta MAP (r=0.30; P=0.01) or Delta CVP (r=0.03; P=0.78).CONCLUSIONA significant correlation between ScvO(2) and DO(2) changes was found in patients receiving fluid therapy following coronary surgery. ScvO(2) could be used as an indicator to track DO(2) and to guide volume loading. Background: The rationale for using central venous oxygen saturation (ScvO 2 ) in various clinical scenarios is that it reflects the balance between oxygen delivery (DO 2 ) and demands. In this study, we evaluated the correlation between ScvO 2 and DO 2 changes (ΔDo 2 , ΔScvO 2 ) in patients receiving fluid therapy following coronary surgery. We also correlated the changes of mean arterial pressure (ΔMAP) and central venous pressure (ΔCVP), with ΔDO 2 . Methods: Sixty consecutive sedated and mechanically ventilated adult patients, with cardiac index ≤2.3 L/min/m 2 and a pulmonary artery occlusion pressure ≤12 mmHg following coronary surgery, were included. Concomitant hemodynamic parameters, arterial and venous blood gases were measured before (T0) and after (T1) administration of a 500 ml bolus of an isotonic crystalloid solution over 30 min. The correlations between ΔDO 2 and ΔScvO 2 , ΔMAP or ΔCVP were evaluated by linear regression analysis and Pearson test. Results: Cardiac index (1.9±0.2 vs 2.3±0.5 ml/min/m 2 ), MAP (83±11 vs 94±13mmHg) and CVP (5.7±3 vs 7.1±3 mmHg) were significantly higher at T1 compared with T0. The correlation of ΔDO 2 with ΔScvO 2 was positive, significant ( r =0.41; P =0.004) and superior to its correlation with ΔMAP (r=0.30; P =0.01) or ΔCVP ( r =0.03; P =0.78). Conclusion: A significant correlation between ScvO 2 and DO 2 changes was found in patients receiving fluid therapy following coronary surgery. ScvO 2 could be used as an indicator to track DO 2 and to guide volume loading. The rationale for using central venous oxygen saturation (ScvO(2)) in various clinical scenarios is that it reflects the balance between oxygen delivery (DO(2)) and demands. In this study, we evaluated the correlation between ScvO(2) and DO(2) changes (Delta Do(2), DeltaScvO(2)) in patients receiving fluid therapy following coronary surgery. We also correlated the changes of mean arterial pressure (Delta MAP) and central venous pressure (Delta CVP), with Delta DO(2). Sixty consecutive sedated and mechanically ventilated adult patients, with cardiac index <or=2.3 L/min/m(2) and a pulmonary artery occlusion pressure <or=12 mmHg following coronary surgery, were included. Concomitant hemodynamic parameters, arterial and venous blood gases were measured before (T0) and after (T1) administration of a 500 ml bolus of an isotonic crystalloid solution over 30 min. The correlations between Delta DO(2) and DeltaScvO(2), Delta MAP or Delta CVP were evaluated by linear regression analysis and Pearson test. Cardiac index (1.9+/-0.2 vs 2.3+/-0.5 ml/min/m(2)), MAP (83+/-11 vs 94+/-13 mm Hg) and CVP (5.7+/-3 vs 7.1+/-3 mmHg) were significantly higher at T1 compared with T0. The correlation of Delta DO(2) with DeltaScvO(2) was positive, significant (r=0.41; P=0.004) and superior to its correlation with Delta MAP (r=0.30; P=0.01) or Delta CVP (r=0.03; P=0.78). A significant correlation between ScvO(2) and DO(2) changes was found in patients receiving fluid therapy following coronary surgery. ScvO(2) could be used as an indicator to track DO(2) and to guide volume loading. Background: The rationale for using central venous oxygen saturation (ScvO2) in various clinical scenarios is that it reflects the balance between oxygen delivery (DO2) and demands. In this study, we evaluated the correlation between ScvO2 and DO2 changes (ΔDo2, ΔScvO2) in patients receiving fluid therapy following coronary surgery. We also correlated the changes of mean arterial pressure (ΔMAP) and central venous pressure (ΔCVP), with ΔDO2. Methods: Sixty consecutive sedated and mechanically ventilated adult patients, with cardiac index ≤2.3 L/min/m2 and a pulmonary artery occlusion pressure ≤12 mmHg following coronary surgery, were included. Concomitant hemodynamic parameters, arterial and venous blood gases were measured before (T0) and after (T1) administration of a 500 ml bolus of an isotonic crystalloid solution over 30 min. The correlations between ΔDO2 and ΔScvO2, ΔMAP or ΔCVP were evaluated by linear regression analysis and Pearson test. Results: Cardiac index (1.9±0.2 vs 2.3±0.5 ml/min/m2), MAP (83±11 vs 94±13mmHg) and CVP (5.7±3 vs 7.1±3 mmHg) were significantly higher at T1 compared with T0. The correlation of ΔDO2 with ΔScvO2 was positive, significant (r=0.41; P=0.004) and superior to its correlation with ΔMAP (r=0.30; P=0.01) or ΔCVP (r=0.03; P=0.78). Conclusion: A significant correlation between ScvO2 and DO2 changes was found in patients receiving fluid therapy following coronary surgery. ScvO2 could be used as an indicator to track DO2 and to guide volume loading. |
| Author | YAZIGI, A. HAYEK, G. MADI-JEBARA, S. ABOU-ZEID, H. HADDAD, F. JABBOUR, K. |
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| References_xml | – volume: 11 start-page: R2 year: 2007 article-title: Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary intensive care unit publication-title: an observational study – volume: 49 start-page: 1149 year: 2005 end-page: 56 article-title: Venous oxygen saturation during normovolaemic haemodilution in the pig publication-title: Acta Anaesthesiol Scand – volume: 345 start-page: 1368 year: 2001 end-page: 77 article-title: Early goal‐directed therapy collaborative group. 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| Snippet | Background: The rationale for using central venous oxygen saturation (ScvO2) in various clinical scenarios is that it reflects the balance between oxygen... The rationale for using central venous oxygen saturation (ScvO(2)) in various clinical scenarios is that it reflects the balance between oxygen delivery... Background: The rationale for using central venous oxygen saturation (ScvO 2 ) in various clinical scenarios is that it reflects the balance between oxygen... BACKGROUNDThe rationale for using central venous oxygen saturation (ScvO(2)) in various clinical scenarios is that it reflects the balance between oxygen... |
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| SubjectTerms | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Female Fluid Therapy Humans Male Medical sciences Oxygen - blood Veins - metabolism |
| Title | Correlation between central venous oxygen saturation and oxygen delivery changes following fluid therapy |
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