OXYGEN DEBT & OUTCOMES
HEMATOCRIT & ANEMIA
THE KIDNEYS!
GOAL DIRECTED PERFUSION
BEFORE AND AFTER
100

This is the time frame within which oxygen debt must be "paid back" to decrease postoperative complications.

8 HOURS

100

According to Habib et al. 2003, the lowest hematocrit on CPB is associated with this many major complications. (a number)

What is 10 (reopening, bleeding, MI, cardiac arrest, stroke, coma, prolonged ventilation, IABP, renal failure, MOF)?

100

This is the abbreviation for Acute Kidney Injury

AKI

100

This is the formula for calculating oxygen delivery (DO₂).

CaO2 x Blood Flow x 10

100

This measurement of oxygen is what we use for our main number in goal directed perfusion

&

Something you might say after being on bypass for ten hours.

DO2i,  I want to go home

200

These three patient groups were identified in Shoemaker's oxygen debt study based on their perioperative outcomes.

Survivors w/o complications, survivors w/complications, non-survivors

200

This percentage represents the cutoff value for lowest predictive hematocrit according to combined data studies.  

26%

200

Stage One AKI is defined as this percentage increase in creatinine or an increase greater than this mg/dL value (percentage or mg/dL)

150-200% or >.3 mg/dl

200

This SvO₂ percentage threshold indicates the patient is nearing the oxygen-dependent zone.

Answer: What is <68% (or O₂ER >30%)?

200

Where you might keep your quarters

&

Type of stitch used to keep cannulas in place.

Coin (Purse) string sutures

300

This study from 1999 showed improved survival with dopexamine compared to this intervention group.

Control Group
300

According to the Cleveland Clinic study, PRBC transfusion to treat anemia increased mortality by this percentage

What is 77%?

300

According to the presentation, renal oxygen consumption is second only to this organ

Heart

300

The formula for calculating oxygen consumption (VO₂) uses this equation.

What is (CaO₂ - CvO₂) x Blood Flow x 10?

300

When you are deprived of an essential molecule after surgery

& a Question they might ask about your expenses and salary when looking to get a mortage

Oxygen (Debt) to income ratio

400

According to the York Study, goal-directed therapy is most effective when using these two types of interventions together.

What are fluids and inotropes?

400

In the multi-center retrospective study of 1,444 patients, anemia plus PRBC transfusion increased AKI to this percentage

What is 29%?

400

This percentage represents the renal oxygen extraction rate, making it very sensitive to oxygen delivery mismatc

10%

400

According to Ranucci's 2015 study, even this small reduction in prime volume can make a significant difference in outcomes.

Answer: What is 150 mL?

400

Where you blood empties after the it leaves the patient 

&

A Quentin Tarantino Heist Movie

Venous (Reservoir) dogs

500

This is what happens to cells when oxygen debt is never repaid during the perioperative period.

What is cell dysfunction and death?

500

This critical value in mL/min/m² represents the aerobic/anaerobic threshold for oxygen delivery according to Ranucci's study.

272 ml/min/m2 (280 is acceptable lol)

500

This partial pressure range in mmHg describes the outer medulla oxygen levels in normal conditions.

10-20 mmHg

500

According to Hayward 2022, the critical DO₂ threshold for pediatric patients during CPB is this value.

Answer: What is 350 mL/min/m²?

500

This are the combined drugs and fluid you start out in your pump before bypass

&

What i want when you are trying to solve a problem not the other part of the phrase which would only make things worse.

Prime (Solutions) not excuses!
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