Jurnal Anestesiologi Indonesia
Publication In-Press

Correlation Between ScVO2, PCO2 Gap (Artery-Vein PCO2 Gradient) and Respiratory Quotient with Cardiac Output in Septic Shock Patients

Eliezer Iswara Anindita (Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Diponegoro, Semarang|Universitas Diponegoro, Semarang)
Pradana Bayu Rakhmatjati (Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Diponegoro, Semarang|Universitas Diponegoro, Semarang)
Dina Paramita (Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Diponegoro, Semarang|Universitas Diponegoro, Semarang)
Taufan Pramadika (Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Diponegoro, Semarang|Universitas Diponegoro, Semarang)



Article Info

Publish Date
25 Oct 2021

Abstract

Background: Septic shock is a life-threatening condition characterized by cardiovascular dysfunction, which can cause multi-organ failure and high mortality rates. Central venous oxygen saturation (ScVO2), PCO2 Gap, and respiratory quotient are potential markers of tissue perfusion and oxygenation, while cardiac output is an important indicator of cardiovascular function. These findings may help guide clinical management and prognosis assessment in patients with septic shock.Objective: To determine the correlation between ScVO2, PCO2 Gap (arterial-venous PCO2 gradient), and respiratory quotient on cardiac output in septic shock patients.Methods: This observational study was conducted on 30 septic shock patients treated in the intensive care unit (ICU). Blood samples were taken via central venous catheter (CVC) and arterial line to check central venous saturation (ScVO2), PCO2 Gap, and calculate the respiratory quotient. Then cardiac output is measured using echohemodynamics.Results: Based on analysis using the Spearman Rho test, the results show that the correlation between ScVO2 and cardiac output has a correlation value of -0.367 (p = 0.046). The correlation between PCO2 Gap and cardiac output has a correlation value of -0.520 (p=0.003). The correlation between respiratory quotient and cardiac output in this study had a correlation value of -0.833 (p < 0.001).Conclusion: There is a correlation between ScVO2, PCO2 Gap (arterial-venous PCO2 gradient), and respiratory quotient on cardiac output in septic shock patients.

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Journal Info

Abbrev

JAI

Publisher

Subject

Health Professions Medicine & Pharmacology Public Health

Description

Jurnal Anestesiologi Indonesia (JAI) diterbitkan oleh Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) dan dikelola oleh Program Studi Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Diponegoro (UNDIP) bekerjasama dengan Perhimpunan Dokter Spesialis ...