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Arterial oxygen saturation and PaO2 in post-cardiac arrest patients.
A total of 44 post-cardiac arrest patients were studied in the cardiac care unit. Twenty-eight had regained spontaneous circulation, and 16 had no cardiac activity at all. PaO2 and SaO2 values were obtained just after each patient was admitted to the cardiac care unit. The mean PaO2 in the group without spontaneous circulation was 45.5 (SD 9) mm Hg compared to 95.5 (SD 29) in the group with spontaneous circulation. The mean PaO2 of the group with spontaneous circulation exceeded the mean PaO2 of the group without spontaneous circulation by 72.4 mm Hg (P less than.001). The mean SaO2 in the group with spontaneous circulation was significantly less than in the group without spontaneous circulation (P less than.001). The mean SaO2 of the group with spontaneous circulation was less than 80% in 11 (39%) patients and less than 90% in 3 (11%). A PaO2 greater than 90 mm Hg could not be obtained even in patients with spontaneous circulation. The PaO2 should be determined, if possible, just after cardiac arrest. A PaO2 less than 90 mm Hg is evidence of severe irreversible neurological damage.fileFormatVersion: 2
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