Báo cáo khoa học: "Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients. | Available online http content 10 6 R158 Research Multicentre study on peri- and postoperative central venous oxygen saturation in high-risk surgical patients Collaborative Study Group on Perioperative ScvO2 Monitoring Received 5 Jul 2006 Revisions requested 27 Jul 2006 Revisions received 30 Aug 2006 Accepted 13 Nov 2006 Published 13 Nov 2006 Critical Care 2006 10 R158 doi cc5094 This article is online at http content 10 6 R158 2006 Collaborative Study Group on Perioperative ScvO2 Monitoring licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. For a complete list of authors and their affiliations see Appendix. Corresponding author Stephen M Jakob Open Access Abstract Introduction Low central venous oxygen saturation ScvO2 has been associated with increased risk of postoperative complications in high-risk surgery. Whether this association is centre-specific or more generalisable is not known. The aim of this study was to assess the association between peri- and postoperative ScvO2 and outcome in high-risk surgical patients in a multicentre setting. Methods Three large European university hospitals two in Finland one in Switzerland participated. In 60 patients with intra-abdominal surgery lasting more than 90 minutes the presence of at least two of Shoemaker s criteria and ASA American Society of Anesthesiologists class greater than 2 ScvO2 was determined preoperatively and at two hour intervals during the operation until 12 hours postoperatively. Hospital length of stay LOS mortality and predefined postoperative complications were recorded. Results The age of the patients was 72 10 years mean standard deviation and simplified acute physiology score SAPS II was 32 12. Hospital LOS was 8 to 14 .

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