Can mixed venous hemoglobin oxygen saturation be estimated using a NICO monitor?

Yoshifumi Kotake, Takashige Yamada, Hiromasa Nagata, Takeshi Suzuki, Junzo Takeda

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND: We hypothesized that mixed venous hemoglobin oxygen saturation (SvO2) can be estimated by calculation from CO2 production, cardiac output, and arterial oxygen saturation measured using a noninvasive cardiac output (NICO) monitor (Novametrix-Respironics, Wallingford, CT). METHODS: Twenty-three patients undergoing aortic aneurysm repair underwent SvO2 monitoring using a pulmonary artery catheter and cardiac output monitoring using a NICO monitor. The estimated SvO2 value calculated from NICO monitor-derived values was compared with the SvO2 value measured using a pulmonary artery catheter. The accuracy of this estimation was analyzed with Bland-Altman method. The ability of this estimation to track the change of SvO2 was also evaluated using correlation analysis to compare the changes of estimated SvO2 and measured SvO2. RESULTS: The bias ± limits of agreement of the estimated SvO2 against measured SvO2 was -2.1% ± 11.2%. The change of estimated SvO2 was modestly correlated with the change of measured SvO2. CONCLUSIONS: SvO2 derived from the values measured by the NICO monitor cannot be used interchangeably with the values measured spectrophotometrically using the pulmonary artery catheter. More refinement is required to obtain more reliable estimate of SvO2 less invasively. However, large changes of SvO2 may be detected with this method and can be used as a precautionary sign when the balance between oxygen supply and demand is compromised without inserting a central venous catheter.

Original languageEnglish
Pages (from-to)119-123
Number of pages5
JournalAnesthesia and Analgesia
Volume109
Issue number1
DOIs
Publication statusPublished - 2009 Jul

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Cardiac Output
Hemoglobins
Oxygen
Pulmonary Artery
Catheters
Central Venous Catheters
Aortic Aneurysm

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Can mixed venous hemoglobin oxygen saturation be estimated using a NICO monitor? / Kotake, Yoshifumi; Yamada, Takashige; Nagata, Hiromasa; Suzuki, Takeshi; Takeda, Junzo.

In: Anesthesia and Analgesia, Vol. 109, No. 1, 07.2009, p. 119-123.

Research output: Contribution to journalArticle

Kotake, Yoshifumi ; Yamada, Takashige ; Nagata, Hiromasa ; Suzuki, Takeshi ; Takeda, Junzo. / Can mixed venous hemoglobin oxygen saturation be estimated using a NICO monitor?. In: Anesthesia and Analgesia. 2009 ; Vol. 109, No. 1. pp. 119-123.
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