The significance of a change in Pa02 occuring in a patient with cardiovascular instability cannot be ascertained unless the values for PV0 and CV02 are known. A fall in Pa02 could 2 reflect worsening of pulmonary function or deterioration of cardiac output (with resultant increase in systemic oxygen extraction). PEEP/CPAP would be an appropriate therapy in the former case but frankly deleterious in the latter if applied prior to cardiovascular stabiliza tion. References 1. Douglas ME, Downs JB, Dannemiller FJ et al (1976) Change in pulmonary venous admixture with varying inspired oxygen.…mehr
The significance of a change in Pa02 occuring in a patient with cardiovascular instability cannot be ascertained unless the values for PV0 and CV02 are known. A fall in Pa02 could 2 reflect worsening of pulmonary function or deterioration of cardiac output (with resultant increase in systemic oxygen extraction). PEEP/CPAP would be an appropriate therapy in the former case but frankly deleterious in the latter if applied prior to cardiovascular stabiliza tion. References 1. Douglas ME, Downs JB, Dannemiller FJ et al (1976) Change in pulmonary venous admixture with varying inspired oxygen. Anesthesia and Analgesia 55:688-695 2. Kelman GR, Nunn JF, Prys-Roberts C et al (1967) The influence of cardiac output on arterial oxygena tion. A theoretical study. Br J Anaesth 39:450-458 3. Kirby RR (1986) Respiratory vs cardiovascular dysfunction - How can we differentiate? ASA Refresher Course Lectures, 102 4. Nunn JF (1977) Applied respiratory physiology (2nd ed). Butterworth et Co 5. Van Aken H, Lawin P (1981) Der EinfluB des Herzminutenvolumens auf die arterielle Oxygenation.
Produktdetails
Produktdetails
Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine 167
Treatment of Respiratory Failure Due to Advanced Chronic Obstructive Lung Disease.- Non-Invasive Monitoring of the Respiration.- Role of Eicosanoids in the Development of ARDS.- Circulating Mediators of the Adult Respiratory Distress Syndrome.- Adult Respiratory Distress Syndrome: Treatment in the Next Decade.- The IMV Controversy: Full VS Partial Ventilatory Support.- Kidney Function in Response to Various Modes of Mechanical Ventilation.- Wave Form Analysis as a Means of Controlling the Barometric Considerations Associated with Diffusive and Convective Intrapulmonary Ventilation.- The Scientific Basis for PEEP Therapy.- Barotrauma.- Extracorporeal Support in ARDS: Update in 1984.- The Swan-Ganz Catheter, a Tool in Intensive Care Medicine.- The Role of Central and Peripheral ?- and ?-Adrenoceptors in the Control of Cardiovascular Function.- Update in the Treatment of Acute Circulatory Failure.- CPR: Calcium or Calcium-Antagonists?.- Contractile Function of the Ischemic Myocardium.- Arterial Hypoxia: Respiratory Versus Cardiovascular Dysfunction.- Gram-Negative Bacterial Infections in the Critically Ill: Pathophysiological and Clinical Aspects.- Prevention of Infection and Colonisation in Cardiac Surgical Intensive Care Patients.- Safety Aspects of ?-Blockade in Acute Myocardial Infarction: Experiences from the Gothenburg Metoprolol Trial.- Is Optimal Streptokinase Treatment Possible for Every Patient with Myocardial Infarction?.- Pre- and In-Hospital Antiarrhythmic Prevention of Ventricular Fibrillation Complicating Acute Myocardial Infarction.- Echocardiography in the Coronary Care Unit.- Intensive Treatment of Acute Pancreatitis.- Drugs in Prevention and Treatment of Acute Gastrointestinal Bleeding.- Utilization of Energy Substrate in Critically Ill Patients.-Management of Hepatic Coma.- Computer-Assisted Triage System for Large Volume Emergency Rooms.- Fluid Repletion: Colloids and Crystalloids.- Fluid and Electrolyte Management in the Critically Ill.- Can Acute Renal Failure ("Acute Tubular Necrosis") be Prevented?.- Cerebral Oedema in Head-Injured Patients.- Factors Influencing Outcome after Multiple Trauma.- Phased Disaster Response in University and Teaching Hospitals.- Influence of Temperature on Arterial Blood Gases.- Cardiovascular Function and Pulmonary Gas Exchange.- Gas Exchange Alterations in Pulmonary Embolism.- Pharmacokinetic Principles for Toxin Elimination in Poisoning.- Antidotes in the Treatment of Acute Poisoning.- Diagnosis and Treatment of Herpes Simplex Encephalitis in Adults.- Management of Status Epilepticus.- Imaging of the Critically Ill.- Improving the Use of Intensive Care.
Treatment of Respiratory Failure Due to Advanced Chronic Obstructive Lung Disease.- Non-Invasive Monitoring of the Respiration.- Role of Eicosanoids in the Development of ARDS.- Circulating Mediators of the Adult Respiratory Distress Syndrome.- Adult Respiratory Distress Syndrome: Treatment in the Next Decade.- The IMV Controversy: Full VS Partial Ventilatory Support.- Kidney Function in Response to Various Modes of Mechanical Ventilation.- Wave Form Analysis as a Means of Controlling the Barometric Considerations Associated with Diffusive and Convective Intrapulmonary Ventilation.- The Scientific Basis for PEEP Therapy.- Barotrauma.- Extracorporeal Support in ARDS: Update in 1984.- The Swan-Ganz Catheter, a Tool in Intensive Care Medicine.- The Role of Central and Peripheral ?- and ?-Adrenoceptors in the Control of Cardiovascular Function.- Update in the Treatment of Acute Circulatory Failure.- CPR: Calcium or Calcium-Antagonists?.- Contractile Function of the Ischemic Myocardium.- Arterial Hypoxia: Respiratory Versus Cardiovascular Dysfunction.- Gram-Negative Bacterial Infections in the Critically Ill: Pathophysiological and Clinical Aspects.- Prevention of Infection and Colonisation in Cardiac Surgical Intensive Care Patients.- Safety Aspects of ?-Blockade in Acute Myocardial Infarction: Experiences from the Gothenburg Metoprolol Trial.- Is Optimal Streptokinase Treatment Possible for Every Patient with Myocardial Infarction?.- Pre- and In-Hospital Antiarrhythmic Prevention of Ventricular Fibrillation Complicating Acute Myocardial Infarction.- Echocardiography in the Coronary Care Unit.- Intensive Treatment of Acute Pancreatitis.- Drugs in Prevention and Treatment of Acute Gastrointestinal Bleeding.- Utilization of Energy Substrate in Critically Ill Patients.-Management of Hepatic Coma.- Computer-Assisted Triage System for Large Volume Emergency Rooms.- Fluid Repletion: Colloids and Crystalloids.- Fluid and Electrolyte Management in the Critically Ill.- Can Acute Renal Failure ("Acute Tubular Necrosis") be Prevented?.- Cerebral Oedema in Head-Injured Patients.- Factors Influencing Outcome after Multiple Trauma.- Phased Disaster Response in University and Teaching Hospitals.- Influence of Temperature on Arterial Blood Gases.- Cardiovascular Function and Pulmonary Gas Exchange.- Gas Exchange Alterations in Pulmonary Embolism.- Pharmacokinetic Principles for Toxin Elimination in Poisoning.- Antidotes in the Treatment of Acute Poisoning.- Diagnosis and Treatment of Herpes Simplex Encephalitis in Adults.- Management of Status Epilepticus.- Imaging of the Critically Ill.- Improving the Use of Intensive Care.
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