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Low values of central venous oxygen saturation (ScvO2) during surgery and anastomotic leak of abdominal trauma patients

dc.creatorIsaza Restrepo, Andrés
dc.creatorMoreno-Mejia, Jose F.
dc.creatorMartin-Saavedra, Juan S.
dc.creatorIbáñez Pinilla, Milcíades
dc.creator.googleIsaza-Restrepo, Andresspa
dc.creator.googleMoreno-Mejia, Jose F.spa
dc.creator.googleMartin-Saavedra, Juan S.spa
dc.creator.googleIbañez-Pinilla, Milciadesspa
dc.date.accessioned2020-05-12T12:11:29Z
dc.date.available2020-05-12T12:11:29Z
dc.date.created2017
dc.date.issued2017
dc.description.abstractBackground: There is a well known relationship between hypoperfusion and postoperative complications like anastomotic leak. No studies have been done addressing this relationship in the context of abdominal trauma surgery. Central venous oxygen saturation is an important hypoperfusion marker of potential use in abdominal trauma surgery for identifying the risk of anastomotic leak development. The purpose of this study was to identify the relationship between low values of central venous oxygen saturation and anastomotic leak of gastrointestinal sutures in the postoperative period in abdominal trauma surgery. Methods: A cross-sectional prospective study was performed. Patients over 14 years old who required surgical gastrointestinal repair secondary to abdominal trauma were included. Anastomotic leak diagnosis was confirmed through clinical manifestations and diagnostic images or secondary surgery when needed. Central venous oxygen blood saturation was measured at the beginning of surgery through a central catheter. Demographic data, trauma mechanism, anatomic site of trauma, hemoglobin levels, abdominal trauma index, and comorbidities were assessed as secondary variables. Results: Patients who developed anastomotic leak showed lower mean central venous oxygen saturation levels (60.0% ± 2.94%) than those who did not (69.89% ± 7.21%) (p = 0.010). Conclusions: Central venous oxygen saturation <65% was associated with the development of gastrointestinal leak during postoperative time of patients who underwent surgery secondary to abdominal trauma. © 2017 The Author(s).eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1186/s13017-017-0139-0
dc.identifier.issn1749-7922
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/21981
dc.language.isoengspa
dc.relation.citationIssueNo. 1
dc.relation.citationTitleWorld Journal of Emergency Surgery
dc.relation.citationVolumeVol. 12
dc.relation.ispartofWorld Journal of Emergency Surgery, ISSN: 1749-7922 Vol. 12, No. 1 (2017)spa
dc.relation.urihttps://wjes.biomedcentral.com/track/pdf/10.1186/s13017-017-0139-0spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subject.ddcCiencias médicas, Medicinaspa
dc.subject.keywordAdultspa
dc.subject.keywordCase control studyspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordProspective studyspa
dc.subject.keywordAdultspa
dc.subject.keywordCase-Control Studiesspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMiddle Agedspa
dc.subject.keywordProspective Studiesspa
dc.subject.keywordAbdominal injuryspa
dc.subject.keywordPerfusionspa
dc.subject.keywordHypotensionspa
dc.subject.keywordAnastomotic leakspa
dc.subject.keywordCentral venous pressurespa
dc.subject.keywordGastrointestinal tractspa
dc.titleLow values of central venous oxygen saturation (ScvO2) during surgery and anastomotic leak of abdominal trauma patientsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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