Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Establishment of a Linear Correlation Model of Central Venous Blood Oxygen Saturation and Lactate in Sepsis
1Department of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital South Branch, Fuzhou, 350001, P. R. China
2Department of Endocrinolog, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, FuZhou, 350001, P. R. China
3Department of Critical Care Medicine, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou ,350001, P. R. China
*Corresponding Author(s): Songjing Shi E-mail: songjingshifz@163.com
*Corresponding Author(s): Xingsheng Lin E-mail: xingshenglinfz@163.com
Introduction: Studies have shown that there is a complex relationship between lactate and ScvO2. Methods: A retrospective study was carried out in 37 intensive care patients with sepsis or septic shock. The relationship between lactate and ScvO2 was explored with correlation analysis and simple linear modelling. Results: Lactate and ScvO2 were significantly correlated in patients with septic shock (r2 = 0.46, p = 0.001; y = -4.11x+ 82.62), but not in sepsis. y Significant correlation between these parameters was also found in the group of patients who went on to die (r2 = 0.67, p < 0.01; y = -3.70x + 78.61), but not in patients who survived. Conclusions: In sepsis, the correlation between ScvO2 and lactate is not constant over the sepsis course and may be dynamic. In the resuscitation of sepsis and/or septic shock, changes in ScvO2 requires further study.
Central venous blood oxygen saturation, Lactate, Sepsis, Septic shock
Songchang Shi,Xiaobin Pan,Wei Lin,Chao Wu,Mei Ye,Yingfeng Zhuang,Jian Lin,Xincai Wang,Lihui Zhang,Shujuan Zhang,Hangwei Feng,Long Huang,Songjing Shi,Xingsheng Lin. Establishment of a Linear Correlation Model of Central Venous Blood Oxygen Saturation and Lactate in Sepsis. Signa Vitae. 2021. 17(1);101-105.
[1] Angus DC, Linde-Zwirble WT, Lidicker J, et al. Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Crit Care Med. 2001;29:1303-1310.
[2] Lin W, Huang H, Wen J, et al. The predictive value of procalcitonin for early detection of infection in elderly type 2 diabetes mellitus. J Infect Chemother. 2020;26:343-348.
[3] Vincent J-L, Marshall JC, Ñamendys-Silva SA, et al. Assessment of the worldwide burden of critical illness: the Intensive Care Over Nations (ICON) audit. Lancet Respir Med. 2014;2:380-386.
[4] Fleischmann C, Scherag A, Adhikari NKJ, et al. Assessment of Global Incidence and Mortality of Hospital-treated Sepsis. Current Estimates and Limitations. Am J Respir Crit Care Med. 2016;193:259-272.
[5] Jawad I, Lukšić I, Rafnsson SB. Assessing available information on the burden of sepsis: global estimates of incidence, prevalence and mortality. J Glob Health. 2012;2:010404.
[6] Annane D, Bellissant E, Cavaillon J-M. Septic shock. Lancet. 2005;365:63-78.
[7] Rhee C, Dantes R, Epstein L, et al. Incidence and Trends of Sepsis in US Hospitals Using Clinical vs Claims Data, 2009-2014. JAMA. 2017;318:1241.
[8] Weisberg A, Park P, Cherry-Bukowiec JR. Early Goal-Directed Therapy:The History and Ongoing Impact on Management of Severe Sepsis and Septic Shock. Surg Infect (Larchmt). 2018;19:142-146.
[9] Bakker J, Nijsten MWN, Jansen TC. Clinical use of lactate monitoring in critically ill patients. Ann Intensive Care. 2013;3:12.
[10] Walley KR. Use of Central Venous Oxygen Saturation to Guide Therapy. Am J Respir Crit Care Med. 2011;184:514-520.
[11] Gattinoni L, Vasques F, Camporota L, et al. Understanding Lactatemia in Human Sepsis. Potential Impact for Early Management. Am J Respir Crit Care Med. 2019;200:582-589.
[12] Bisarya R, Shaath D, Pirzad A, et al. Serum lactate poorly predicts central venous oxygen saturation in critically ill patients: a retrospective cohort study. J Intensive Care. 2019;7:47.
[13] Dickstein K, Cohen-Solal A, Filippatos G, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. Eur J Heart Fail. 2008;10:933-989.
[14] Gallet R, Lellouche N, Mitchell-Heggs L, et al. Prognosis value of central venous oxygen saturation in acute decompensated heart failure. Arch Cardiovasc Dis. 2012;105:5-12.
[15] Lazzeri C, Valente S, Chiostri M, et al. Clinical significance of Lactate in acute cardiac patients. World J Cardiol. 2015;7:483.
[16] NÉMETH M, TÁNCZOS K, DEMETER G, et al. Central venous oxygen saturation and carbon dioxide gap as resuscitation targets in a hemorrhagic shock. Acta Anaesthesiol Scand. 2014;58:611-619.
[17] Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315:801.
[18] Bakker J, Nijsten MWN, Jansen TC. Clinical use of lactate monitoring in critically ill patients. Ann Intensive Care. 2013;3:12.
[19] Jones AE. Lactate clearance vs central venous oxygen saturation as goals of early sepsis therapy: a randomized clinical trial. JAMA. 2010;303:739-746.
[20] Walley KR. Use of central venous oxygen saturation to guide therapy. Am J Respir Crit Care Med. 2011;184:514-520.
[21] Semler MW, Singer M. Deconstructing Hyperlactatemia in Sepsis Using Central Venous Oxygen Saturation and Base Deficit. Am J Respir Crit Care Med. 2019;200:526-527.
[22] Liu B, Ding X, Yang J. Effect of early goal directed therapy in the treatment of severe sepsis and/or septic shock. Curr Med Res Opin. 2016;32:1773-1782.
[23] Peake SL, Delaney A, Bailey M, et al. Goal-Directed Resuscitation for Patients with Early Septic Shock. N Engl J Med. 2014;371:1496-1506.
[24] Mouncey PR, Osborn TM, Power GS, et al. Trial of Early, Goal-Directed Resuscitation for Septic Shock. N Engl J Med. 2015;372:1301-1311.
[25] Shin TG, Jo IJ, Hwang SY, et al. Comprehensive Interpretation of Central Venous Oxygen Saturation and Blood Lactate Levels During Resuscitation of Patients With Severe Sepsis and Septic Shock in the Emergency Department. Shock. 2016;45:4-9.
[26] Filho RR, Rocha LL, Corrêa TD, et al. Blood Lactate Levels Cutoff and Mortality Prediction in Sepsis—Time for a Reappraisal? a Retrospective Cohort Study. SHOCK. 2016;46:480-485.
Science Citation Index Expanded (SCIE) (On Hold)
Chemical Abstracts Service Source Index
Scopus: CiteScore 1.3 (2024)
Embase
Top