Central venous oxygen saturation and blood lactate levels during cardiopulmonary bypass are associated with outcome after pediatric cardiac surgery

Critical Care

Volumn 14, Issue 4, 2010, Pages

  Ranucci, Marco ^a   Isgrò, Giuseppe ^a   Carlucci, Concetta ^a   De La Torre, Teresa ^a   Enginoli, Stefania ^a   Frigiola, Alessandro ^a  

^a IRCCS POLICLINICO SAN DONATO   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

ANTITHROMBIN; ATRACURIUM; CREATININE; FENTANYL; LACTIC ACID; MIDAZOLAM; SEVOFLURANE; VECURONIUM; LACTIC ACID DERIVATIVE; OXYGEN;

ACUTE KIDNEY FAILURE; ANESTHESIA INDUCTION; ARTERIAL GAS; ARTERIAL PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; CANNULATION; CARDIOPULMONARY BYPASS; CENTRAL VENOUS OXYGEN SATURATION; CHILD; CLINICAL ASSESSMENT; CREATININE BLOOD LEVEL; DIAGNOSTIC TEST ACCURACY STUDY; ENDOTRACHEAL INTUBATION; HEART SURGERY; HEMATOCRIT; HUMAN; HYPOTHESIS; INTERNAL JUGULAR VEIN; LACTATE BLOOD LEVEL; LUNG DISEASE; MAJOR CLINICAL STUDY; MORBIDITY; MORTALITY; NEUROLOGICAL COMPLICATION; NEUROMUSCULAR BLOCKING; OXYGEN SATURATION; PARTIAL THROMBOPLASTIN TIME; PATIENT MONITORING; PEDIATRIC SURGERY; PREDICTIVE VALUE; PRESCHOOL CHILD; PRIORITY JOURNAL; PROTHROMBIN TIME; RECEIVER OPERATING CHARACTERISTIC; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; THROMBOCYTE COUNT; TREATMENT OUTCOME; BLOOD; FEMALE; INFANT; LENGTH OF STAY; MALE; METHODOLOGY; NONPARAMETRIC TEST; REGRESSION ANALYSIS; RISK; STATISTICAL MODEL; STATISTICS;

CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; FEMALE; HUMANS; INFANT; LACTATES; LENGTH OF STAY; LOGISTIC MODELS; MALE; ODDS RATIO; OXYGEN; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; ROC CURVE; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME;

EID: 77955121281     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc9217     Document Type: Article

References (27)

1. Wilson J, Woods I, Fawcett J, Whall R, Dibb W, Morris C, McManus E. Reducing the risk of major elective surgery: randomized controlled trial of preoperative optimization of oxygen delivery. BMJ 1999, 318:1099-1103. 27840, 10213716.
2. Wilkinson AR, Phibbs RH, Gregory GA. Continuous measurement of oxygen saturation in sick newborn infants. J Pediatr 1978, 93:1016-1019. 10.1016/S0022-3476(78)81242-6, 31421.
3. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M, . Early Goal-Directed Therapy Collaborative Group Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345:1368-1377. 10.1056/NEJMoa010307, 11794169, Early Goal-Directed Therapy Collaborative Group.
4. Reinhart K, Kuhn HJ, Hartog C, Bredle DL. Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med 2004, 30:1572-1578. 10.1007/s00134-004-2337-y, 15197435.
5. Tweddell JS, Hoffman GM, Mussatto KA, Fedderly RT, Berger S, Jaquiss RD, Ghanayem NS, Frisbee SJ, Litwin SB. Improved survival of patients undergoing palliation of hypoplastic left heart syndrome: lessons learned from 115 consecutive patients. Circulation 2002, 106:I82-I89.
6. Tweddel JS, Ghanayem NS, Mussatto KA, Mitchell ME, Lamers LJ, Musa NL, Berger S, Litwin SB, Hoffman GM. Mixed venous oxygen saturation monitoring after stage 1 palliation for hypoplastic left heart syndrome. Ann Thorac Surg 2007, 84:1301-1311. 10.1016/j.athoracsur.2007.05.047, 17888987.
7. Demers P, Elkouri S, Martineau R, Couturier A, Cartier R. Outcome with high blood lactate levels during cardiopulmonary bypass in adult cardiac operation. Ann Thorac Surg 2000, 70:2082-2086. 10.1016/S0003-4975(00)02160-3, 11156124.
8. Ranucci M, De Toffol B, Isgrò G, Romitti F, Conti D, Vicentini M. Hyperlactatemia during cardiopulmonary bypass: determinants and impact on postoperative outcome. Crit Care 2006, 10:R167. 10.1186/cc5113, 1794481, 17134504.
9. Maillet J-M, Le Besnerais P, Cantoni M, Nataf P, Ruffenach A, Lessana A, Brodaty D. Frequency, risk factors, and outcome of hyperlactatemia after cardiac surgery. Chest 2003, 123:1361-1366. 10.1378/chest.123.5.1361, 12740248.
10. Siegel LB, Hauser J, Hertzog JH, Hopkins RA, Hannah RL, Dalton HJ. Initial post-operative serum lactate predicts outcome in children after open heart surgery [abstract]. Crit Care Med 1995, 23:A205.
11. Shemie SD. Serum lactate predicts postoperative complications after pediatric cardiac surgery [abstract]. Pediatr Res 1996, 39:54A.
12. Cheifetz IM, Kern FH, Schulman SR, Greeley WJ, Ungerleider RM, Meliones JN. Serum lactates correlate with mortality after operations for complex congenital heart disease. Ann Thorac Surg 1997, 64:735-738. 10.1016/S0003-4975(97)00527-4, 9307466.
13. Hatherill M, Sajjanhar T, Tibby SM, Champion MP, Anderson D, Marsh MJ, Murdoch IA. Serum lactate as a predictor of mortality after paediatric cardiac surgery. Arch Dis Child 1997, 77:235-238. 10.1136/adc.77.3.235, 1717300, 9370903.
14. Duke T, Butt W, South M, Karl TR. Early markers of major adverse events in children after cardiac operations. J Thorac Cardiovasc Surg 1997, 114:1042-1052. 10.1016/S0022-5223(97)70018-7, 9434699.
15. Munoz R, Laussen PC, Palacio G, Zienko L, Piercey G, Wessel DL. Changes in whole blood lactate levels during cardiopulmonary bypass for surgery for congenital cardiac disease: an early indicator of morbidity and mortality. J Thorac Cardiovasc Surg 2000, 119:155-162. 10.1016/S0022-5223(00)70231-5, 10612775.
16. Lacour-Gayet F, Clarke D, Jacobs J, Gaynor W, Hamilton L, Jacobs M, Maruszewski B, Pozzi M, Spray T, Tchervenkov C, Mavroudis C, . Aristotle Committee The Aristotle score: a complexity-adjusted method to evaluate surgical results. Eur J Cardiothorac Surg 2004, 25:911-924. 10.1016/j.ejcts.2004.03.027, 15144988, Aristotle Committee.
17. Ranucci M, Isgrò G, De La Torre T, Romitti F, De Benedetti D, Carlucci C, Kandil H, Ballotta A. Continuous monitoring of central venous oxygen saturation (Pediasat) in pediatric patients undergoing cardiac surgery: a validation study of a new technology. J Cardiothorac Vasc Anesth 2008, 22:847-852. 10.1053/j.jvca.2008.04.003, 18834840.
18. Chioléro RL, Revelly JP, Leverve X, Gersbach P, Cayeux MC, Berger MM, Tappy L. Effects of cardiogenic shock on lactate and glucose metabolism after heart surgery. Crit Care Med 2000, 28:3784-3791. 10.1097/00003246-200012000-00002, 11153615.
19. Gladden LB. Lactate metabolism: a new paradigm for the third millennium. J Physiol 2004, 558(Pt 1):5-30. 10.1113/jphysiol.2003.058701, 1664920, 15131240.
20. Fenton KN, Freeman K, Glogowski K, Fogg S, Duncan KF. The significance of baseline cerebral oxygen saturation in children undergoing congenital heart surgery. Am J Surg 2005, 190:260-263. 10.1016/j.amjsurg.2005.05.023, 16023442.
21. Nagdyman N, Fleck T, Barth S, Abdul-Khaliq H, Stiller B, Ewert P, Huebler M, Kuppe H, Lange PE. Relation of cerebral tissue oxygenation index to central venous oxygen saturation in children. Intensive Care Med 2004, 30:468-471. 10.1007/s00134-003-2101-8, 14722637.
22. McQuillen PS, Nishimoto MS, Bottrell CL, Fineman LD, Hamrick SE, Glidden DV, Azakie A, Adatia I, Miller SP. Regional and central venous oxygen saturation monitoring following pediatric cardiac surgery: concordance and association with clinical variables. Pediatr Crit Care Med 2007, 8:154-160. 10.1097/01.PCC.0000257101.37171.BE, 17273125.
23. Weiss M, Dullenkopf A, Kolarova A, Schulz G, Frey B, Baenziger O. Near-infrared spectroscopy cerebral oxygenation reading in neonates and infants is associated with central venous oxygen saturation. Paediatr Anaesth 2005, 15:102-109. 10.1111/j.1460-9592.2005.01404.x, 15675925.
24. Tortoriello TA, Stayer SA, Mott AR, McKenzie ED, Fraser CD, Andropoulos DB, Chang AC. A noninvasive estimation of mixed venous oxygen saturation using near-infrared spectroscopy by cerebral oximetry in pediatric cardiac surgery patients. Paediatr Anaesth 2005, 15:495-503. 10.1111/j.1460-9592.2005.01488.x, 15910351.
25. Abdul-Khaliq H, Troitzsch D, Berger F, Lange PE. Regional transcranial oximetry with near infrared spectroscopy (NIRS) in comparison with measuring oxygen saturation in the jugular bulb in infants and children for monitoring cerebral oxygenation. Biomed Tech (Berl) 2000, 45:328-332. 10.1515/bmte.2000.45.11.328, 11155535.
26. Ranucci M, Isgrò G, De la Torre T, Romitti F, Conti D, Carlucci C. Near-infrared spectroscopy correlates with superior vena cava oxygen saturation in pediatric cardiac surgery patients. Paediatr Anaesth 2008, 18:1163-1169.
27. Murkin JM, Adams SJ, Novick RJ, Quantz M, Bainbridge D, Iglesias I, Cleland A, Schaefer B, Irwin B, Fox S. Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study. Anesth Analg 2007, 104:51-58. 10.1213/01.ane.0000246814.29362.f4, 17179242.