الفهرس 
Evaluate the role of mixed venous saturation (SVO2) (scvo2) as a detector of early cardiac dysfunction in septic pediatric patients.
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Abstract
Background Sepsis-induced cardiac dysfunction is a frequent and severe complication of septic shock. The mechanisms responsible for its development are complex and intricate Aim and objectives To evaluate the accuracy of central venous oxygen saturation (Scvo2) and peripheral venous oxygen saturation as detectors of early cardiac dysfunction in septic pediatric patient in comparison to ECG and Echo Subjects and methods This is a cross- sectional study, was carried out at pediatric intensive care unit in Ahmed Maher Teaching Hospital and Mansheyet El-Bakry Hospital, on 100 pediatric patients with septicemia, within a period of 6 months from march 2019 to October 2019. For each patient we make some investigations like (CBC{u2013} CRP- Blood culture{u2013} x-rays{u2013} ECG{u2013} Lactate{u2013} 3 samples for blood gases 2arterial {u2013} peripheral venous {u2013} central venous {u2013} Echo cardiography), And we compared between oxygen saturation difference of blood gases and Echo cardiography Result There was highly statistically significance between cardiac dysfunction and central and peripheral oxygen saturations in comparison with Echo cardiography Conclusion Central venous oxygen saturation (Scvo2) and peripheral venous oxygen saturation are important detectors of early cardiac dysfunction in septic pediatric patients. Decreased ScvO2 exists in a significant proportion of critically ill cases following standard fluid resuscitation for shock, providing a relevant target population for implementation of a more standardized early goal directed therapy bundle in veterinary patients