Association between oxygen delivery and consumption in patients undergoing cardiac surgery. Is there supply dependence?

P. S. Myles, R. Mcrae, I. Ryder, J. O. Hunt, M. R. Buckland

Research output: Contribution to journalArticleResearchpeer-review

Abstract

We studied the relationship between oxygen delivery (DO2) and consumption (VO2) in twenty patients undergoing cardiac surgery, in order to determine if VO2 was dependent on DO2 (pathological oxygen supply dependence). We measured VO2 from expired gas analysis (VO(2G)) and compared this to that calculated using the reverse Fick method (VO(2F)). Both VO(2G) and VO(2F) increased after cardiopulmonary bypass (P < 0.001, without change in DO2 (i.e. oxygen extraction ratio increased). There was a significant relationship between changes in DO2 and VO(2F), both before bypass (r = 0.74, P < 0.001) and after bypass (r = 0.69, P < 0.001), while changes in DO2 and VO(2G) had no such relationship (pre-bypass: r = 0.38, P = 0.094; post-bypass: r = 0.10, P = 0.68). There was poor agreement between VO(2F) and VO(2G) perioperatively. We could not demonstrate supply dependence in elective cardiac surgical patients.

Original languageEnglish
Pages (from-to)651-657
Number of pages7
JournalAnaesthesia and intensive care
Volume24
Issue number6
Publication statusPublished - Dec 1996

Keywords

  • Oxygen: delivery, uptake
  • Surgery: cardiac

Cite this

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title = "Association between oxygen delivery and consumption in patients undergoing cardiac surgery. Is there supply dependence?",
abstract = "We studied the relationship between oxygen delivery (DO2) and consumption (VO2) in twenty patients undergoing cardiac surgery, in order to determine if VO2 was dependent on DO2 (pathological oxygen supply dependence). We measured VO2 from expired gas analysis (VO(2G)) and compared this to that calculated using the reverse Fick method (VO(2F)). Both VO(2G) and VO(2F) increased after cardiopulmonary bypass (P < 0.001, without change in DO2 (i.e. oxygen extraction ratio increased). There was a significant relationship between changes in DO2 and VO(2F), both before bypass (r = 0.74, P < 0.001) and after bypass (r = 0.69, P < 0.001), while changes in DO2 and VO(2G) had no such relationship (pre-bypass: r = 0.38, P = 0.094; post-bypass: r = 0.10, P = 0.68). There was poor agreement between VO(2F) and VO(2G) perioperatively. We could not demonstrate supply dependence in elective cardiac surgical patients.",
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Association between oxygen delivery and consumption in patients undergoing cardiac surgery. Is there supply dependence? / Myles, P. S.; Mcrae, R.; Ryder, I.; Hunt, J. O.; Buckland, M. R.

In: Anaesthesia and intensive care, Vol. 24, No. 6, 12.1996, p. 651-657.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Mcrae, R.

AU - Ryder, I.

AU - Hunt, J. O.

AU - Buckland, M. R.

PY - 1996/12

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