Changes in tissue oxygen tension, venous saturation, and Fick-based assessments of cardiac output during hyperoxia
Acta Anaesthesiologica Scandinavica Aug 22, 2018
Perry DA, et al. - Researchers determined how hyperoxemia (arterial oxygen tension >100 mm Hg) influences venous saturation (SvO2) and assessments of cardiac output (CO) using the Fick equation. They measured SvO2 and tissue oxygen tension (tPO2) in brain and myocardium during systematic manipulation of arterial oxygen tension (PaO2) using graded hyperoxia in anesthetized, intubated Yorkshire swine (n = 14) paralyzed for instrumentation. Thereafter, they compared oxygen- and carbon dioxide-based estimates of CO (FickO2 and FickCO2, respectively) with measurements from a flow probe placed on the aortic root. They noted that changes in PaO2 were followed by acute changes in SvO2 even when there were absent changes in measured DO2. This could give rise to errors in FickO2 estimates of CI.
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