Cardiothoracic & vascular anesthesia

Central/mixed venous oxygen saturation and lactate levels might be of limited use as physiologic transfusion triggers in cardiac surgery: Results of a retrospective analysis

Eur J AnaesthesiolPublished Retrospective exploratory data analysis

Authors' conclusion

Hb, SvO 2 and lactate levels were only weakly correlated with each other, and changes in SvO 2 and lactate levels in response to pRBC transfusion did not correlate with pretransfusion Hb.

Study context

Population
Adult (≥18 years) cardiac surgery patients in a 22-bed intensive care unit (ICU), tertiary academic centre, Austria20,542 blood gas analyses
Participants
5,025 participants
Primary endpoint
Pearson r and r2 between Hb, mixed/central venous oxygen saturation (SvO2) and lactate; and between ΔSvO2, Δlactate and pretransfusion Hb
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Correlation haemoglobin (Hb) vs SvO2 (r2), statistically significant but weak; P < 0.001

0.026

No correlation ΔSvO2 vs pretransfusion Hb (r2); P = 0.13

0.002

No correlation Δlactate vs pretransfusion Hb (r2); P = 0.087

0.003

Original publication

Central/mixed venous oxygen saturation and lactate levels might be of limited use as physiologic transfusion triggers in cardiac surgery: Results of a retrospective analysis. Eur J Anaesthesiol. Published 27 February 2025. doi:10.1097/eja.0000000000002149

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