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Chris is an intensivist and ecmo specialist at the alfred icu, where he is deputy director (education) Svo 2 measurements rapidly detect changes in hemodynamic stability. He is a clinical adjunct associate professor at monash university, the lead for the clinician educator incubator programme, and a cicm first part examiner.
Mixed venous oxygen saturation (svo2) can help to determine whether the cardiac output and oxygen delivery is high enough to meet a patient's needs It allows continuous monitoring of the body’s ability to deliver oxygen to tissues It can be very useful if measured before and after changes are made to cardiac medications or mechanical ventilation, particularly in unstable patients.
In this review, we will provide the reader with a practical review on shock resuscitation beyond the fluid bolus and assessment of fluid responsiveness, discussing the physiologic basis for various bedside hemodynamic monitoring tools available to optimize oxygen delivery.
Svo2 is an integral part of advanced hemodynamic monitoring, providing insights into the adequacy of oxygen supply relative to demand Svo2 plays a pivotal role in the broader context of hemodynamic assessment by offering a direct measure of the balance between oxygen delivery and consumption. Mixed venous oxygen saturation (svo2) measurement requires an invasive pulmonary artery catheter as it must be sampled from blood in the pulmonary artery, which represents true mixed venous blood from all organs of the body Generally speaking, the normal scvo2 and svo2 is above 70%
Remember that these values are dependent on two main components, oxygen delivery (do2) and oxygen consumption (vo2) Now this comes with many caveats as many patients are different. Svo2 varies directly with cardiac output, hb, and sao2, and inversely with vo2 (oxygen consumption.).
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