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ScvO
2
in the PICU:
A Little Tool with Big Implications
Caulette Young
1.
ScvO
2
in the PICU: A Little Tool with Big Implications
2.
Caulette Young Speaker Profile
3.
Session Description
4.
Learning Outcomes
5.
Bibliography
6.
What is our main goal for patients in ICU?
7.
Using continuous ScvO
2
monitoring
8.
Reflection Spectrophotometry
9.
ScvO
2
10.
Factors to be considered in Oxygenation
11.
"Oxygen delivery does not provide information about the adequacy of tissue oxygenation."
12.
"Adequate" oxygenation can only be definied when tissue O
2
supply matches tissue O
2
demand
13.
Normal Oxygen Saturation
14.
Clinical practice paramaters
15.
Pediatric Septic Shock Recommendations with ScvO
2
Monitoring
16.
Pediatric Original
17.
A Randomized Control Trial
18.
A Randomized Control Trial cont.
19.
A Randomized Control Trial cont.
20.
Target ScvO
2
> 70% in goal-directed therapy, reduced mortality in sepsis
21.
AACM/PALS Guidelines For Pediatric Septic Shock
22.
Pediatric Special Article
23.
2007 ACCM Recommend Continued Updates to 2002 Guidelines for Pediatric Septic Shock
24.
ScvO
2
Levels and Trends
25.
Has been considered a surrogate for cardiac output / index in pediatrics
26.
Mortality greatest in children with decreased cardiac output/index
27.
Mixed Venous Oxygen Saturation Monitoring After Stage 1 Palliation for Hypoplastic Left Heart Syndrome
28.
Predicting major adverse events after cardiac surgery in children
29.
Continuous central venous saturation monitoring in pediatrics
30.
Heart Rate per Hour
31.
Continuous central venous saturation monitoring in pediatrics
32.
ScvO
2
33.
Factors in Percentage Increases in VO
2
34.
Medications in Percentage Increases in VO
2
35.
Anemia, Blood Loss, and Blood Transfusions in North American Children in the Intensive Care Unit
36.
ScvO
2
in the PICU: A Little Tool with Big Implications
Caulette Young is a paid consultant of Edwards Lifesciences. Any quotes used in this material are taken from independent third-party publications and are not intended to imply that such third party received or endorsed any of the products of Edwards Lifesciences.
Early Goal-Directed Therapy and EGDT are trademarks of Dr. Emanuel Rivers.
CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.
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W McGee ME MHA
Y Kotake MD PhD
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