Venous Hyperoxia after Cardiac Arrest

Autor: Rivers, Emanuel P., Rady, Mohamed Y., Martin, Gerard B., Fenn, Nancy M., Smithline, Howard A., Alexander, Myrna E., Nowak, Richard M.
Zdroj: Chest; December 1992, Vol. 102 Issue: 6 p1787-1793, 7p
Abstrakt: Supranormal mixed venous oxygen saturation (mixed venous hyperoxia), although reported, has never been characterized in humans resuscitated from cardiac arrest (postarrest cardiogenic shock). By contrast, cardiogenic shock without cardiopulmonary arrest (primary cardiogenic shock) is accompanied by mixed venous hypoxia under similar conditions of low oxygen delivery (Do2). The appearance of mixed venous hyperoxia indicates an excessive supply relative to demand in perfused tissue or cellular impairment of oxygen utilization, ie, low systemic oxygen consumption (Vo2). Failure to improve Vo, has been associated with a poor outcome in other shock states.
Databáze: Supplemental Index