1. Use of the oxygen reserve index/FiO2 as a non-invasive index to estimate venous admixture in anesthetized dogs
- Author
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Luca Bellini, Jill K. Maney, Francesca Zanusso, and Brighton T. Dzikiti
- Subjects
F-shunt ,dogs ,oxygen reserve index ,anesthesia ,blood gas analysis ,Veterinary medicine ,SF600-1100 - Abstract
The oxygen reserve index (ORi) is a novel, non-invasive parameter that estimates arterial oxygen partial pressure (PaO2) during hyperoxia when the fraction of inspired oxygen (FiO2) is elevated. This study aimed to assess the utility of the ORi/FiO2 ratio as an index for quantifying F-shunt, serving as an estimate of venous admixture. Anesthetic records were reviewed from 44 dogs undergoing general anesthesia and requiring arterial catheterization. ORi was measured via a CO-oximeter using a probe on the tongue. Paired measurements of PaO2, obtained by blood gas analysis, and ORi were taken at various FiO2 levels to achieve an ORi between 0 and 1. Venous admixture was quantified by F-shunt. Spearman’s correlation coefficient assessed the relationship between ORi/FiO2 and F-shunt. Youden’s index identified the optimal cut-off point to predict a physiological F-shunt (≤ 10%). A total of 77 paired observations were collected, revealing a moderate negative correlation between F-shunt and ORi/FiO2 (rho = −0.59, p
- Published
- 2025
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