Document Detail


Continuous mixed venous oximetry in critically ill surgical patients. 'High-tech' cost-effectiveness.
MedLine Citation:
PMID:  3082309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mixed venous oxygen saturation (Svo2) provides a measure of cardiorespiratory ability to meet the body's needs for oxygen. The Svo2 was measured continuously in 20 critically ill surgical patients using a pulmonary-artery oximetry system. The accuracy of the technique was validated by comparing initial continuous Svo2 to the laboratory determination of Svo2. Oximetry was used to guide therapeutic decisions regarding fluid, inotropic agents, vasodilators and ventilator setting and was useful in ten cases. Sepsis developed in nine patients; this severely limited the usefulness of the technique. With clinical decision making based on oximetry, there was a savings per catheter of 2.65 cardiac output determinations and 5.9 venous blood gas determinations, resulting in a net savings per catheter of +75.
Authors:
R Orlando
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  121     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1986 Apr 
Date Detail:
Created Date:  1986-04-24     Completed Date:  1986-04-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  470-1     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Blood Gas Analysis / economics,  methods
Catheterization
Cost-Benefit Analysis
Evaluation Studies as Topic
Humans
Intensive Care Units / economics
Monitoring, Physiologic / economics*
Oximetry / economics*
Respiratory Insufficiency / blood*
Surgical Procedures, Operative / economics*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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