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Báo cáo khoa học: "Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary intensive care unit: an observational study"

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: Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary intensive care unit: an observational study. | Available online http ccforum.eom content 11 1 R2 Research Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary intensive care unit an observational study Hendrik Bracht Matthias Hanggi Barbara Jeker Ninja Wegmuller Francesca Porta David Tuller Jukka Takala and Stephan M Jakob Department of Intensive Care Medicine University Hospital Bern University of Bern Freiburgstrasse CH-3010 Bern Switzerland Corresponding author Stephan M Jakob stephan.jakob@insel.ch Received 19 May 2006 Revisions requested 1 7 Jul 2006 Revisions received 16 Nov 2006 Accepted 9 Jan 2007 Published 9 Jan 2007 Critical Care 2007 11 R2 doi 10.1186 cc5144 This article is online at http ccforum.com content 11 1 R2 2007 Bracht et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction It has been shown that early central venous oxygen saturation ScvO2 -guided optimization of hemodynamics can improve outcome in septic patients. The early ScvO2 profile of other patient groups is unknown. The aim of this study was to characterize unplanned admissions in a multidisciplinary intensive care unit ICU with respect to ScvO2 and outcome. Methods Ninety-eight consecutive unplanned admissions to a multidisciplinary ICU median age 63 range 19 to 83 years median Simplified Acute Physiology Score SAPS II 43 range 11 to 92 with a clinical indication for a central venous catheter were included in the study. ScvO2 was assessed at ICU arrival and six hours later but was not used to guide treatment. Length of stay in ICU LOSICU and in hospital LOShospital and 28-day mortality were recorded. Results ScvO2 was 70 12 mean standard deviation at admission and 71 10 six hours later p 0.484 . Overall 28-day