Does gastric tonometry work? Yes

被引:22
作者
Brown, SD
Gutierrez, G
机构
[1] Div. Pulmonary/Critical Care Med., Texas Univ. Health Sciences Center, Houston, TX 77030
关键词
D O I
10.1016/S0749-0704(05)70263-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Gastric tonometry is gaining acceptance rapidly as a noninvasive method of monitoring tissue dysoxia in a key organ system that previously could not be assessed easily. in addition to being noninvasive, gastric tonometry also identifies dysoxia in shock sooner than currently available monitors. This allows for more timely intervention with a subsequent improvement in prognosis in defined groups of patients. Tonometry data that suggest continued dysoxia despite intervention should signal clinicians to seek alternative diagnoses or to question the efficacy of current therapies, including antibiotics.
引用
收藏
页码:569 / &
页数:18
相关论文
共 72 条
[1]   VALIDATION OF TONOMETRIC MEASUREMENT OF GUT INTRAMURAL PH DURING ENDOTOXEMIA AND MESENTERIC OCCLUSION IN PIGS [J].
ANTONSSON, JB ;
BOYLE, CC ;
KRUITHOFF, KL ;
WANG, HL ;
SACRISTAN, E ;
ROTHSCHILD, HR ;
FINK, MP .
AMERICAN JOURNAL OF PHYSIOLOGY, 1990, 259 (04) :G519-G523
[2]  
ATHERTON ST, 1978, LANCET, V2, P968
[3]  
*BAXT HEALTHC CORP, 1988, CONT SVO2 THEOR APPL, P28
[5]  
BODA D, 1959, LANCET, V273, P181
[6]  
BOWLES SA, 1992, J CRIT CARE, V7, P95
[7]   COMPARISON OF CLINICAL INFORMATION GAINED FROM ROUTINE BLOOD-GAS ANALYSIS AND FROM GASTRIC TONOMETRY FOR INTRAMURAL PH [J].
BOYD, O ;
MACKAY, CJ ;
LAMB, G ;
BLAND, JM ;
GROUNDS, RM ;
BENNETT, ED .
LANCET, 1993, 341 (8838) :142-146
[8]   INTERPRETING PERITONITIS AND SEPTIC SHOCK INVESTIGATION DATA [J].
BROWN, SD ;
GUTIERREZ, G .
CHEST, 1994, 106 (04) :1306-1307
[9]   IN SUPPORT OF EXPERIENCE AND JUDGMENT [J].
BROWN, SD ;
GUTIERREZ, G .
LANCET, 1995, 346 (8973) :456-457
[10]  
BROWN SD, 1994, AM J RESP CRITICAL C, V149, pA414