Intraoperative ScvO₂ levels are higher than those both in the pre- and postoperative period. However, low preoperative ScvO₂ determines worse prognosis.
Summary: Silva Junior JM, Oliveira AMRR, Morais SZ, Araújo LS, Victoria LGF, Marubayashi LY -Influence of Central Venous Oxygen Saturation on In-hospital Mortality of Surgical Patients.
Background and objectives:Low central venous oxygen saturation (ScvO 2 ) indicates an imbalance between cellular oxygen supply and consumption and, consequently, worse prognosis for critical patients. However, it is not clear what the value of this marker in surgical patients. The objective of the present study was to evaluate whether low perioperative ScvO 2 determines a worse prognosis.
Introduction: Anesthetic therapy in patients with epidermolysis bullosa has several peculiarities. Some choices in the anesthetic procedure can be understood as imprudent, but such isolated or unrelated measures can make a difference in saving them. Report: The patient presented intermittent remission / exacerbation with infected lesions on the skin. A total of 37 anesthetic / surgical procedures were performed, and the main alterations and peculiarities related to the difficulty of monitoring, obtaining peripheral venous access, hypothermia, analgesia and difficult airway were described. Conclusions: Hypothermia, difficult airway, difficulty in venous access and monitoring, and infection were frequent problems. Dealing with these procedures repeatedly required of the team a series of adaptations and extrapolations in the absence of data in the literature.
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