Masseter tissue oxygen saturation predicts normal central venous oxygen saturation during early goal-directed therapy and predicts mortality in patients with severe sepsis*

2012 ◽  
Vol 40 (2) ◽  
pp. 435-440 ◽  
Author(s):  
Gwenhael Colin ◽  
Olivier Nardi ◽  
Andrea Polito ◽  
Jérôme Aboab ◽  
Virginie Maxime ◽  
...  
2016 ◽  
Vol 36 (3) ◽  
pp. 12-70 ◽  
Author(s):  
Cathy Mitchell

Hypoperfusion is the most common event preceding the onset of multiple organ dysfunction syndrome during trauma resuscitation. Detecting subtle changes in perfusion is crucial to ensure adequate tissue oxygenation and perfusion. Traditional methods of detecting physiological changes include measurements of blood pressure, heart rate, urine output, serum levels of lactate, mixed venous oxygen saturation, and central venous oxygen saturation. Continuous noninvasive monitoring of tissue oxygen saturation in muscle has the potential to indicate severity of shock, detect occult hypoperfusion, guide resuscitation, and be predictive of the need for interventions to prevent multiple organ dysfunction syndrome. Tissue oxygen saturation is being used in emergency departments, trauma rooms, operating rooms, and emergency medical services. Tissue oxygen saturation technology is just as effective as mixed venous oxygen saturation, central venous oxygen saturation, serum lactate, and Stewart approach with strong ion gap, yet tissue oxygen saturation assessment is also a direct, noninvasive microcirculatory measurement of oxygen saturation.


Shock ◽  
2012 ◽  
Vol 38 (6) ◽  
pp. 584-591 ◽  
Author(s):  
Kuei-Pin Chung ◽  
Hou-Tai Chang ◽  
Yen-Tsung Huang ◽  
Chun-Hsing Liao ◽  
Chao-Chi Ho ◽  
...  

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