Cardiothoracic & vascular anesthesia

Association between regional oxygen saturation and central venous saturation in pediatric patients undergoing cardiac surgery: A prospective observational study

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

Cerebral rSO2 , SpO2 , and BNP were significantly correlated with ScvO2 , although the cerebral rSO2 correlation was greater for lesions without atrial mixing.

Study context

Population
Children (weight < 10 kg) undergoing cardiac surgery for congenital heart disease, February 2018 to November 2021
Participants
33 children
Exposure
Cerebral and somatic rSO2 vs ScvO2
Outcome
Correlation and agreement (Pearson's correlation, Bland-Altman) between rSO2 and ScvO2
Follow-up
After anesthesia induction and central venous catheter placement
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Correlation with ScvO2

Bland-Altman bias

0.27 %

95% CI −4.26 to 4.80

Cerebral rSO2 · limits of agreement −24.79 [−32.61 to −16.96] to 25.33 [17.50 to 33.16]

Bland-Altman bias

0.91 %

95% CI −5.48 to 7.30

Somatic rSO2 · limits of agreement −34.43 [−45.47 to −23.39] to 36.25 [25.21 to 47.29]

Cerebral rSO2

r2 (all patients)
0.29
P (all patients)
p = .002
r2 (without mixing at the atrial level)
0.61
P (without mixing at the atrial level)
p = .013

Cerebral rSO2

r2 (all patients)0.29
P (all patients)p = .002
r2 (without mixing at the atrial level)0.61
P (without mixing at the atrial level)p = .013

Observational data: associations, not effects.

Further findings

Independent variables associated with ScvO2 and cerebral and somatic rSO2 (multiple regression)

Preoperative brain natriuretic peptide (BNP) and SpO2 independently associated with ScvO2 and cerebral and somatic rSO2

Original publication

Association between regional oxygen saturation and central venous saturation in pediatric patients undergoing cardiac surgery: A prospective observational study. Paediatr Anaesth. Published 3 August 2023. doi:10.1111/pan.14741

Composed by AI from the published abstract and checked against it. How Briefs are made →

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