Document Detail


Relations between mixed venous oxygen saturation and hemodynamic variables in patients subjected to abdominal aortic aneurysm surgery and in patients with septic shock.
MedLine Citation:
PMID:  8362468     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to study if oxygen saturation in mixed venous blood (SvO2) could be used as a marker for heart performance, oxygen delivery (DO2) or consumption (VO2) in critically ill patients 134 hemodynamic measurements were performed by a thermodilution pulmonary catheter in 23 patients after abdominal aortic aneurysm surgery. These data were compared to 200 measurements performed in 30 patients with septic shock. When analysed on an individual basis SvO2 was only closely related to DO2 or VO2 in a minority of the patients. Neither could SvO2 be used as a reliable marker for heart rate, hemoglobin concentration, stroke volume or cardiac index. On the other hand SvO2 was found to be an excellent marker for oxygen extraction (OER) in both groups of patients (median r = 0.98. p < 0.0001). In conclusion, the present study shows that SvO2 could not be used as a reliable marker for the important hemodynamic variables CI, DO2 or VO2 in critically ill patients. However, SvO2 was found to be an excellent marker for OER.
Authors:
L Lind; G Skoog; J Mälstam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Upsala journal of medical sciences     Volume:  98     ISSN:  0300-9734     ISO Abbreviation:  Ups. J. Med. Sci.     Publication Date:  1993  
Date Detail:
Created Date:  1993-09-24     Completed Date:  1993-09-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0332203     Medline TA:  Ups J Med Sci     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  83-7     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University Hospital, Uppsala, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Aortic Aneurysm, Abdominal / blood,  physiopathology,  surgery*
Heart Rate
Hemodynamics*
Hemoglobins / analysis
Humans
Oxygen / blood
Postoperative Period
Shock, Septic / blood,  physiopathology*
Stroke Volume
Chemical
Reg. No./Substance:
0/Hemoglobins; 7782-44-7/Oxygen

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


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