Tissue oxygenation does not predict central venous oxygenation in emergency department patients with severe sepsis and septic shock

Academic Emergency Medicine

Volumn 17, Issue 4, 2010, Pages 349-352

  Napoli, Anthony M ^a   Machan, Jason T ^b   Forcada, Ahteri ^a   Corl, Keith ^a   Gardiner, Fenwick ^a  

^a BROWN UNIVERSITY   (United States)

^b RHODE ISLAND HOSPITAL   (United States)

Author keywords

Central venous oxygenation; Early goal directed therapy; Septic shock; Severe sepsis; Tissue oxygenation

Indexed keywords

LACTIC ACID; SODIUM CHLORIDE;

ADULT; ARTICLE; CENTRAL VENOUS CATHETER; CENTRAL VENOUS OXYGENATION; CLINICAL ARTICLE; CONFIDENCE INTERVAL; CONVENIENCE SAMPLE; CORRELATION ANALYSIS; DATA ANALYSIS; DISEASE SEVERITY; EMERGENCY PATIENT; HUMAN; OXIMETRY; OXYGENATION; PREDICTION; PRIORITY JOURNAL; PROGNOSIS; PROSPECTIVE STUDY; SEPSIS; SEPTIC SHOCK; STATISTICAL SIGNIFICANCE; SYSTOLIC BLOOD PRESSURE; TISSUE OXYGENATION;

AGED; AGED, 80 AND OVER; BLOOD GAS ANALYSIS; CATHETERIZATION, CENTRAL VENOUS; COHORT STUDIES; CONFIDENCE INTERVALS; EMERGENCY SERVICE, HOSPITAL; HUMANS; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; OXIMETRY; OXYGEN; OXYGEN CONSUMPTION; PREDICTIVE VALUE OF TESTS; PROBABILITY; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; SEPSIS; SHOCK, SEPTIC;

EID: 77951037530     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2010.00701.x     Document Type: Article

References (23)

1. Angus DC, Wax RS. Epidemiology of sepsis: an update. Crit Care Med. 2001; 29:S109-16.
2. Martin GS, Mannino DM, Eaton S, Moss M. The epidemiology of sepsis in the United States from 1979 to 2000. N Engl J Med. 2003; 348:1546-1554
3. Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths: final data for 2002. Natl Vital Stat Rep. 2004; 53:1-115.
4. Wo CC, Shoemaker WC, Appel PL, Bishop MH, Kram HB, Hardin E. Unreliability of blood pressure and heart rate to evaluate cardiac output in emergency resuscitation and critical illness. Crit Care Med. 1993; 21:218-223 (Pubitemid 23062835)
5. Rady MY, Rivers EP, Nowak RM. Resuscitation of the critically ill in the ED: responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate. Am J Emerg Med. 1996; 14:218-225
6. Mimoz O, Rauss A, Rekik N, Brun-Buisson C, Lemaire F, Brocard L. Pulmonary artery catheterization in critically ill patients: a prospective analysis of outcome changes associated with catheter-prompted changes in therapy. Crit Care Med. 1994; 22:573-579 (Pubitemid 24121556)
7. Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001; 345:1368-1377
8. Ince C, Sinaasappel M. Microcirculatory oxygenation and shunting in sepsis and shock. Crit Care Med. 1999; 27:1369-1377 (Pubitemid 29379377)
9. Ladakis C, Myrianthefs P, Karabinis A, et al. Central and mixed venous oxygen saturation in critically ill patients. Respiration. 2001; 68:279-285 (Pubitemid 32588903)
10. Chawla LS, Zia H, Gutierrez G, Katz N, Seneff M, Shah M. Lack of equivalence between central and mixed venous oxygen saturation. Chest. 2004; 126:1891-1896 (Pubitemid 39643995)
11. Rivers E. Mixed vs. central venous oxygen saturation may not be numerically equal, but both are still clinically useful. Chest. 2006; 129:507-508
12. Carlbom DJ, Rubenfeld GD. Barriers to implementing protocol-based sepsis resuscitation in the emergency department - results of a national survey. Crit Care Med. 2007; 35:2525-2532
13. Crawford J, Otero R, Rivers E, Goldsmith D. Near infrared spectroscopy as a potential surrogate for mixed venous oxygen saturation for evaluation of patients with hemodynamic derangements [abstract]. Crit Care. 2008; 12:S27-8.
14. 2). American Thoracic Society International Conference; May 20-25, 2005; San Diego, CA.
15. Mesquida J, Masip J, Gili G, Artigas A, Baigorri F. Thenar oxygen saturation measured by near infrared spectroscopy as a noninvasive predictor of low central venous oxygen saturation in septic patients. Int Care Med. 2009; 35:1106-1109
16. Kwon Y, Lee SH, Ryoo HC, Patrick H. Non-invasive thenar muscle tissue oxygen saturation as a surrogate of central venous oxygen saturation in patients with severe sepsis [abstract]. Crit Care Med. 2005; 33:A167.
17. Creteur J, Ospina G, Oliveira Silva T, De Backer D, Vincent J. Muscle oxygen saturation cannot predict central venous oxygen saturation in patients with severe sepsis [abstract]. Int Care Med. 2007; 33(Suppl 2):S6.
18. Mozina H, Strahovnik I, Podbregar M. Muscle oxygenation in low flow state and sepsis: correlation to hemodynamics and outcome [abstract]. Int Care Med. 2006; 32(Suppl 1):S290.
19. Boekstegers P, Weidenhoefer S, Kapsner T, Werdan K. Skeletal muscle partial pressure of oxygen in patients with sepsis. Crit Care Med. 1994; 22:640-650 (Pubitemid 24121566)
20. Kreymann G, Grosser S, Buggisch P, Gottschall C, Matthaei S, Greten H. Oxygen consumption and resting metabolic rate in sepsis, sepsis syndrome, and septic shock. Crit Care Med. 1993; 21:1012-1019 (Pubitemid 23206193)
21. Sair M, Etherington PJ, Winlove P, Ewans TW. Tissue oxygenation and perfusion in patients with systemic sepsis. Crit Care Med. 2001; 29:1343-1349 (Pubitemid 32641795)
22. Podbregar M, Mozina H. Skeletal muscle oxygen saturation does not estimate mixed venous oxygen saturation in patients with severe left heart failure and additional severe sepsis or septic shock. Crit Care. 2006; 11:1-8. (Pubitemid 46322027)
23. Schenkman KA, Marble DR, Burns DH, Feigl EO. Myoglobin oxygen dissociation by multiwave spectroscopy. J Appl Physiol. 1997; 82:86-92.