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Sat Oct 24 13:22:04 BST 2009

Hi Keith,

At my former institution we looked at StO2 in trauma quite extensively. We
applied it early for all penetrating truncal injuries as part of an
observational study protocol.

My experience (in a nutshell); 1- probably useful when the patient hits the
trauma bay (initial value/early trend) to help identify response to
resuscitation, need for blood/OR. 2- probably useful in the OR to trend the
patient's response to aggressive resuscitation during exploration/damage
control. 

Patients tended to hit the ICU post-op with near-normal StO2 values. I don't
recall a single patient with an intraoperative downward-trending StO2 ever
making it out of the OR. 

Just my 2 cents. Feel free to contact me if you have any questions.

Scott Bricker, M.D.
Los Angeles

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Message: 12
Date: Fri, 23 Oct 2009 21:00:02 -0400
From: Keith Lamb <lambrrt at gmail.com>
Subject: StO2 Monitoring
To: International Critical Care Medicine Group <ccm-l at list.pitt.edu>,
	"Trauma & Critical Care mailing list" <trauma-list at trauma.org>
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	<d8e5d9b0910231800n2998bb30ta7870670e1aa8871 at mail.gmail.com>
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Anyone using StO2 monitoring to guide volume management in penetrating
trauma?

Keith

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StO2 monitoring in penetrating trauma