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September 6, 2018Vojnosanitetski pregledOpen Access

ScvO2 correlates well with SvO2 but cannot reliably calculate cardiac index.

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Why the study?

Does central venous oxygen saturation (ScvO2) correlate with mixed venous oxygen saturation (SvO2) and accurately estimate cardiac index in patients undergoing elective abdominal aortic aneurysm surgery?

Population

125 consecutive patients undergoing elective abdominal aortic aneurysm (AAA) surgery

Comparison

Central venous oxygen saturation measurement and… vs Mixed venous oxygen saturation measurement and…

Design

Cohort

Follow-up

Up to 8 hours after ICU admission

Key result

Central venous oxygen saturation (ScvO2) correlated well with mixed venous oxygen saturation (SvO2) (R2 = 0.661 at 8 hours post-ICU admission) but cannot be used to calculate cardiac index.

Authors

LSLjiljana SoskicMKMladen J. KočicaDCDragan Cvetković

Discussion

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Overview

ScvO2 may substitute for SvO2 in elective AAA surgery patients; leaves open its role in cardiac index estimation without PAC.

Study Design

Type

Observational (n=125)

Structured PICO

Does central venous oxygen saturation (ScvO2) correlate with mixed venous oxygen saturation (SvO2) and accurately estimate cardiac index in patients undergoing elective abdominal aortic aneurysm surgery?

P
Population
125 consecutive patients undergoing elective abdominal aortic aneurysm surgery.
E
Exposure
Central venous oxygen saturation (ScvO2) measurement and cardiac index calculation via modified Fick equation
C
Comparator
Mixed venous oxygen saturation (SvO2) measurement and cardiac index calculation via pulmonary artery catheter (PAC)
O
Outcome
Correlation between ScvO2 and SvO2, and correlation between cardiac indices calculated by the two methods at three time frames (immediately after induction, immediately after ICU admission, and 8 h after ICU admission)surrogate

Main Result

Effect estimate: R2 = 0.661

While ScvO2 correlates well with SvO2 in patients undergoing elective AAA surgery, it cannot reliably substitute for SvO2 in calculating cardiac index.

Cite This Study

Soskic et al. (2018) conducted an observational in elective abdominal aortic aneurysm (AAA) surgery (n=125). Central venous oxygen saturation (ScvO2) vs. Mixed venous oxygen saturation (SvO2) was evaluated on Correlation between ScvO2 and SvO2, and between CI calculated from ScvO2 and CI measured by PAC (R2 = 0.661). Central venous oxygen saturation (ScvO2) correlated well with mixed venous oxygen saturation (SvO2) (R2 = 0.661 at 8 hours post-ICU admission) but cannot be used to calculate cardiac index.

synapsesocial.com/papers/6aa41f5334adc638f921dec9https://doi.org/10.2298/vsp180621131s
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