Relationship between mixed venous oxygen saturation and regional cerebral oxygenation in awake, spontaneously breathing cardiac surgery patients

Minerva Anestesiologica

Volumn 77, Issue 10, 2011, Pages 952-958

  Schon J ^a   Heringlake, M ^a   Berger, K U ^a   Volker Groesdonk, H ^b   Sedemund Adib, B ^a   Paarmann, H ^a  

^a UNIVERSITY OF LÜBECK   (Germany)

^b SAARLAND UNIVERSITY   (Germany)

Author keywords

Near infrared; Oximetry; Spectroscopy; Thoracic surgery

Indexed keywords

OXYHEMOGLOBIN;

ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN SATURATION; ARTERIAL OXYGEN TENSION; ARTICLE; BLOOD GAS ANALYSIS; BREATHING; CENTRAL VENOUS OXYGEN SATURATION; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HEART HEMODYNAMICS; HEART INDEX; HEART OUTPUT MEASUREMENT; HEART RATE; HEART SURGERY; HEMOGLOBIN DETERMINATION; HUMAN; MALE; MEAN ARTERIAL PRESSURE; MIXED VENOUS OXYGEN SATURATION; MONITOR; NEAR INFRARED SPECTROSCOPY; NON INVASIVE MEASUREMENT; OXIMETRY; OXYGEN CONSUMPTION; OXYGEN SATURATION; OXYGEN SUPPLY; REGIONAL CEREBRAL OXYGENATION; SURGICAL PATIENT; TISSUE OXYGENATION;

ANOXIA; BLOOD GAS ANALYSIS; BRAIN CHEMISTRY; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; FEMALE; HEMODYNAMICS; HEMOGLOBINS; HUMANS; MALE; MONITORING, INTRAOPERATIVE; OXYGEN; OXYGEN CONSUMPTION; PERIOPERATIVE CARE; RESPIRATORY MECHANICS;

EID: 80053443941     PISSN: 03759393     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Medn 2001;345:1368-77.
2. Rivers EP. Early goal-directed therapy in severe sepsis and septic shock: converting science to reality. Chest 2006;129:217-8.
3. Polonen P, Ruokonen E, Hippelainen M, Poyhonen M, Takala J. A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg 1, 2000;90:1052-9.
4. Murkin JM, Adams SJ, Novick RJ, Quantz M, Bainbridge D, Iglesias I et al. Monitoring brain oxygen saturation during coronary bypass surgery: a randomized, prospective study. Anesth Analg 2007;104:51-8.
5. Casati A, Fanelli G, Pietropaoli P, Proietti R, Tufano R, Danelli G et al. Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia. Anesth Analg 2005;101:740-7.
6. Knirsch W, Stutz K, Kretschmar O, Tomaske M, Balmer C, Schmitz A et al. Regional cerebral oxygenation by NIRS does not correlate with central or jugular venous oxygen saturation during interventional catheterisation in children. Acta Anaesthesiol Scand 2008;52:1370-4.
7. Bhutta AT, Ford JW, Parker JG, Prodhan P, Fontenot EE, Seib PM et al. Noninvasive cerebral oximeter as a surrogate for mixed venous saturation in children. Pediatr Cardiol 2007;28:34-41.
8. Dullenkopf A, Baulig W, Weiss M, Schmid ER. Cerebral near-infrared spectroscopy in adult patients after cardiacsurgery is not useful for monitoring absolute values but may reflect trends in venous oxygenation under clinical conditions. J Cardiothorac Vasc Anesth 2007;21:535-9.
9. Edmonds HL, Jr., Ganzel BL, Austin EH, 3rd. Cerebral oximetry for cardiac and vascular surgery. Semin Cardiothorac Vasc Anesth 2004;8:147-66.
10. Jobsis FF. Noninvasive, infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters. Science 1977;198:1264-7.
11. Otero RM, Nguyen HB, Huang DT, Gaieski DF, Goyal M, Gunnerson KJ et al. Early goal-directed therapy in severe sepsis and septic shock revisited: concepts, controversies, and contemporary findings. Chest 2006;130:1579-95.
12. Slater JP, Guarino T, Stack J, Vinod K, Bustami RT, Brown JM 3rd et al. Cerebral oxygen desaturation predicts cognitive decline and longer hospital stay after cardiac surgery. Ann Thorac Surg 2009;87:36-45.
13. Yao FS, Tseng CC, Ho CY, Levin SK, Illner P. Cerebral oxygen desaturation is associated with early postoperative neuropsychological dysfunction in patients undergoing cardiac surgery. J Cardiothorac Vasc Anesth 2004;18:552-8.
14. Schoen J, Serien V, Hanke T, Bechtel M, Heinze H, Groesdonk HV et al. Cerebral oxygen saturation monitoring in on-pump cardiac surgery - A 1-year experience. Appl Cardiopulm Pathophysiol 2009;13:243-52.
15. Ranucci M, Isgro G, De la Torre T, Romitti F, Conti D, Carlucci C. Near-infrared spectroscopy correlates with continuous superior vena cava oxygen saturation in pediatric cardiac surgery patients. Paediatr Anaesth 2008;18:1163-9.
16. Denault A, Deschamps A, Murkin JM. A proposed algorithm for the intraoperative use of cerebral near-infrared spectroscopy. Semin Cardiothorac Vasc Anesth 2007;11:274-81.
17. Kirkeby-Garstad I, Wisloff U, Skogvoll E, et al. The Marked Reduction in Mixed Venous Oxygen Saturation During Early Mobilization After Cardiac Surgery: The Effect of Posture or Exercise? Anesth Analg 2006;102:1609-16.
18. Sander M, Spies CD, Foer A, Weymann L, Braun J, Volk T et al. Agreement of central venous saturation and mixed venous saturation in cardiac surgery patients. Intensive Care Med 2007;33:1719-25.
19. Carl M, Alms A, Braun J, Dongas A, Erb J, Goetz A et al. S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system. Ger Med Sci 2010;8: Doc12.