Intraoperative baseline oxygen consumption as a prognostic factor in emergency open abdominal surgery

作者: Toshiro Masuda , Masafumi Kuramoto , Hironari Tanimoto , Kenichiro Yamamoto , Satoshi Ikeshima

DOI: 10.1016/J.JCRC.2015.11.014

关键词:

摘要: Abstract Background A new anesthesia system, the E-CAIOVX (GE Healthcare) enables continuous monitoring of oxygen consumption (VO 2 ) and carbon dioxide elimination (VCO during surgical operation. The aim this study was to evaluate prognostic role intraoperative baseline VO VCO in an emergency open abdominal Methods total 103 patients who had operation were enrolled study. continuously measured from induction end Results There significant correlations between body surface area (BSA; P r = 0.68), tidal volume ( 0.59), temperature 0.49). Also, there BSA 0.70), 0.41). Fifteen (14.6%) died within 4 months after without having been discharged hospital. Baseline /BSA higher surviving (123.7 ± 23.6 mL/min ∙ m than deceased (103.8 15.6 ; .002). no difference levels (106.2 20.1 (99.4 21.4 ). In multivariate analysis, lower 36.2°C .02), serum albumin less 3.0 g/dL .002), 111.9 .03) independent factors. Conclusion low one poor predictors for prognosis surgery.

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