ISSN:
1432-1238
Schlagwort(e):
Subcutaneous oxygens tension
;
Transcutaneous oxygen tension
;
Tissue perfusion
;
PEEP
;
Cardiac output
;
Oxygen delivery
Quelle:
Springer Online Journal Archives 1860-2000
Thema:
Medizin
Notizen:
Abstract Objective To compare subcutaneous (PscO2) and transcutaneous (PtcO2) oxygen tension measurements in relation to hemodynamic variables at different levels of PEEP, and to evaluate the usefulness of these measurements as monitors of peripheral tissue perfusion. Design Prospective trial. Setting Intensive care unit in a university hospital. Patients Seven patients with gastric cancer who where undergoing total gastrectomy. Interventions Silicone catheter was placed in the upper arm and transcutaneous oxygen monitor was placed on the upper part of the chest. A pulmonary artery catheter was placed in the right pulmonary artery. Measurements and results PscO2 and PtcO2 together with hemodynamic variables were measured at different levels of PEEP. Progressive increase of PEEP reduced cardiac index (CI) (p〈0.05) with a concomitant decrease of PscO2 (p〈0.05) and oxygen delivery (DO2) (p〈0.05). Changes in PtcO2 parallelled changes in arterial oxygen tension (PaO2), but no correlation was found between PtcO2, CI and DO2. Conclusion PscO2 is a sensitive indicator of subcutaneous tissue perfusion, which can be used to identify the PEEP level, with optimum peripheral perfusion. PscO2 seems to be a more reliable indicafor of tissue perfusion than PtcO2.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1007/BF01708584
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