Role of central venous to arterial carbon dioxide tension difference in hemodynamic optimization and its correlation with cardiac index after major abdominal surgery: "A prospective observational study"
Hassan, A., Sawan, Z., Gamil, N., salim, D. (2020). Role of central venous to arterial carbon dioxide tension difference in hemodynamic optimization and its correlation with cardiac index after major abdominal surgery: "A prospective observational study". EKB Journal Management System, (), -. doi: 10.21608/zumj.2020.23641.1728
Amr Ali Hassan; Zainab Hamed Sawan; Neven Mohamed Gamil; dina a. salim. "Role of central venous to arterial carbon dioxide tension difference in hemodynamic optimization and its correlation with cardiac index after major abdominal surgery: "A prospective observational study"". EKB Journal Management System, , , 2020, -. doi: 10.21608/zumj.2020.23641.1728
Hassan, A., Sawan, Z., Gamil, N., salim, D. (2020). 'Role of central venous to arterial carbon dioxide tension difference in hemodynamic optimization and its correlation with cardiac index after major abdominal surgery: "A prospective observational study"', EKB Journal Management System, (), pp. -. doi: 10.21608/zumj.2020.23641.1728
Hassan, A., Sawan, Z., Gamil, N., salim, D. Role of central venous to arterial carbon dioxide tension difference in hemodynamic optimization and its correlation with cardiac index after major abdominal surgery: "A prospective observational study". EKB Journal Management System, 2020; (): -. doi: 10.21608/zumj.2020.23641.1728

Role of central venous to arterial carbon dioxide tension difference in hemodynamic optimization and its correlation with cardiac index after major abdominal surgery: "A prospective observational study"

Zagazig University Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 27 March 2020  XML PDF (876.03 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.23641.1728
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Authors
Amr Ali Hassan email 1; Zainab Hamed Sawanorcid 2; Neven Mohamed Gamil3; dina a. salim4
1Anesthesia and Surgical intensive care department, Faculty of medicine, Zagazig University, Egypt
2Anesthesia department, Faculty of Medicine, Zagazig University
3Anaesthesia and Surgical ICU department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
4anesthesia, faculity of medicine, zagazig university, egypt
Abstract
Introduction: The use of central venous to arterial carbon dioxide tension difference (∆PCO2) as a marker of overall perfusion even when macro-circulatory indicators appear to be normal is gaining ongoing support. This study aimed to assess the utility of ∆PCO2 in hemodynamic optimization in patients following major abdominal surgeries.
Patients and methods: For this prospective observational study, 50 consecutive patients admitted to the ICU following major abdominal surgeries, with ScvO2≥70% and fitting our inclusion criteria were included once admitted (T0). Patients were separated into low ∆PCO2 group (n=27) and high ∆PCO2 group (n=23) according to a threshold of 6 mmHg at T0. Demographics, SAPS II and SOFA scores were recorded at T0, while hemodynamic and biological parameters including CI, ∆PCO2, ScvO2% and lactate level were recorded at T0, T6, T12 and T24.
Results: At T0, there was a significant difference between the high and the low ∆PCO2 patients for ∆PCO2 (8.7±2.7vs4.1±1.5mmHg, P
Keywords
ΔPCO2; PCO2 gap; cardiac index; major abdominal surgery
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