Which blood oxygen can sensitively indicate shock severity

Clinical shock-monitoring mainly depends on measuring oxygen saturations from SVC blood samples invasively. The golden standard indicator is the central internal jugular vein oxygenation (SjvO 2 ). Using near-infrared spectroscopy (NIRS) also can monitor shock in some papers published, but there is no discussion about which oxygen saturation (cerebral venous oxygen saturation, ScvO 2 ; tissue oxygen saturation of internal jugular area; tissue oxygen saturation of extremities areas) can monitor shock patient more sensitively and accurately. The purpose of this paper is to examine which one is most effective. In order to discuss the problem, we continuously detected 56 critical patients who may be into shock state using NIRS oximeter at prefrontal, internal jugular vein area and forearm, and chose 24 patients who were into shock and then out of shock from the 56 critical patients. Combined with the patients’ condition, the pulse oxygen saturation is most sensitively to monitoring shock than the others, and the internal jugular vein area oxygen saturation is most effective.