TY - JOUR
T1 - Cerebral and Somatic Near-Infrared Spectroscopy Measurements During Fluid Challenge in Cardiac Surgery Patients: A Descriptive Pilot Study
AU - Fellahi, J
AU - Fischer, M
AU - Rebet, O
AU - Dalbera, A
AU - Massetti, Massimo
AU - Gérard, J
AU - Hanouz, J.
PY - 2012
Y1 - 2012
N2 - OBJECTIVE: Little is known about changes in near-infrared spectroscopy (NIRS)-derived cerebral (rSO(2)b) and somatic (rSO(2)s) oxygen saturation during a fluid challenge. The authors tested the hypothesis that they could differ from central venous oxygen saturation (ScvO(2)) and from one site to another. DESIGN: A prospective observational study. SETTING: A teaching university hospital. PARTICIPANTS: Fifty consecutive adult patients. INTERVENTIONS: Admission to the intensive care unit after cardiac surgery and investigation before and after a fluid challenge. MEASUREMENTS AND MAIN RESULTS: Simultaneous comparative ScvO(2), rSO(2)b, and rSO(2)s data points were collected from a blood-gas analyzer and the EQUANOX monitor (Nonin Medical, Inc, Plymouth, MN). Correlations were determined by linear regression. Multiple stepwise linear regression models were used to assess independent variables associated with changes in ScvO(2), rSO(2)b, and rSO(2)s. A statistically significant relationship was found between absolute values of ScvO(2) and rSO(2)b (r = 0.42, p < 0.001) but not between absolute values of ScvO(2) and rSO(2)s (r = 0.18, p = 0.066). No relationship was found between percent changes in ScvO(2) and rSO(2)b (r = 0.05, p = 0.715) and between percent changes in ScvO(2) and rSO(2)s (r = 0.02, p = 0.886) after the fluid challenge. Cardiac index contributed to the prediction of changes in ScvO(2) (regression coefficient = -4.09, p = 0.006), whereas the mean arterial pressure contributed to the prediction of changes in rSO(2)b (regression coefficient = -0.05, p = 0.027). CONCLUSIONS: rSO(2)b and rSO(2)s cannot be used to provide noninvasive estimation of ScvO(2), and trends in rSO(2)b and rSO(2)s cannot be considered as noninvasive surrogates for the trend in ScvO(2) after cardiac surgery. Different independent variables contribute to the prediction of ScvO(2), rSO(2)b, and rSO(2)s.
AB - OBJECTIVE: Little is known about changes in near-infrared spectroscopy (NIRS)-derived cerebral (rSO(2)b) and somatic (rSO(2)s) oxygen saturation during a fluid challenge. The authors tested the hypothesis that they could differ from central venous oxygen saturation (ScvO(2)) and from one site to another. DESIGN: A prospective observational study. SETTING: A teaching university hospital. PARTICIPANTS: Fifty consecutive adult patients. INTERVENTIONS: Admission to the intensive care unit after cardiac surgery and investigation before and after a fluid challenge. MEASUREMENTS AND MAIN RESULTS: Simultaneous comparative ScvO(2), rSO(2)b, and rSO(2)s data points were collected from a blood-gas analyzer and the EQUANOX monitor (Nonin Medical, Inc, Plymouth, MN). Correlations were determined by linear regression. Multiple stepwise linear regression models were used to assess independent variables associated with changes in ScvO(2), rSO(2)b, and rSO(2)s. A statistically significant relationship was found between absolute values of ScvO(2) and rSO(2)b (r = 0.42, p < 0.001) but not between absolute values of ScvO(2) and rSO(2)s (r = 0.18, p = 0.066). No relationship was found between percent changes in ScvO(2) and rSO(2)b (r = 0.05, p = 0.715) and between percent changes in ScvO(2) and rSO(2)s (r = 0.02, p = 0.886) after the fluid challenge. Cardiac index contributed to the prediction of changes in ScvO(2) (regression coefficient = -4.09, p = 0.006), whereas the mean arterial pressure contributed to the prediction of changes in rSO(2)b (regression coefficient = -0.05, p = 0.027). CONCLUSIONS: rSO(2)b and rSO(2)s cannot be used to provide noninvasive estimation of ScvO(2), and trends in rSO(2)b and rSO(2)s cannot be considered as noninvasive surrogates for the trend in ScvO(2) after cardiac surgery. Different independent variables contribute to the prediction of ScvO(2), rSO(2)b, and rSO(2)s.
KW - cardiac surgery
KW - oxygenation monitoring
KW - cardiac surgery
KW - oxygenation monitoring
UR - http://hdl.handle.net/10807/41182
U2 - 10.1053/j.jvca.2012.04.017
DO - 10.1053/j.jvca.2012.04.017
M3 - Article
SN - 1532-8422
SP - N/A-N/A
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
ER -