Continuous Central Venous Oximetry Monitoring

2006 ◽  
Vol 18 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Cindy Goodrich
Keyword(s):  
Central Venous ◽  
Venous Oximetry

scholarly journals The Evaluation of the Effects of Erythrocyte Transfusion on Central Venous Oximetry in Major Surgery Patients

2018 ◽  
Vol 16 (2) ◽  
pp. 70-75
Author(s):  
Emil Gasimov ◽  
Ahmet Kemalettin Koltka ◽  
Nükhet Sivrikoz ◽  
Ali Emre Çamcı
Keyword(s):  
Major Surgery ◽  
Erythrocyte Transfusion ◽  
Central Venous ◽  
Venous Oximetry

Evaluation of a pediatric central venous oximetry catheter in critically ill children

2010 ◽  
Vol 11 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Neil Spenceley ◽  
Gordon Krahn ◽  
Peter W. Skippen ◽  
Niranjan Kissoon
Keyword(s):  
Critically Ill ◽  
Critically Ill Children ◽  
Central Venous ◽  
Venous Oximetry

Mixed and central venous oxygen saturation monitoring in the ICU

2016 ◽  
Author(s):  
Frank Bloos ◽  
Konrad Reinhart
Keyword(s):  
Oxygen Saturation ◽  
Superior Vena ◽  
Venous Blood ◽  
Treatment Algorithm ◽  
Vena Cava ◽  
Central Venous Oxygen Saturation ◽  
Whole Body ◽  
Central Venous ◽  
Venous Oxygen Saturation ◽  
Venous Oximetry

Haemodynamic resuscitation should target goals that reflect the tissue oxygen needs of an individual patient. Venous oximetry may be such a tool. Oxygen saturation of blood in the pulmonary artery contains venous blood from the whole body and is referred to as mixed oxygen saturation (SvO2). Measurement of oxygen saturation in blood obtained from a central venous catheter is referred to as central venous oxygen saturation (ScvO2). Both values are not identical since a catheter placed into the superior vena cava only represents venous blood draining the upper body. While it is not possible, in the clinical setting, to predict SvO2 from ScvO2, changes in SvO2 are adequately mirrored by changes in ScvO2. Post-operative patients and patients admitted to intensive care with a low ScvO2 show a higher morbidity and mortality. Early goal-directed therapy (EGDT) combines several haemodynamic goals into a treatment algorithm, including a ScvO2 target. However, recent studies do not support the systematic use of this protocolized approach. A normal value of SvO2 or ScvO2 saturation does not always exclude tissue hypoxia, since it is not possible to identify an inadequate oxygen supply in single organs. A further limitation of this technique is that organ dysfunction can progress, or serum lactate increases, despite normal or even increased venous oximetry values.

Continuous central venous oximetry and shock index in the emergency department: Use in the evaluation of clinical shock

1992 ◽  
Vol 10 (6) ◽  
pp. 538-541 ◽  
Author(s):  
Mohamed Y. Rady ◽  
Emanuel P. Rivers ◽  
Gerard B. Martin ◽  
Howard Smithline ◽  
Timothy Appelton ◽  
...  
Keyword(s):  
Emergency Department ◽  
Shock Index ◽  
Central Venous ◽  
Emergency Department Use ◽  
Venous Oximetry

Multidisciplinary management of vascular access for haemodialysis: from the preparation of the initial access to the treatment of stenosis and thrombosis

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 188-198 ◽  
Author(s):  
Reinhold ◽  
Haage ◽  
Hollenbeck ◽  
Mickley ◽  
Ranft
Keyword(s):  
Vascular Access ◽  
Central Venous ◽  
Advantages And Disadvantages ◽  
Multidisciplinary Study ◽  
First Results ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Access Problems ◽  
Arteriovenous Grafts ◽  
The Individual

In February 2008 a multidisciplinary study group was established in Germany to improve the treatment of patients with potential vascular access problems. As one of the first results of their work interdisciplinary recommendations for the management of vascular access were provided, from the creation of the initial access to the treatment of complications. As a rule the wrist arteriovenous fistula (AVF) is the access of choice due to its lower complication rate when compared to other types of access. The AVF should be created 3 months prior to the expected start of haemodialysis to allow for sufficient maturation. Second and third choice accesses are arteriovenous grafts (AVG) and central venous catheters (CVC). Ultrasound is a reliable tool for vessel selection before access creation, and also for the diagnosis of complications in AVF and grafts. Access stenosis and thrombosis can be treated surgically and interventionally. The comparison of both methods reveals advantages and disadvantages for each. The therapeutic decision should be based on the individual patients’ constitution, and also on the availability and experience of the involved specialists.

Intravascular ultrasound in the diagnosis and treatment of central venous diseases

VASA ◽  
2021 ◽  
Vol 50 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Xin Li ◽  
Giuseppe D’Amico ◽  
Cristiano Quintini ◽  
Teresa Diago Uso ◽  
Sameer Gadani ◽  
...  
Keyword(s):  
Intravascular Ultrasound ◽  
Patient Outcomes ◽  
Controlled Trials ◽  
Ivc Filter ◽  
Venous Anatomy ◽  
Central Venous ◽  
Detailed Measurement ◽  
Filter Placement ◽  
Randomized Controlled ◽  
Venous Diseases

Summary: Intravascular ultrasound (IVUS) has been used extensively in coronary applications. Its use in venous applications has increased as endovascular therapy has increasingly become the mainstay therapy for central venous diseases. IVUS has been used for both diagnostic and therapeutic purposes in managing venous stenotic disease, venous occlusive disease, and IVC filter placement and removal. IVUS has been proven to be effective in providing detailed measurement of the venous anatomy, which aid in determining the appropriate size and the approach for venous stent placement. In IVC filter placement, IVUS can provide detailed measurement and guide IVC filter placement in emergent and critical care settings. It also has certain utility in filter removal. At any rate, to date there are only a few studies examining its impact on patient outcomes. Prospective randomized controlled trials are warranted in the future.

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