Isolated high lactate or low central venous oxygen saturation after cardiac surgery and association with outcome

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 27, Issue 6, 2013, Pages 1271-1276

  Laine, Greg A ^a   Hu, Beebee Y ^a   Wang, Suwei ^b   Thomas Solis, R ^b   Reul, George J ^a,b  

^a ST LUKE S EPISCOPAL HOSPITAL   (United States)

^b TEXAS HEART INSTITUTE   (United States)

Author keywords

cardiac surgery; central venous oxygen saturation; complications; lactate; length of stay

Indexed keywords

LACTIC ACID;

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BLOOD GAS PARAMETERS; CARDIOVASCULAR MORTALITY; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; FEMALE; HEART SURGERY; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; KIDNEY FAILURE; LENGTH OF STAY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MORBIDITY; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SEPSIS; TERTIARY HEALTH CARE; VENOUS OXYGEN SATURATION; VENOUS OXYGEN TENSION;

CARDIAC SURGERY; CENTRAL VENOUS OXYGEN SATURATION; COMPLICATIONS; LACTATE; LENGTH OF STAY;

AGED; ANESTHESIA, GENERAL; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; FEMALE; HUMANS; INTENSIVE CARE; INTRAOPERATIVE COMPLICATIONS; LACTIC ACID; LOGISTIC MODELS; LONGEVITY; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; OXYGEN; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 84888299349     PISSN: 10530770     EISSN: 15328422     Source Type: Journal    
DOI: 10.1053/j.jvca.2013.02.031     Document Type: Article

References (26)

1. E. Rivers, B. Nguyen, and S. Havstad Early goal-directed therapy in the treatment of severe sepsis and septic shock N Engl J Med 345 2001 1368 1377
2. A. Meregalli, R.P. Oliveira, and G. Friedman Occult hypoperfusion is associated with increased mortality in hemodynamically stable, high-risk surgical patients Critical Care 8 2004 60 65
3. M.Y. Rady, E.P. Rivers, and R.M. Nowak 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 14 1996 218 225
4. K. Reinhart, T. Rudolph, and D.L. Bredle Comparison of central venous to mixed venous oxygen saturation during changes in oxygen supply/demand Chest 95 1989 1216 1221
5. J.C. Berridge Influence of cardiac output on the correlation between mixed venous and central venous oxygen saturation Br J Anaesth 69 1992 409 410
6. B.A. Mizock, and J.L. Falk Lactic acidosis in critical illness Crit Care Med 20 1992 80 91
7. R.J. Totaro, and R.F. Raper Epinephrine-induced lactic acidosis following cardiopulmonary bypass Crit Care Med 25 1997 1693 1699
8. R. Pearse, D. Dawson, and J. Fawcett Changes in central venous saturation after major surgery, and association with outcome Crit Care 9 2005 R694 R699
9. 2 Monitoring: Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients Crit Care 10 2006 R158 R165
10. C. Rousti, J.L. Vincent, and J. De Backer Relation between oxygen consumption and oxygen delivery in patients after cardiac surgery Anesth Analg 77 1993 1104 1110
11. J. Maillet, P. Le Besnerais, and M. Cantoni Frequency, risk factors, and outcome of hyperlactatemia after cardiac surgery Chest 123 2003 1361 1366
12. A. Kogan, S. Preisman, and A. Bar The impact of hyperlactatemia on postoperative outcome after adult cardiac surgery J Anesth 26 2012 174 178
13. S. Perz, T. Uhlig, and M. Kohl Low and "supranormal" central venous oxygen saturation and markers of tissue hypoxia in cardiac surgery patients: a prospective observational study Intensive Care Med 37 2011 52 59
14. B.Y. Hu, G.A. Laine, and S. Wang Combined central venous oxygen saturation and lactate as markers of occult hypoperfusion and outcome following cardiac surgery J Cardiothorac Vasc Anesth 26 2012 52 57
15. R. Xu, G.A. Laine, and B.Y. Hu Outcomes associated with a screening and treatment pathway for occult hypoperfusion following cardiac surgery Crit Care Med 39 2011 25
16. R.F. Raper, G. Cameron, and D. Walker Type B lactic acidosis following cardiopulmonary bypass Crit Care Med 25 1997 46 51
17. L. Landow Splanchnic lactate production in cardiac surgery patients Crit Care Med 21 1993 S84 S91
18. R. Neviere, D. Mathieu, and J.L. Chagnon The contrasting effects of dobutamine and dopamine on gastric mucosal perfusion in septic patients Crit Care Med 154 1996 1684 1688
19. G. Gutierrez, C. Clark, and S.D. Brown Effect of dobutamine on oxygen consumption and gastric mucosal pH in septic patients Am J Respir Crit Care Med 150 1994 324 329
20. B. Levy, P.E. Bollaert, and J.L. Luchelli Dobutamine improves the adequacy of gastric mucosal perfusion in epinephrine-treated septic shock Crit Care Med 25 1997 1649 1654
21. J. Duranteau, P. Sitbon, and J.L. Teboul Effects of epinephrine, norepinephrine or the combination of norepinephrine and dobutamine on gastric mucosa in septic shock Crit Care Med 27 1999 893 900
22. I. Parviainen, E. Roukonen, and J. Takala Dobutamine-induced dissociation between changes in splanchnic blood flow and gastric mucosal pH after cardiac surgery Br J Anaesth 74 1995 277 282
23. Spronk PE, Ince C, Gardien MJ, etal:Nitroglycerinin septic shockafter intravascular volume resuscitation. Lancet 360:1395-1396, 2002
24. C.A. den Uil, K. Caliskan, and W.K. Lagrand Dose-dependent benefit of nitroglycerin on microcirculation of patients with severe heart failure Intensive Care Med 35 2009 1893 1899
25. C.A. den Uil, W.K. Lagrand, and P.E. Spronk Low-dose nitroglycerin improves microcirculation in hospitalized patients with acute heart failure Eur J Heart Fail 11 2009 386 390
26. T.C. Jansen, J. van Bommel, and F.J. Schoonderbeek Early lactate-guided therapy in intensive care unit patients Am J Respir Crit Care Med 182 2010 752 761