Central venous oxygen saturation (ScVO2) facilitates the weaning of intra-aortic balloon pump in acute heart failure related to acute myocardial infarction

Hsin, Ho-Tsung; Chen, Liang-Yü; Lin, Pi-Chi; Shieh, Jiann-Shing; Ao, Chi-Va

doi:10.1016/j.ijcard.2013.06.077

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…In a study during weaning period, intraaortic balloon pump assist ratio was decreased from 1:1 to 1:3. In the weaning failure group, decreased support was accompanied by a drop in ScvO 2 , while it remained constant in the successful group ( 26 ). In patients with chronic heart failure, ScvO 2 can be chronically low.…”

Section: Parameters For Assessment Of Tissue Metabolismmentioning

confidence: 96%

Monitoring of Tissue Oxygenation: an Everyday Clinical Challenge

Molnár

Németh

2018

Front. Med.

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Purpose of reviewThe aim of this article is to study the overview of pathophysiology and clinical application of central venous oxygen saturation monitoring in critically ill patients and during the perioperative period.Recent findingsThere are several clinical studies and animal experiments evaluating the effects of goal-directed hemodynamic stabilization on critically ill patients. Recent systematic reviews and meta-analyses found that advanced hemodynamic endpoints-targeted management has a positive effect on outcome in high-risk surgical patients. As all interventions aim to improve tissue oxygenation, it is of utmost importance to monitor the balance between oxygen delivery and consumption. For this purpose, central venous blood gas analysis provides an easily available tool in the everyday clinical practice. The adequate interpretation of central venous oxygen saturation renders the need of careful evaluation of several physiological and pathophysiological circumstances. When appropriately evaluated, central venous oxygen saturation can be a valuable component of a multimodal individualized approach, in which components of oxygen delivery are put in the context of the patients’ individual oxygen consumption. In addition to guide therapy, central venous oxygen saturation may also serve as an early warning sign of inadequate oxygen delivery, which would otherwise remain hidden from the attending physician.SummaryWith the incorporation of central venous oxygen saturation in the everyday clinical routine, treatment could be better tailored for the patients’ actual needs; hence, it may also improve outcome.

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Section: Parameters For Assessment Of Tissue Metabolismmentioning

confidence: 96%

Monitoring of Tissue Oxygenation: an Everyday Clinical Challenge

Molnár

Németh

2018

Front. Med.

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“…The use of a protocol was associated with a higher heart rate after weaning, though no differences were observed in systolic and mean blood pressures, urinary output and mortality. In another study, the central venous oxygen saturation during a protocol of 1 : 3 IABP support enabled the safe weaning of patients who had developed acute heart failure during acute MI [57].…”

Section: Intra-aortic Balloon Pump Weaningmentioning

confidence: 99%

Current and future applications of the intra-aortic balloon pump

Kapelios

Terrovitis

Nanas

2014

Current Opinion in Cardiology

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“…29 ScvO 2 is also advocated in IABP weaning. 30 The main indication for IABP in our study was LCOS or LMS disease (29 vs 10 patients). Only one patient had IABP because of recurrent arrhythmia.…”

Section: Discussionmentioning

confidence: 76%

The influence of intra-aortic balloon counter pulsation on central venous blood oxygen saturation

et al. 2021

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Objectives We aim at identifying the changes in venous blood saturation values that associates intra-aortic balloon pump (IABP) in cardiac surgery patients with reduced left ventricular function (LVF). Methods A retrospective observational study was conducted in a cardiothoracic intensive care unit (CTICU) in a tertiary cardiac center over 5 years in Qatar. A total of 114 patients with at least moderate impairment of LVF with ejection fraction (EF) less than 40% were enrolled. According to the association of IABP, patients were segregated into two groups with and without IABP (groups 1, 40 patients and group 2, 74 patients). Sequential arterial and venous blood gases were analyzed. The primary outcome was to analyze the changes in the central venous saturation (ScvO2) in both groups and the secondary outcome was to analyze whether these changes affect the overall outcome in terms of intensive care unit (ICU) length of stay. Results There was no significant difference between both groups with regard to age, preoperative EF, hemoglobin, and arterial oxygen saturation (SaO2) in blood gases. Patients with IABP have a higher cScvO2 when compared to the other group (71.5 ± 12.5 vs 63.5 ± 9.3, 68.3 ± 12.6 vs 60.1 ± 9.5, 62.7 ± 10.8 vs 55.63 ± 8.1, and 60.6 ± 7.6 vs 54.9 ± 8.1; p = 0.04, 0.05, 0.03, and 0.5, respectively). However, generalized estimating equations (GEE) analysis showed that compared with the participants showing that there is a decreasing trend in mean levels within the groups during follow-ups, overall difference between both groups’ mean levels was not statistically significant. Conclusions In this study, we observed that after cardiac surgeries, patients with IABP had non-significant higher ScvO2 when compared with a corresponding group with moderate impairment of LVF. Further prospective studies are required to validate these findings.

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Central venous oxygen saturation (ScVO2) facilitates the weaning of intra-aortic balloon pump in acute heart failure related to acute myocardial infarction

Cited by 10 publications

References 12 publications

Monitoring of Tissue Oxygenation: an Everyday Clinical Challenge

Monitoring of Tissue Oxygenation: an Everyday Clinical Challenge

Current and future applications of the intra-aortic balloon pump

The influence of intra-aortic balloon counter pulsation on central venous blood oxygen saturation

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