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Braz J Cardiovasc Surg 2021 Ahead of print: 17ORIGINAL ARTICLECentral Venous Oxygen Saturation/Lactate Ratio and Prediction of Major Adverse Events After Pediatric Heart Surgery Victria Helena Stelzer Rocha1, MD; Paulo Henrique Manso1, MD; Fabio Carmona1, MDDOI: 10.21470/1678974120200521 Abstract Introduction: Major adverse events (MAE) are unexpected but undesirably frequent after pediatric congenital heart surgery and contribute to poorer outcomes. The aim of this study was to test
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01
Gather necessary equipment: central venous catheter, pressure transducer, and monitoring system.
02
Insert the central venous catheter into the appropriate vein following sterile technique.
03
Connect the catheter to the pressure transducer according to the manufacturer's instructions.
04
Calibrate the monitoring system for accurate readings of central venous pressure and oxygen saturation.
05
Monitor the central venous oxygen saturation (SvO2) and lactate levels continuously or at regular intervals as indicated.
06
Document the SvO2 and lactate results in the patient's records for further analysis and treatment planning.

Who needs central venous oxygen saturationlactate?

01
Patients with severe sepsis or septic shock requiring close monitoring of hemodynamic status.
02
Individuals with respiratory failure to assess oxygen delivery and utilization.
03
Patients undergoing major surgeries with high risk of complications to monitor tissue perfusion.
04
Individuals with chronic conditions, such as heart failure, who need ongoing assessment of cardiac output.
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Central venous oxygen saturation (ScvO2) is a measure of the amount of oxygen in the blood returning to the heart, while lactate is a byproduct of anaerobic metabolism, often indicating tissue hypoxia or metabolic distress.
Healthcare providers, particularly those in critical care or emergency settings, are required to monitor and document central venous oxygen saturation and lactate levels for patients showing signs of sepsis, shock, or other critical conditions.
Central venous oxygen saturation and lactate levels are typically recorded in a patient's chart or electronic health record, including the specific values obtained from blood samples, alongside relevant timestamps and clinical circumstances.
The purpose of measuring central venous oxygen saturation and lactate is to assess a patient's hemodynamic status, guide treatment decisions, and evaluate the effectiveness of resuscitation efforts in critically ill patients.
The reported information must include the ScvO2 value, lactate level, the time of measurement, patient identifiers, and any pertinent clinical information that may impact the interpretation of these values.
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