Journal of Cardiothoracic and Vascular Anesthesia
Volume 22, Issue 6 , Pages 853-857 , December 2008

Central Venous Oxygen Saturation Cannot Replace Mixed Venous Saturation in Patients Undergoing Cardiac Surgery

References 

  1. Spahn DR, Leone BJ, Reves JG, et al. Cardiovascular and coronary physiology of acute isovolemic hemodilution: A review of nonoxygen-carrying and oxygen-carrying solutions. Anesth Analg. 1994;78:1000–1021
  2. Weiskopf RB, Viele MK, Feiner J, et al. Human cardiovascular and metabolic response to acute, severe isovolemic anemia. JAMA. 1998;279:217–221
  3. Connors AF, Speroff T, Dawson NV, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA. 1996;276:889–897
  4. Sandham JD, Hull RD, Brant RF, 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
  5. Harvey S, Harrison DA, Singer M, et al. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): A randomized controlled trial. Lancet. 2005;366:472–477
  6. Vincent JL. Does central venous oxygen saturation accurately reflect mixed venous oxygen saturation?. Intensive Care Med. 1992;18:336–387
  7. Martin C, Auffray JP, Badetti C, et al. Monitoring of central venous oxygen saturation versus mixed venous oxygen saturation in critical patients. Intensive Care Med. 1992;18:101–104
  8. Faber T. Central venous versus mixed venous oxygen content. Acta Anaesth Scand. 1995;39(suppl 107):33–36
  9. Tahvanainen J, Meretoja O, Nikki P. Can central venous blood replace mixed venous blood samples?. Crit Care Med. 1982;10:758–761
  10. Croughwell ND, White WD, Smith LR, et al. Jugular bulb saturation and mixed venous saturation during cardiopulmonary bypass. J Card Surg. 1995;10(suppl):503–508
  11. Ruokonen E, Takala J, Uusaro A. Effect of vasoactive treatment on the relationship between mixed venous and regional oxygen saturation. Crit Care Med. 1991;19:1365–1369
  12. Sander M, Spies CD, Foer A, et al. Agreement of central venous saturation and mixed venous saturation in cardiac surgery patients. Intensive Care Med. 2007;33:1719–1725
  13. Bland JM, Altman DG. Statistical method for assessing agreement between two methods of clinical measurement. Lancet. 1986;I:307–310
  14. Reinhart K, Bloos F. The value of venous oximetry. Curr Opin Crit Care. 2005;11:259–263
  15. Berridge JC. Influence of cardiac output on the correlation between mixed venous and central venous oxygen saturation. Br J Anaesth. 1992;69:409–410
  16. Reinhart K, Rudolph T, Bredle DL, et al. Comparison of central-venous to mixed-venous oxygen saturation during changes in oxygen supply/demand. Chest. 1989;95:1216–1221
  17. Pölönen P, Ruokonen E, Hippeläinen M, et al. A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg. 2000;90:1052–1059

PII: S1053-0770(08)00101-8

doi: 10.1053/j.jvca.2008.04.004

Journal of Cardiothoracic and Vascular Anesthesia
Volume 22, Issue 6 , Pages 853-857 , December 2008