Document Detail

Pulmonary atresia with ventricular septal defect: a case for central venous pressure and oxygen saturation monitoring.
Jump to Full Text
MedLine Citation:
PMID:  9713951     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 21-year-old patient with pulmonary atresia and ventricular septal defect (PA-VSD) was admitted to the hospital for tubal ligation. Invasive arterial and central venous (CVP) pressure, pulse oximetric oxygen saturation (SpO2), and (from the tip of oximetric central venous catheter) central venous oxygen saturation (ScvO2) and oxygen extraction rate (ExO2) were continuously monitored. Heart rate (range: 68-75 beat/min), mean arterial pressure (80-90 mmHg), CVP (7-10 mmHg), SpO2 (79-90 percent), ScvO2 (57-70 percent), and ExO2 (21-30 percent) remained stable during epidural anesthesia and transvaginal sterilization. Following an overnight stay (peak SpO2 92 percent; peak ScvO2 71 percent; through ExO2 21 percent), the oxygen data returned to baseline on awakening (SpO2 < 80 percent, ScvO2 < 55 percent, ExO2 > 35 percent), and the patient was discharged. In PA-VSD, a single-outlet double-ventricle anomaly, CVP reflects the preload of systemic ventricle. As the mixed venous oxygen saturation cannot be defined, ScvO2 is the best available indicator of the whole body oxygen consumption. Continuous monitoring of CVP, ScvO2 and ExO2 in the superior vena cava may provide more insight into the response to anesthesia and surgery in patients with PA-VSD.
Authors:
B M Weiss; P G Atanassoff; R Jenni; B Walder; E Wight
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Yale journal of biology and medicine     Volume:  71     ISSN:  0044-0086     ISO Abbreviation:  Yale J Biol Med     Publication Date:    1998 Jan-Feb
Date Detail:
Created Date:  1998-11-24     Completed Date:  1998-11-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417414     Medline TA:  Yale J Biol Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, University Hospital, Zurich, Switzerland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple
Adult
Anesthesia, Epidural
Central Venous Pressure*
Electrocardiography
Female
Heart Septal Defects, Ventricular / physiopathology*
Hemodynamics
Humans
Intraoperative Period
Monitoring, Physiologic
Oximetry*
Postoperative Care
Pulmonary Atresia / physiopathology*
Sterilization, Tubal / methods*
Comments/Corrections

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

Full Text
Journal Information
Journal ID (nlm-ta): Yale J Biol Med
Journal ID (pmc): yjbm
ISSN: 0044-0086
ISSN: 1551-4056
Publisher: Yale Journal of Biology and Medicine
Article Information
Download PDF

Print publication date: Season: Jan–Feb Year: 1998
Volume: 71 Issue: 1
First Page: 15 Last Page: 21
ID: 2578918
PubMed Id: 9713951

Pulmonary atresia with ventricular septal defect: a case for central venous pressure and oxygen saturation monitoring.
B. M. Weiss
P. G. Atanassoff
R. Jenni
B. Walder
E. Wight
Department of Anesthesiology, University Hospital, Zurich, Switzerland.



Article Categories:
  • Research Article


Previous Document:  Evaluation of technetium-99m decay on Escherichia coli inactivation: effects of physical or chemical...
Next Document:  Achalasia in a sixty-four-year-old man.