Document Detail


Masseter muscle oxygen saturation is associated with central venous oxygen saturation in patients with severe sepsis.
MedLine Citation:
PMID:  20652379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This monocentric prospective study was conducted to determine if tissue oxygen saturation measured non invasively over masseter muscle site (Masseter-StO2) can predict the central venous oxygen saturation (ScvO2) level in severe sepsis and septic shock.
METHODS: Sixteen consecutive patients with severe sepsis (n = 10) or septic shock (n = 6) were included in this study. ScvO2 was measured on blood samples taken from the superior vena cava via the distal line of a central venous catheter. Masseter-StO2 was measured with a 25 mm depth infrared probe, applied and attached to the skin using transparent adhesive shields. Fifty-seven pairs of measures were obtained.
RESULTS: Mean ScvO2 was 76.5% (median 81, standard deviation 15, range [14-94]). Twenty percent of the ScvO2 measures were lower than 70%. Seven out of 16 patients had at least one measure of 70% or less. Mean Masseter-StO2 was 81% (median 91, standard deviation 18, range [29-98]). We found a significant association between ScvO2 and Masseter-StO2 (correlation coefficient 0.65, P < 0.01), however agreement was moderate.
CONCLUSION: In patients with severe sepsis or septic shock, non invasive recording of Masseter-StO2 was significantly associated with ScvO2 Further studies are required to determine the usefulness of Masseter-StO2 guided management of severe sepsis or septic shock.
Authors:
Olivier Nardi; Hélène Gonzalez; Abdallah Fayssoil; Djillali Annane
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Publication Detail:
Type:  Journal Article     Date:  2010-07-23
Journal Detail:
Title:  Journal of clinical monitoring and computing     Volume:  24     ISSN:  1573-2614     ISO Abbreviation:  J Clin Monit Comput     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9806357     Medline TA:  J Clin Monit Comput     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  289-93     Citation Subset:  IM    
Affiliation:
General Intensive Care Unit, Raymond Poincaré Hospital (AP-HP), University of Versailles Saint Quentin en Yvelines, 104 Boulevard Raymond Poincaré, 92380, Garches, France.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Male
Masseter Muscle / metabolism*
Oxygen / metabolism*
Prospective Studies
Sepsis / blood,  metabolism*
Shock, Septic / metabolism
Veins / metabolism
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

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