Central venous oxygen saturation during cardiopulmonary bypass predicts 3-year survival

Interactive Cardiovascular and Thoracic Surgery

Volumn 16, Issue 1, 2013, Pages 21-26

  Svenmarker, Staffan ^a   Häggmark, Sören ^a   Östman, Margareta ^b   Holmgren, Anders ^b   Näslund, Ulf ^b  

^a UMEÅ UNIVERSITY HOSPITAL   (Sweden)

^b UMEÅ UNIVERSITY   (Sweden)

Author keywords

Cardiopulmonary bypass; Survival; Systemic blood flow; Venous oxygen saturation

Indexed keywords

AGE; AGED; ARTICLE; CARDIOPULMONARY BYPASS; CENTRAL VENOUS OXYGEN SATURATION; CORONARY ARTERY BLOOD FLOW; FEMALE; HEMATOCRIT; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; OXYGEN SATURATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK FACTOR; SEX DIFFERENCE; SURVIVAL TIME;

AGED; ANALYSIS OF VARIANCE; BIOLOGICAL MARKERS; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; CHI-SQUARE DISTRIBUTION; FEMALE; HEMODYNAMICS; HUMANS; KAPLAN-MEIER ESTIMATE; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXYGEN; PROPORTIONAL HAZARDS MODELS; REGISTRIES; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SURVIVAL RATE; SURVIVORS; SWEDEN; TIME FACTORS; TREATMENT OUTCOME;

EID: 84871765996     PISSN: 15699293     EISSN: 15699285     Source Type: Journal    
DOI: 10.1093/icvts/ivs363     Document Type: Article

References (25)

1. Reinhart K, Bloos F. The value of venous oximetry. Curr Opin Crit Care 2005;11:259-63. (Pubitemid 40835101)
2. Shepherd SJ, Pearse RM. Role of central and mixed venous oxygen saturation measurement in perioperative care. Anesthesiology 2009;111: 649-56.
3. Herbertson MJ, Werner HA, Russell JA, Iversen K, Walley KR. Myocardial oxygen extraction ratio is decreased during endotoxemia in pigs. J Appl Physiol 1995;79:479-86.
4. Levine E, Rosen A, Sehgal L, Gould S, Sehgal H, Moss G. Physiologic effects of acute anemia: implications for a reduced transfusion trigger. Transfusion (Paris) 1990;30:11-4. (Pubitemid 20037297)
5. Holm J, Håkanson RE, Vánky F, Svedjeholm R. Mixed venous oxygen saturation is a prognostic marker after surgery for aortic stenosis. Acta Anaesthesiol Scand 2010;54:589-95.
6. Pölönen P, Ruokonen E, Hippeläinen M, Pöyhönen M, Takala J. A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg 2000;90:1052-9. (Pubitemid 30253449)
7. Ranucci M, Isgrò G, Carlucci C, De La Torre T, Enginoli S, Frigiola A. Central venous oxygen saturation and blood lactate levels during cardio-pulmonary bypass are associated with outcome after pediatric cardiac surgery. Crit Care 2010;14:R149.
8. Svedjeholm R, Håkanson E, Szabó Z. Routine SvO2 measurement after CABG surgery with a surgically introduced pulmonary artery catheter. Eur J Cardiothorac Surg 1999;16:450-7. (Pubitemid 29469499)
9. Vallet B, Robin E, Lebuffe G. Venous oxygen saturation as a physiologic transfusion trigger. Crit Care 2010;14:213.
10. Orlov D, O'Farrell R, McCluskey SA, Carroll J, Poonawala H, Hozhabri S et al. The clinical utility of an index of global oxygenation for guiding red blood cell transfusion in cardiac surgery. Transfusion (Paris) 2009;49: 682-8.
11. Svenmarker S, Häggmark S, Hultin M, Holmgren A. Static blood-flow control during cardiopulmonary bypass is a compromise of oxygen delivery. Eur J Cardiothorac Surg 2010;37:218-22.
12. Castellanos-Ortega A, Suberviola B, García-Astudillo LA, Holanda MS, Ortiz F, Llorca J et al. Impact of the Surviving Sepsis Campaign protocols on hospital length of stay and mortality in septic shock patients: results of a three-year follow-up quasi-experimental study. Crit Care Med 2010; 38:1036-43.
13. Pope JV, Jones AE, Gaieski DF, Arnold RC, Trzeciak S, Shapiro NI. Multicenter study of central venous oxygen saturation (ScvO(2)) as a predictor of mortality in patients with sepsis. Ann Emerg Med 2010;55: 40-46E1.
14. Ranucci M, Romitti F, Isgrò G, Cotza M, Brozzi S, Boncilli A et al. Oxygen delivery during cardiopulmonary bypass and acute renal failure after coronary operations. Ann Thorac Surg 2005;80:2213-20. (Pubitemid 41718057)
15. Pölönen P, Hippeläinen M, Takala R, Ruokonen E, Takala J. Relationship between intra-and postoperative oxygen transport and prolonged intensive care after cardiac surgery: a prospective study. Acta Anaesthesiol Scand 1997;41:810-7. (Pubitemid 27317704)
16. Walley KR. Use of Central Venous Oxygen Saturation to Guide Therapy. Am J Respir Crit Care Med 2011;184:514-20.
17. Murphy GS, Hessel EA, Groom RC. Optimal perfusion during cardiopul-monary bypass: an evidence-based approach. Anesth Analg 2009;108: 1394-417.
18. Kirklin JW, Patrick RT, Theye RA. Theory and practice in the use of a pump-oxygenator for open intracardiac surgery. Thorax 1957;12: 93-8.
19. Ranucci M, Conti D, Castelvecchio S, Menicanti L, Frigiola A, Ballotta A et al. Hematocrit on cardiopulmonary bypass and outcome after coronary surgery in nontransfused patients. Ann Thorac Surg 2010;89: 11-7.
20. Karkouti K, Beattie WS, Wijeysundera DN, Rao V, Chan C, Dattilo KM et al. Hemodilution during cardiopulmonary bypass is an independent risk factor for acute renal failure in adult cardiac surgery. J Thorac Cardiovasc Surg 2005;129:391-400. (Pubitemid 40169564)
21. Protti A, Singer M. Bench-to-bedside review: potential strategies to protect or reverse mitochondrial dysfunction in sepsis-induced organ failure. Crit Care 2006;10:228.
22. Svenmarker S, Häggmark S, Ostman M. What is a normal lactate level during cardiopulmonary bypass? Scand CardioVasc J 2006;40: 305-11. (Pubitemid 44501940)
23. Svedjeholm R, Vidlund M, Vanhanen I, Håkanson E. A metabolic protective strategy could improve long-term survival in patients with LV-dysfunction undergoing CABG. Scand Cardiovasc J 2010;44: 45-58.
24. Stein EJ, Glick DB, Minhaj MM, Drum M, Tung A. Relationship between anesthetic depth and venous oxygen saturation during cardiopulmonary bypass. Anesthesiology 2010;113:35-40.
25. Ståhle E, Bergström R, Edlund B, Frostfeldt G, Lagerquist B, Sjögren I et al. Influence of left ventricular function on survival after coronary artery bypass grafting. Ann Thorac Surg 1997;64:437-44. (Pubitemid 27380733)