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Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients

BACKGROUND: There is a well known relationship between hypoperfusion and postoperative complications like anastomotic leak. No studies have been done addressing this relationship in the context of abdominal trauma surgery. Central venous oxygen saturation is an important hypoperfusion marker of pote...

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Autores principales: Isaza-Restrepo, Andres, Moreno-Mejia, Jose F., Martin-Saavedra, Juan S., Ibañez-Pinilla, Milciades
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477291/
https://www.ncbi.nlm.nih.gov/pubmed/28649270
http://dx.doi.org/10.1186/s13017-017-0139-0
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author Isaza-Restrepo, Andres
Moreno-Mejia, Jose F.
Martin-Saavedra, Juan S.
Ibañez-Pinilla, Milciades
author_facet Isaza-Restrepo, Andres
Moreno-Mejia, Jose F.
Martin-Saavedra, Juan S.
Ibañez-Pinilla, Milciades
author_sort Isaza-Restrepo, Andres
collection PubMed
description BACKGROUND: There is a well known relationship between hypoperfusion and postoperative complications like anastomotic leak. No studies have been done addressing this relationship in the context of abdominal trauma surgery. Central venous oxygen saturation is an important hypoperfusion marker of potential use in abdominal trauma surgery for identifying the risk of anastomotic leak development. The purpose of this study was to identify the relationship between low values of central venous oxygen saturation and anastomotic leak of gastrointestinal sutures in the postoperative period in abdominal trauma surgery. METHODS: A cross-sectional prospective study was performed. Patients over 14 years old who required surgical gastrointestinal repair secondary to abdominal trauma were included. Anastomotic leak diagnosis was confirmed through clinical manifestations and diagnostic images or secondary surgery when needed. Central venous oxygen blood saturation was measured at the beginning of surgery through a central catheter. Demographic data, trauma mechanism, anatomic site of trauma, hemoglobin levels, abdominal trauma index, and comorbidities were assessed as secondary variables. RESULTS: Patients who developed anastomotic leak showed lower mean central venous oxygen saturation levels (60.0% ± 2.94%) than those who did not (69.89% ± 7.21%) (p = 0.010). CONCLUSIONS: Central venous oxygen saturation <65% was associated with the development of gastrointestinal leak during postoperative time of patients who underwent surgery secondary to abdominal trauma.
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spelling pubmed-54772912017-06-23 Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients Isaza-Restrepo, Andres Moreno-Mejia, Jose F. Martin-Saavedra, Juan S. Ibañez-Pinilla, Milciades World J Emerg Surg Research Article BACKGROUND: There is a well known relationship between hypoperfusion and postoperative complications like anastomotic leak. No studies have been done addressing this relationship in the context of abdominal trauma surgery. Central venous oxygen saturation is an important hypoperfusion marker of potential use in abdominal trauma surgery for identifying the risk of anastomotic leak development. The purpose of this study was to identify the relationship between low values of central venous oxygen saturation and anastomotic leak of gastrointestinal sutures in the postoperative period in abdominal trauma surgery. METHODS: A cross-sectional prospective study was performed. Patients over 14 years old who required surgical gastrointestinal repair secondary to abdominal trauma were included. Anastomotic leak diagnosis was confirmed through clinical manifestations and diagnostic images or secondary surgery when needed. Central venous oxygen blood saturation was measured at the beginning of surgery through a central catheter. Demographic data, trauma mechanism, anatomic site of trauma, hemoglobin levels, abdominal trauma index, and comorbidities were assessed as secondary variables. RESULTS: Patients who developed anastomotic leak showed lower mean central venous oxygen saturation levels (60.0% ± 2.94%) than those who did not (69.89% ± 7.21%) (p = 0.010). CONCLUSIONS: Central venous oxygen saturation <65% was associated with the development of gastrointestinal leak during postoperative time of patients who underwent surgery secondary to abdominal trauma. BioMed Central 2017-06-19 /pmc/articles/PMC5477291/ /pubmed/28649270 http://dx.doi.org/10.1186/s13017-017-0139-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Isaza-Restrepo, Andres
Moreno-Mejia, Jose F.
Martin-Saavedra, Juan S.
Ibañez-Pinilla, Milciades
Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients
title Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients
title_full Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients
title_fullStr Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients
title_full_unstemmed Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients
title_short Low values of central venous oxygen saturation (ScvO(2)) during surgery and anastomotic leak of abdominal trauma patients
title_sort low values of central venous oxygen saturation (scvo(2)) during surgery and anastomotic leak of abdominal trauma patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477291/
https://www.ncbi.nlm.nih.gov/pubmed/28649270
http://dx.doi.org/10.1186/s13017-017-0139-0
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