New Noninvasive Method for the Assessment of Central Venous Oxygen Saturations in Critically Ill Patients

Article Article scientifique Article New Noninvasive Method for the Assessment of Central Venous Oxygen Saturations in Critically Ill Patients eng 2023-09-19 2024-01 author Jeleff Alexandre Division of Anaesthesiology, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland. 866762 author Suh Noémie Division of Intensive Care, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland. 990493 author Schranc Almos Unit for Anaesthesiological Investigations, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University of Geneva, Geneva, Switzerland. Electronic address: almos.schranc@unige.ch. 975833 author Daniels John Yaakov 0009-0008-9463-8852 Division of Anaesthesiology, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland; Unit for Anaesthesiological Investigations, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University of Geneva, Geneva, Switzerland. 922101 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) John Martin Diaper John Diaper author Bendjelid Karim 0000-0002-7921-7207 Division of Intensive Care, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland. 527948 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) author Schiffer Eduardo 0000-0002-7415-4315 Division of Anaesthesiology, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University Hospitals of Geneva, Geneva, Switzerland. 33705 Département d'anesthésiologie, pharmacologie et soins intensifs (APSIC) 170-174 10.1053/j.jvca.2023.09.020 37827917 1053-0770 https://www.sciencedirect.com/science/article/pii/S1053077023007826 Objectives: To compare noninvasive external jugular vein oxygen saturations (SjvO2 ) and central venous oxygen saturation (ScvO2 ) from a blood sample in patients admitted to the intensive care unit. Design: A prospective, comparative, monocentric clinical trial design was used. Setting: The study was performed in the Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, University Hospitals of Geneva (Switzerland). Participants: A total of 79 patients were enrolled; patients with confirmed COVID-19 infection requiring invasive mechanical ventilation (patients with COVID-19, n = 36) and patients after liver transplantation (posttransplant patients, n = 43). Interventions: Simultaneous measurement of SjvO2 by near-infrared spectroscopy and ScvO2 from central venous blood samples using a blood gas analyzer in stable hemodynamic conditions. Measurements and main results: A strong linear correlation was evidenced in both the COVID-19 and posttransplant patient groups between the 2 modalities. The Bland-Altman analysis showed low bias in accordance with low percentage error in both groups (0.57% and 8.09% for patients with COVID-19; 0.00% and 13.72% for posttransplant patients). Conclusions: Central venous oxygen saturation can be estimated reasonably by the continuous noninvasive measurement of SjvO2 using near-infrared spectroscopy. COVID-19 Jugular vein oxygen saturation Non-invasive measurement Oxygen debt Postoperative period Humans Critical Illness / therapy Oxygen Oxygen Saturation Prospective Studies Dewey 617 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 false 570 Groupe de recherche en hémodynamique 913 Journal of cardiothoracic and vascular anesthesia 38 1 67e1e4c8-6203-4b2a-bbde-23dd85d50c94 Article (Published version) Public SCVO2-Jellef-2023.pdf 707080 application/pdf CC BY-4.0 fbd4ddc3405e9021d3e35194f63d0f997a264d57d3742bf51373692ad888712b openAccess Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences

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New Noninvasive Method for the Assessment of Central Venous Oxygen Saturations in Critically Ill Patients	Journal of cardiothoracic and vascular anesthesia			2024	83	259

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Jeleff, Alexandre