END-TIDAL CO2 PRESSURE IN THE MONITORING OF CARDIAC-OUTPUT DURING CANINE HEMORRHAGIC-SHOCK

被引：13

作者：

DUBIN, A

SILVA, C

CALVO, G

VALLI, J

FARINA, O

ESTENSSORO, E

MORDUJOVICH, P

机构：

[1] Catedra de Farmacologia, Facultad de Ciencias Medicas, Universidad Nacional de La Plata, La Plata, Buenos Aires

来源：

JOURNAL OF CRITICAL CARE | 1990年 / 5卷 / 01期

关键词：

D O I：

10.1016/0883-9441(90)90008-W

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The value of end-Tidal CO2 pressure (PETCO2) in monitoring circulatory status has been recently established in cardiac arrest. In an effort to extend its usefulness to other low-flow states, we studied the changes of PETCO2 during progressive hemorrhage in anesthetized, mechanically ventilated dogs. PETCO2 correlated with cardiac index (CI) in a logarithmic way (r = .95, P < .001), not only in the whole group but in any individual experiment as well. Venoarterial and arterial-end-tidal CO2 gradients also correlated with CI (r = .85, P < .001 and r = .63, P < .001, respectively). These results suggest that cardiac output reductions are followed by increments in respiratory dead space, so CO2 accumulates in venous blood and its pulmonary excretion is decreased. In this way, sequential changes in PETCO2 during mechanical ventilation could noninvasively contribute to hemodynamic evaluation in hemorrhagic shock. © 1990.

引用

页码：42 / 46

页数：5

共 24 条

[1]

Weil, Bisera, Trevino, Et al., Cardiac output and end-tidal carbon dioxide, Crit Care Med, 13, pp. 907-909, (1985)

[2]

Gudipati, Weil, Bisera, Et al., Expired carbon dioxide: A noninvasive monitor of cardiopulmonary resuscitation, Circulation, 77, pp. 234-239, (1988)

[3]

Falk, Rackow, Weil, End-tidal carbon dioxide concentration during cardiopulmonary resuscitation, N Engl J Med, 318, pp. 607-611, (1988)

[4]

Saunders, Ewy, Bragg, Et al., Expired PCO<sub>2</sub> as a prognostic indicator of successful resuscitation, Annals of Emergency Medicine, 14, pp. 948-952, (1985)

[5]

Garnett, Ornato, Gonzalez, Et al., End-tidal carbon dioxide monitoring during cardiopulmonary resuscitation, JAMA, 257, pp. 512-515, (1987)

[6]

Trevino, Bisera, Weil, Et al., End-tidal CO<sub>2</sub> as a guide to successful cardiopulmonary resuscitation: A preliminary report, Crit Care Med, 13, pp. 910-911, (1985)

[7]

Lepilin, Vasilyev, Bildinov, Et al., End-tidal carbon dioxide as a noninvasive monitor of circulatory status during cardiopulmonary resuscitation: A preliminary clinical study, Crit Care Med, 15, pp. 958-959, (1987)

[8]

Grundler, Weil, Yamaguchi, Et al., The paradox of venous acidosis and arterial alkakosis during CPR, Chest, 86, (1984)

[9]

Grundler, Weil, Rackow, Et al., Selective acidosis in venous blood during human cardiopulmonary resuscitation: A preliminary report, Crit Care Med, 13, pp. 886-887, (1985)

[10]

Grundler, Weil, Rackow, Arteriovenous carbon dioxide and pH gradients during cardiac arrest, Circulation, 74, pp. 1071-1074, (1986)

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