The relationship between mixed venous oxygen saturation and cardiac output in mechanically ventilated coronary artery bypass graft patients. 1990

M L Noll, and R L Fountain

This study examined the relationship between mixed venous oxygen saturation (SvO2) and cardiac output (CO) in coronary artery bypass graft (CABG) surgery patients, age 35 to 70 years, who were 6.0 to 9.5 hours postoperative, hemodynamically stable, and receiving mechanical ventilation. A total of five paired measurements of SvO2 and thermodilution CO's were recorded on 30 subjects during a 45 minute time period. Correlations between SvO2 and CO for the entire sample ranged from 0.27 (NS*) to 0.45 (p less than or equal to 0.01). Additional analysis was done to determine if continuous infusions of vasoactive drugs influenced the relationship between the variables. Correlations for those on continuous vasoactive medications ranged from 0.21 to 0.31 (NS). Correlations for subjects who did not require vasoactive infusions were higher, ranging from 0.53 (NS) to 0.81 (p less than or equal to .01). Although many results were statistically significant, correlations less than 0.7 should not be used for clinical decision making. SvO2 reflects the overall tissue oxygenation and should not be used as a substitute for CO measurements in the CABG patient in the early hours after cardiac surgery.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012121 Respiration, Artificial Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2). Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D001784 Blood Gas Analysis Measurement of oxygen and carbon dioxide in the blood. Analysis, Blood Gas,Analyses, Blood Gas,Blood Gas Analyses,Gas Analyses, Blood,Gas Analysis, Blood
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

M L Noll, and R L Fountain
March 1994, American journal of critical care : an official publication, American Association of Critical-Care Nurses,
M L Noll, and R L Fountain
July 1995, American journal of critical care : an official publication, American Association of Critical-Care Nurses,
M L Noll, and R L Fountain
December 1998, Journal of critical care,
M L Noll, and R L Fountain
October 1992, British journal of anaesthesia,
M L Noll, and R L Fountain
September 1993, British journal of anaesthesia,
Copied contents to your clipboard!