Skip to main content
NCBI home page
Thorax logoLink to Thorax
. 1975 Dec;30(6):636–643. doi: 10.1136/thx.30.6.636

On-line monitoring of mixed venous oxygen saturation after cardiothoracic surgery.

X H Krauss, P D Verdouw, P G Hughenholtz, J Nauta
PMCID: PMC470339  PMID: 1221551

Abstract

On-line monitoring of MVo2 sat. in vivo by means of fibreoptic reflectometry was studied in 19 patients as to its predictive value during the postoperative course after thoracotomy for periods up to 60 hours. In all but one of the 10 patients with MVo2 sat. less than 65% for at least one hour complications occurred. A fall of MVo2 sat. of more than 5% or a value below 60% predicted a period of hypotension in six patients. In two of them this coincided with a period of ventricular arrhythmias. In those with MVo2 sat. greater than 65% no postoperative complications such as arrhythmias, shock, respiratory dysfunction or oliguria took place.

Full text

PDF
636

Images in this article

642Image
on p.642

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CROWELL J. W., SMITH E. E. OXYGEN DEFICIT AND IRREVERSIBLE HEMORRHAGIC SHOCK. Am J Physiol. 1964 Feb;206:313–316. doi: 10.1152/ajplegacy.1964.206.2.313. [DOI] [PubMed] [Google Scholar]
  2. Goldman R. H., Klughaupt M., Metcalf T., Spivack A. P., Harrison D. C. Measurement of central venous oxygen saturation in patients with myocarial infarction. Circulation. 1968 Nov;38(5):941–946. doi: 10.1161/01.cir.38.5.941. [DOI] [PubMed] [Google Scholar]
  3. Hempelmann G., Karliczek G., Helms U., Hempelmann W. Akute hämodynamische Veränderungen durch tracheobronchiales Absaugen. Z Kreislaufforsch. 1972 Jun;61(6):545–552. [PubMed] [Google Scholar]
  4. Hutter A. M., Jr, Moss A. J. Central venous oxygen saturations. Value of serial determinations in patients with acute myocardial infarction. JAMA. 1970 Apr 13;212(2):299–303. doi: 10.1001/jama.212.2.299. [DOI] [PubMed] [Google Scholar]
  5. KIRKLIN J. W., THEYE R. A. CARDIAC PERFORMANCE AFTER OPEN INTRACARDIAC SURGERY. Circulation. 1963 Dec;28:1061–1070. doi: 10.1161/01.cir.28.6.1061. [DOI] [PubMed] [Google Scholar]
  6. Raison J. C., Osborn J. J., Beaumont J. O., Gerbode F. Oxygen consumption after open heart surgery neasured by a digital computer system. Ann Surg. 1970 Apr;171(4):471–484. doi: 10.1097/00000658-197004000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Scheinman M. M., Brown M. A., Rapaport E. Critical assessment of use of central venous oxygen saturation as a mirror of mixed venous oxygen in severely ill cardiac patients. Circulation. 1969 Aug;40(2):165–172. doi: 10.1161/01.cir.40.2.165. [DOI] [PubMed] [Google Scholar]
  8. Taylor J. B., Lown B., Polanyi M. In vivo monitoring with a fiber optic catheter. JAMA. 1972 Aug 14;221(7):667–673. [PubMed] [Google Scholar]
  9. Weil M. H., Afifi A. A. Experimental and clinical studies on lactate and pyruvate as indicators of the severity of acute circulatory failure (shock). Circulation. 1970 Jun;41(6):989–1001. doi: 10.1161/01.cir.41.6.989. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES