Paediatric anaesthesia & critical care

Age-related variation in oxygen transport but stable mixed venous oxygen saturation in anaesthetised children

Eur J AnaesthesiolPublished Retrospective observational study

Authors' conclusion

Absolute and indexed CO and DO2 variables demonstrated age-dependent variation in anaesthetised children, whereas SvO2 remained relatively stable across developmental stages. This stability suggests that SvO2 may represent a physiologically robust and age-independent indicator of adequate systemic DO2 during paediatric anaesthesia.

Study context

Population
Anaesthetised children with structurally normal cardiac physiology undergoing elective surgery or catheter-based interventions; retrospective data from 2016 to 2024
Participants
Fifty-eight anaesthetised children
Exposure
Age-related variation across paediatric age groups in cardiac output (CO), stroke volume (SV), CI, DO2 and SvO2 measured using capnodynamic assessment under stable baseline anaesthesia
Outcome
CO, SV, and absolute DO2 by age
Methodological detailssingle tertiary paediatric university hospital
  • Single tertiary paediatric university hospital

Main finding

As reported in the abstract

  • CO, SV, and absolute DO2 increased significantly with age (all P < 0.0001)

Observational data: associations, not effects.

Further findings

CI and DO2 index across age groups

CI and DO2 index varied across age groups (P < 0.0001), with infants showing lower values compared with older children

SvO2 across age groups

SvO2 did not differ between age groups (P = 0.19)
No linear association of SvO2 with age (P = 0.10)

Original publication

Age-related variation in oxygen transport but stable mixed venous oxygen saturation in anaesthetised children. Eur J Anaesthesiol. Published 8 October 2026. doi:10.1097/eja.0000000000002491

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