Abstract
The usefulness of continuous monitoring of central venous oxygen saturation (ScvO2) in comparison with the capnogram during cardiopulmonary resuscitation (CPR) was demonstrated in a cardiac arrest patient. ScvO2 and end-tidal carbon dioxide (ETCO2) decreased following cessation of chest compression or increased during recovery of systemic circulation. During the complete stasis of systemic circulation, when defibrillation was done, ScvO2 did not change, while ETCO2 gradually decreased. However the larger decrease in ScvO2 temporally occurred when chest compression was resumed. And also the ScvO2 monitoring had great advantage to detecting peripheral tissue oxygenation. ScvO2 seems to be no less accurate and reliable monitoring than the capnogram during CPR procedures. Since the capnogram is non-invasively and easily used in cardiac arrest patients, ScvO2 monitoring combined with the capnogram is a more preferable method for assessing the efficacy of ongoing CPR.
References
Sanders AB, Ewy GA, Taft TV (1984) Prognostic and therapeutical importance of the aortic diastolic pressure in resuscitation from cardiac arrest. Crit Care Med 12:871–873
Weil MH, Rackow EC, Trevino R, Grundler W, Falk JL, Griffel MI (1986) Difference in acid-base state between venous and arterial blood during cardiopulmonary resuscitation. N Engl J Med 315:153–156
Snyder AB, Salloum LJ, Barone JE, Conley M, Todd M, Digiacomo JC (1991) Predicting short-term outcome of cardiopulmonary resuscitation using central venous oxygen tension measurements. Crit Care Med 19:111–113
Falk JL, Rackow EC, Weil MH (1988) End-tidal carbon dioxide concentration during cardiopulmonary resuscitation. N Engl J Med 318:607–611
Callaham M, Barton C (1990) Prediction of outcome of cardiopulmonary resuscitation from end-tidal carbon dioxide concentration. Crit Care Med 18:358–362
Rivers EP, Martin GB, Smithline H, Rady MY, Shultz CH, Goetting MG, Appleton TJ, Nowak RM (1992) The clinical implication of continuous central venous oxygen saturation during human CPR. Ann Emerg Med 21:1094–1101
Gore J (1984) Use of continuous monitoring of mixed venous oxygen saturation in the CCU. Chest 86:757
Emerson CL, Pinchak AC, Hagen JF, Hancock D (1988) A comparison of venous blood gases during cardiac arrest. Am J Emerg Med 6:580–583
Jackson RE, Freeman SB (1983) Hemodynamics of cardiac massage. Emerg Med Clin North Am 1:501–513
Johnson BA, Weil MH (1991) Redefining ischemia due to circulatory failure as dual defects of oxygen deficits and of carbon dioxide excesses. Crit Care Med 19:1432–1438
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakazawa, K., Hikawa, Y., Saitoh, Y. et al. Usefulness of central venous oxygen saturation monitoring during cardiopulmonary resuscitation. Intensive Care Med 20, 450–451 (1994). https://doi.org/10.1007/BF01710659
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01710659