Venous Saturation Monitoring in Anesthesiology and Intensive Care
https://doi.org/10.15360/1813-9779-2008-4-86
Abstract
The review describes the problem of adequacy of oxygen transport and the ability of its assessment using the venous oxygen saturation monitoring. The paper contains physiological basics and principles of venous oxygen saturation monitoring as well as current data regarding the efficacy of such monitoring in different fields of critical care medicine. Key words: oxygen transport, venous oxygen saturation, oxygen delivery.
References
1. Priestley J.
2. Vincent J. L.Prevention and therapy of multiple organ failure. World J. Surg. 1996; 20: 465—470.
3. Marshall J. C.Inflammation, coagulopathy and the pathogenesis of multiple organ dysfunction syndrome. Crit. Care Med. 2001; 29: S99—S106.
4. Zimmerman J. E, Knaus W. A., Sun X., Wagner D. P.Severity stratification and outcome prediction for multisystem organ failure and dysfunction. World J. Surg. 1996; 20: 401—405.
5. Shoemaker W. C, Montgomery E. S., Kaplan E., Elwyn D. H.Physiologic patterns in surviving and nonsurviving shock patients. Arch. Surg. 1973; 106: 630—636.
6. Tuchschmidt J, Fried J., Astiz M., Rackow E.Elevation of cardiac output andoxygen delivery improves outcome in septic shock. Chest 1992; 102: 216—220.
7. Boyd O., Grounds R. M, Bennett E. D.A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. JAMA 1993; 270: 2699—270
8. Pearse P., Dawson D, Fawcett J. et al.Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. Critical Care 2005; 9: R687—R693.
9. Hayes M. A., Timmins A. C., Yau E. H. et al.Elevation of systemic oxygen delivery in the treatment of critically ill patients. N. Engl. T. Med. 1994; 330: 1717—1722.
10. Gattinoni L., Brazzi L, Pelosi P. et al.A trial of goal-oriented hemodynamic therapy in critically ill patients. N. Engl. J. Med. 1995; 333: 1025—1032.
11. Reinhart K.Monitoring O2transport and tissue oxygenation in critically ill patients. In: Reinhart K., Eyrich K. (eds). Clinical aspects of O2 transport and tissue oxygenation. Berlin: Springer; 1989. 195—2
12. Pearse R. M., Rhodes A.Mixed and central venous oxygen saturation. In: Vincent J. L. (ed. ) Yearbook of intensive care and emergency medicine. Berlin: Springer; 2005. 592—602.
13. Barratt-Boyes B. G, Wood E. H.The oxygen saturation of blood in the venae cavae, right-heart chambers, and pulmonary vessels of healthy subjects. J. Lab. Clin. Med. 1957; 50: 93—106.
14. Madsen P., Iversen H, Secher N. H.Central venous oxygen saturation during hypovolaemic shock in humans. Scand. J. Clin. Lab. Invest. 1993; 53: 67—72.
15. Marx G, Reinhart K.Venous oximetry. Curr. Opin Crit. Care 2006; 12: 263—268.
16. Comparison of two fluid-management strategies in acute lung injury. N. Engl. J. Med. 2006; 354: 2564—2575.
17. Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury. N. Engl. J. Med. 2006; 354: 2213—2224.
18. Sandham J. D., Hull R. D., Brant R. F. et al.A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N. Engl. J. Med. 2003; 348: 5—14.
19. Forsyth R, Hoffbrand B., Melmon K.Re-distribution of cardiac output during hemorrhage in the unanesthetized monkey. Circ. Res. 1970; 27: 311—320.
20. Scheinman M. M, Brown M. A., RapaportE.Critical assessment of use of central venous oxygen saturation as a mirror of mixed venous oxygen in severely ill cardiac patients. Circulation 1969; 40: 165—172.
21. Herrera A., Pajuelo A., Morano M.J. et al.Comparison of oxygen saturations in mixed venous and central blood during thoracic anesthesia with selective single-lung ventilation. Rev. Esp. Anestesiol. Reanim. 1993; 40: 349—353.
22. Kong C. H., Thompson F. D., Imms F. J.Cardiac output and oxygen uptake in patients with renal failure. Clin. Sci. 1990; 78: 591—596.
23. Reinhart K., Rudolph T., Bredle D. L. et al.Comparison of central-venous to mixed-venous oxygen saturation during changes in oxygen supply/demand. Chest 1989; 95: 1216—1221.
24. Scalea T. M., Holman M., Fuortes M. et al.Central venous blood oxygen saturation: an early, accurate measurement of volume during hemorrhage. J. Trauma 1988; 28: 725—732.
25. Schou H., Perez de Sa V., Larsson A.Central and mixed venous blood oxygen correlate well during acute normovolemic hemodilution in anesthetized pigs. Acta Anesthesiol. Scand. 1998; 42: 172—177.
26. Berridge J. C.Influence of cardiac output on the correlation between mixed venous and central venous oxygen saturation. Br. J. Anaesth. 1992; 69: 409—410.
27. Reinhart K., Kuhn H. J., Hartog C., Bredle D. L.Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med. 2004; 30: 1572—1578.
28. Dueck M. H., Klimek M., Appenrodt S. et al.Trends but not individual values of central venous oxygen saturation agree with mixed venous oxygen saturation during varying hemodynamic conditions. Anesthesiology 2005; 103: 249—257.
29. Baele P. L., McMichan J. C., Marsh H. M. et al.Continuous monitoring of mixed venous oxygen saturation in critically ill patients. Anesth. Analg. 1982; 61: 513—517.
30. Divertie M. B., McMichan J. C.Continuous monitoring of mixed venous oxygen saturation. Chest 1984; 85: 423—428.
31. Fathey P. J., Harris K., Vanderwarf C.Clinical experience with continuous monitoring of mixed venous oxygen saturation in respiratory failure. Chest 1984; 86: 748—752.
32. Bracht H., Hanggi M., Jeker B. et al.Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary ICU. Critical Care 2007; 11: R2.
33. Kowalenko T., Ander D., Hitchcock R. et al.Continuous central venous oxygen saturation monitoring during the resuscitation of suspected hemorrhagic shock. Acad. Emergency Medicine 1994; 1: A69.
34. Scalea T. M., Hartnett R. W., Duncan A. O. et al.Central venous oxygen saturation: a useful clinical tool in trauma patients. J. Trauma 1990; 30: 1539—1543.
35. Goldman R. H., Klughaupt M., Metcalf T. et al.Measurement of central venous oxygen saturation in patients with myocardial infarction. Circulation 1968; 38: 941—946.
36. Hutter A. M. Jr., Moss A. J.Central venous oxygen saturations. Value of serial determinations in patients with acute myocardial infarction. JAMA 1970; 212: 299—303.
37. Ander D. S., Jaggi M., Rivers E. et al.Undetected cardiogenic shock in patients with congestive heart failure presenting to the emergency department. Am. J. Cardiol. 1998; 82: 888—891.
38. Snyder A. B., Salloum L. J., BaroneJ. E. et al.Predicting short-term outcome of cardiopulmonary resuscitation using central venous oxygen tension measurements. Crit. Care Med. 1991; 19: 111—113.
39. Rivers E. P., Rady M. Y., Martin G. B. et al.Venous hyperoxia after cardiac arrest: characterization of a defect in systemic oxygen utilization. Chest 1992; 102: 1787—1793.
40. Nakazawa K., Hikawa Y., Saitoh Y. et al.Usefulness of central venous oxygen saturation monitoring during cardiopulmonary resuscitation: a comparative case study with end-tidal carbon dioxide monitoring. Intens. Care Med. 1994; 20: 450—451.
41. Paradis N. A., Martin G. B., Goetting M. G. et al.Aortic pressure during human cardiac arrest: identification of pseudo-electromechanical dissociation. Chest 1992; 101: 123—128.
42. Rivers E. P., Wortsman J., Rady M. Y. et al.The effect of the total cumulative epinephrine dose administered during human CPR on hemody-namic, oxygen transport, and utilization variables in the postresuscita-tion period. Chest 1994; 106: 1499—1507.
43. Pearse R., Dawson D., FawcettJ. et al.Changes in central venous saturation after major surgery, and association with outcome. Crit. Care 2005; 9: R694—R699.
44. Jakob S. M. et al.Multicenter study on peri-postoperative central venous oxygen saturation in high-risk surgical patients. Crit. Care 2006; 10: R158.
45. Jamieson W. R., Turnbull K. W., Larrieu A. J. et al.Continuous monitoring of mixed venous oxygen saturation in cardiac surgery. Can. J. Surg. 1982; 25: 538—543.
46. Waller J. L., Kaplan J. A., Bauman D. I., Craver J. M.Clinical evaluation of a new fiberoptic catheter oximeter during cardiac surgery. Anesth. Analg. 1982; 61: 676—679.
47. Krauss X. H., Verdouw P. D., Hughenholtz P. G., Nauta J.On-line monitoring of mixed venous oxygen saturation after cardiothoracic surgery. Thorax 1975; 30: 636—643.
48. 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.
49. Varpula M., Tallgren M., Saukkonen K. et al.Hemodynamic variables related to outcome in septic shock. Intensive Care Med. 2005; 31: 1066—1071.
Review
For citations:
Smetkin A.A., Kirov M.Yu. Venous Saturation Monitoring in Anesthesiology and Intensive Care . General Reanimatology. 2008;4(4):86. (In Russ.) https://doi.org/10.15360/1813-9779-2008-4-86
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