Continuous venous oximetry during cardiopulmonary bypass: influence of temperature changes, perfusion flow, and hematocrit levels.
This study was performed in 11 patients undergoing cardiac surgery during cardiopulmonary bypass (CPB). A Bentley-10 oxygenator (American Bentley, Irvine, CA) was used during bypass, and 1,500 mL of Ringer's solution was used to prime the oxygenator. A perfusion flow of 2.4 L/min/m2 was used, and an equivalent flow of 100% oxygen was added to the oxygenator. The mixed venous oxygen saturation (SvO2) was monitored by continuous in-line venous oximetry using the Bentley Oxy-Stat Meter. Body temperature and SvO2 measurements were made at the venous blood port of the oxygenator. The authors investigated the correlation between SvO2 and changes of body temperature, perfusion flow, and hematocrit values. SvO2 correlated inversely, in a linear fashion, with the body temperature. The SvO2 was markedly decreased after rewarming, and was significantly affected during normothermia by changes in perfusion flow rates and hematocrit levels. An adequate SvO2 was found when the flow was greater than 2.4 L/min/m2 and the hematocrit was greater than 20%. In-line oximetry can help to optimize perfusion during CPB and to detect episodes of desaturation.
Baraka
A
A
Department of Anesthesiology, American University of Beirut, Lebanon.
Baroody
M
M
Haroun
S
S
Nawfal
M
M
Dabbous
A
A
Sibai
A
A
Jamal
S
S
Shamli
S
S
D000368:Aged; D001831:Body Temperature; D002315:Cardiopulmonary Bypass / Q000295:instrumentation; D001026:Coronary Artery Bypass; D006324:Heart Arrest, Induced; D006350:Heart Valve Prosthesis; D006400:Hematocrit; D006801:Humans; D008875:Middle Aged; D010092:Oximetry / Q000295:instrumentation / Q000379:methods*; D010100:Oxygen / Q000097:blood*; D010106:Oxygenators; D010477:Perfusion; D012044:Regression Analysis; D012212:Rheology; D014680:Veins
D010100:Oxygen