Continuous SCVO2 Monitoring
The smaller the patient, the earlier you need to know.
PediaSat Oximetry Catheter is the first and only pediatric oximetry catheter with continuous ScvO2 monitoring for proactive management of tissue hypoxia.1-3
Continuous, real-time monitoring of central venous oxygen saturation (ScvO2) offers early recognition of critical changes in oxygen delivery that may not be identified by less sensitive indicators, such as traditional vital signs or intermittent sampling.1-9
Early warning of oxygen imbalance allows early intervention.
Early indication with continuous ScvO2 monitoring offers you the clarity to detect and prevent tissue hypoxia − early− in your complex pediatric patients.4-6,8,10
Continuous ScvO2 monitoring reveals the root cause of oxygen imbalance, enabling you to proactively determine appropriate therapy.4,11 Real-time insight into the adequacy of cardiac output allows immediate assessment of your patient's clinical response to therapy − to help you stay ahead of tissue hypoxia and stages of sepsis.12
- Optimize hemodynamic management of pediatric and neonatal septic shock patients in accordance with ACCM-PALS Clinical Practice Parameters13
- Reduce surgical morbidity and mortality in patients with congenital heart disease9,14-16
See clearly. Stay ahead.
PediaSat Oximetry Catheter offers the clarity of an early warning for compromised or inadequate oxygen delivery4-6,8,10
Continuous measurement of ScvO2 in combination with other surrogates of organ perfusion (vital signs, lactate, etc.) can be used as a reliable monitor of cardiocirculatory function.17
- Detect acute changes in systemic oxygen delivery and extraction14
- Identify decreases in systemic oxygen delivery that otherwise would not be identified using intermittent sampling9
- Evaluate effects of routine interventions (e.g., suctioning, bathing, turning)18
Can optimize hemodynamic management in complex pediatric patients.
- Congenital heart disease and other complex cardiac patients19
- Sepsis and septic shock20
- Brain injuries11
- Acute Respiratory Distress Syndrome (ARDS)18
- Other high-risk patients3,21
Convenient, accurate and easy to use.17,22PediaSat oximetry catheter provides:
- Simplicity and flexibility − uses the same insertion techniques as central lines in typical pediatric insertion sites, including subclavian and internal jugular
- Continuous ScvO2 monitoring, pressure monitoring and fluid resuscitation
- Accurate oxygenation status versus CO-oximeter4
- Double and triple lumens to monitor and administer solutions
Edwards Critical Care Education
Edwards has been providing science-based education since 1972. We offer a full range of on-line, in-print and on-site programs that are available to your clinicians or staff.
Following are relevant educational tools:
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- Spenceley, N., et al. Continuous central venous saturations during pericardial tamponade case report. Pediatr Crit Care Med 2007, Vol. 8, No. 3,p18.2.153.
- Krahn, G., et al. Early clinical evaluation of the Edwards PediaSat™ oximetry catheter in pediatric patients. Pediatr Crit Care Med 2007, Vol. 8, No. 3,p18.2.152.
- Spenceley, N., et al. Continuous central venous saturation monitoring in pediatrics: a case report. Pediatr Crit Care Med 2008, Vol. 9, No. 2, p e13-e16.
- Reinhart K, et al. Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med. 2004;30(8):1572-8.
- Rivers EP, et al. Central venous oxygen saturation monitoring in the critically ill patient. Curr Opin Crit Care. 2001;7(3):204-11.
- Ingelmo P, et al. Importance of monitoring in high-risk surgical patients. Minerva Anestesiol. 2002;68(4):226-30.
- Pearse, R, et al. Changes in central venous saturation after major surgery, and association with outcome. Crit Care 2005;9(6):R694-91.
- Scalea, TM, et al. Central venous oxygen saturation: a useful clinical tool in trauma patients. J Trauma 1990;30(12):1539-43.
- Tweddell JS, et al. Patients at risk for low systemic oxygen delivery after the Norwood procedure. Ann Thorac Surg. 2000;69(6):1893-9.
- Ander, DS, et al. Undetected cardiogenic shock in patients with congestive heart failure presenting to the emergency department. Am J Cardiol 1998;82(7):888-91.
- Zaja J. Venous oximetry. Signa Vitae 2007;2(1):6-10.
- Tweddell, JS, et al. Mixed venous oxygen saturation monitoring after stage 1 palliation for hypoplastic left heart syndrome. Ann Thorac Surg 2007;84:1301-1311.
- Oliveira, CF, et al. An outcomes comparison of ACCM/PALS guidelines for pediatric septic shock with and without central venous oxygen saturation monitoring. Pediatr Crit Care Med 2007, Vol. 8,No. 3 (Suppl.).
- Tweddell JS, et al. Postoperative management in patients with complex congenital heart disease. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2002;5:187-205.
- Tweddell, JS, et al. Improved survival of patients undergoing palliation of hypoplastic left heart syndrome: lessons learned from 115 consecutive patients. Circulation 2002;106(12 Suppl 1):I82-9.
- Hoffman GM, et al. Venous saturation and the anaerobic threshold in neonates after the Norwood procedure for hypoplastic left heart syndrome. Ann Thorac Surg. 2000;70(5): 1515-21.
- Mahajan A, et al. An experimental and clinical evaluation of a novel central venous catheter with integrated oximetry for pediatric patients undergoing cardiac surgery. Pediatric Central Venous Oximetry. Anest Anal. 2007;Vol.105, No. 6, 1598.
- Sanders CL. Making clinical decisions using SvO2 in PICU patients. Dimens Crit Care Nurs. 1997;16(5):257-64.
- Chakravarti, S.B., et al. Multisite Near-Infrared Spectroscopy Predicts Elevated Blood Lactate Level in Children After Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia. 2009; Vol. 23, No. 5, 663-667.
- Lemson et al. Advanced hemodynamic monitoring in critically ill patients. Pediatrics. 2011; Vol. 128, No. 3, 560-571.
- Ranucci et al. Central venous oxygen saturation and blood lactate levels during cardiopulmonary bypass are associated with outcome after pediatric cardiac surgery. Critical Care 2010; Vol. 14, R149-R159.
- Vallet B, et al. Venous oxygen saturation as a physiologic transfusion trigger. Crit Care. 2010;14:213.