Percentage of preoperative variation of arterial oxygen saturation: a new hemogasometric parameter useful in cardiac surgical follow-up
DOI:
https://doi.org/10.56294/hl2024.467Keywords:
Hemogasometrics markers, arterial oxygen saturation, cardiovascular surgeryAbstract
Introduction: Due to its high morbidity, mortality and high costs, cardiovascular surgery still requires biomarkers that provide timely warning of complications and adverse effects.
Objective: to evaluate the degree of association of the percentage of pre-postoperative variation in arterial oxygen saturation with the appearance of serious perioperative cardiosurgical complications.
Methods: An ambispective cohort study was conducted in patients who underwent major cardiovascular surgery between January 1, 2019 and December 31, 2023 at the Cardiocentro in Santiago de Cuba, who met the inclusion criteria.
Results: A close link was demonstrated between the appearance of serious perioperative complications and the percentage of pre-postoperative variation in arterial oxygen saturation (p = 0.024, RR 4.141).
Conclusions: A significant association was found between the pre-postoperative variation in arterial oxygen saturation and postoperative complications, which makes it plausible to use this novel parameter as another indicator to monitor, diagnose and offer earlier treatment to these patients and reduce morbidity and mortality.
References
1. Nearman H, Klick JC, Eisenberg P, Pesa N. Perioperative complications of cardiac surgery and postoperative care. Crit Care Clin. 2014;30(3):527-55.
2. Wang W, Bagshaw SM, Norris CM, Zibdawi R, Zibdawi M, MacArthur R, et al. Association between older age and outcome after cardiac surgery: a population-based cohort study. J Cardiothorac Surg. 2014; 9:177
3. Mundaca Manay, MY, Paz Delgado, EK. Valor diagnóstico del índice neutrófilo linfocito como predictor de complicaciones en el perioperatorio de cirugía cardiaca. Tesis para optar el Título Profesional de Médica Cirujana. Universidad Nacional Pedro Ruiz Gallo. Lambayeque, 2020
4. Rojas-Morán RA, Hernández-Brito OG Cerrillo-Miranda M. Estado nutricional de pacientes con diagnóstico de pie diabético en población mexicana del centro del país Rev Mex Angiol. 2024;52(1):1-7
5. Saberian L, Sharif M, Aarabi M, et al. (July 1 1 , 2023) Arterial Versus Venous Blood Gas Analysis Comparisons, Appropriateness, and Alternatives in Different Acid/Base Clinical Settings: A Systematic Review. Cureus 1 5(7): e41 707. DOI 1 0.7759/cureus.41 707
6. Santos-Martínez LE, Olmos-Temois SG, Ramos-Enríquez A, González-Escudero EA, Baeza-Herrera LA, López-Polanco MA, Cota-Apodaca LA. Saturación de oxígeno y lactato sérico venoso-arterial del posoperatorio de cirugía cardiaca. Arch Cardiol Mex. 2022;92(4)
7. Libby P, Bonow RO, Mann DL, Tomaselli GO, Bhatt DL, Solomon SD, Braunwald E(ed). Braunwald `s Heart Disease. A textbook of cardiovascular Medicine. 12 edic, Elsevier Saunders, Philadelphia 2022, p 3, 410-23
8. Sociedad Española de Cirugía Cardiovascular y Endovascular. Registro de intervenciones de la SECTCV 2019 [05/05/2010]. Available from: http://sectcv.es/portalcientifico/#Documentos
9. Magoon R, Loona M, Kohli JK, Kashav R. Cytokine Adsorption in Cardiac Surgery: Where Do We Stand? Braz J Cardiovasc Surg (2020) 35(3):Xv–xvi.doi: 10.21470/1678-9741-2019-0480
10. Spoelstra-de Man AM, Smit B, Oudemans-van Straaten HM, Smulders YM. Cardiovascular Effects of Hyperoxia During and After Cardiac Surgery. Anaesthesia (2015) 70(11):1307–19. doi: 10.1111/anae.13218
11. Hatami S, Hefler J and Freed DH (2022) Inflammation and Oxidative Stress in the Context of Extracorporeal Cardiac and Pulmonary Support. Front. Immunol 2022 13: 831930.doi: 10.3389/fimmu.2022.831930
12. Noguchi S, Saito J, Hashiba E, Kushikata T, Hirota K. Lactate level during cardiopulmonary bypass as a predictor of postoperative outcomes in adult patients undergoing cardiac surgery. JA Clinical Reports. 2016; 2:39-43.
Published
Issue
Section
License
Copyright (c) 2024 Germán el Río Caballero, Lucía Nivia Turro Mesa, Germán Ricardo Del Río Mesa, Rita María Mesa Valiente, Eloy Turro Caró (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
