Thursday, May 15, 2014

Central venous oxygen saturation and carbon dioxide gap as resuscitation targets in a hemorrhagic shock
M. NÉMETH,K. TÁNCZOS,G. DEMETER,D. ÉRCES,J. KASZAKI,A. MIKOR,Z. MOLNÁR

 Acta Anaesthesiologica Scandinavica Volume 58, Issue 5, pages 611–619, May 2014

 In this SV-guided bleeding and fluid resuscitation model, both ScvO2 and dCO2 correlated well with changes in SV, but only the dCO2 returned to its baseline, normal value, while ScvO2 remained significantly lower than at baseline. These results suggest that dCO2( venous-to-arterial carbon dioxide gap ) may be a good hemodynamic endpoint of resuscitation, while ScvO2 is not strictly a hemodynamic parameter, but rather an indicator of the balance between oxygen delivery and consumption.

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