Noninvasive PtcO2 initial slope index and invasive PtcO2 arterial index as diagnostic criterion of the state of peripheral circulation.

Abstract:

:Transcutaneous PO2 (PtcO2), PaO2, PtcO2 arterial index (ARI; PtcO2/PaO2), and the initial slope index (ISI; [delta PO2/min]/starting PtcO2) were measured in 42 healthy volunteers, 12 patients with stable circulation and respiratory insufficiency, and ten patients with insufficient peripheral circulation in cardiogenic shock in order to investigate whether ARI and ISI can be used to detect insufficient circulation. The ISI was measured by placing a PtcO2 electrode on the forearm and interrupting blood flow by inflating a cuff until the PtcO2 dropped to zero. After releasing the cuff pressure, the initial slope of the PtcO2 trace was determined in order to calculate the ISI. In the PtcO2 range between 40 and 100 torr, the ARI and ISI did not depend on the PtcO2 magnitude. In all groups, the ISI behaved similarly to the ARI. We conclude that the noninvasive ISI and invasive ARI are able to differentiate between stable and insufficient peripheral circulation (ISI less than 0.75, ARI less than 0.8; p less than .001).

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Lemke R,Klaus D,Lübbers DW,Oevermann G

doi

10.1097/00003246-198804000-00009

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

353-7

issue

4

eissn

0090-3493

issn

1530-0293

journal_volume

16

pub_type

杂志文章
  • Hypertonic saline-dextran improves intestinal perfusion and survival in porcine endotoxin shock.

    abstract:OBJECTIVE:To examine the effects of hypertonic (7.5%) saline-6% dextran 70 (HSD) and isotonic (0.9%) saline-6% dextran 70 (ISD) on cardiovascular function and intestinal perfusion in experimental endotoxin shock. DESIGN:Experimental, randomized, unblinded, interventional study. SETTING:University experimental animal ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200008000-00027

    authors: Oi Y,Aneman A,Svensson M,Ewert S,Dahlqvist M,Haljamäe H

    更新日期:2000-08-01 00:00:00

  • Mechanisms of ventilator-induced lung injury.

    abstract:OBJECTIVES:To describe the physiologic mechanisms of ventilator-induced lung injury and to define the major ventilator and host-dependent risk factors that contribute to such injury. DATA SOURCE:Basic science and clinical studies related to ventilator-induced barotrauma and lung pathophysiology. STUDY SELECTION:Empha...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-199301000-00024

    authors: Parker JC,Hernandez LA,Peevy KJ

    更新日期:1993-01-01 00:00:00

  • Extracorporeal Membrane Oxygenation Use in Cardiogenic Shock: Impact of Age on In-Hospital Mortality, Length of Stay, and Costs.

    abstract:OBJECTIVES:Increasing age is a well-recognized risk factor for in-hospital mortality in patients receiving extracorporeal membrane oxygenation for cardiogenic shock, but the shape of this relationship is unknown. In addition, the impact of age on hospital length of stay, patterns of patient disposition, and costs has b...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003631

    authors: Chung M,Zhao Y,Strom JB,Shen C,Yeh RW

    更新日期:2019-03-01 00:00:00

  • Written information that relatives of adult intensive care unit patients would like to receive--a comparison to published recommendations and opinion of staff members.

    abstract:OBJECTIVE:Information booklets have not been assessed by the families of intensive care unit (ICU) patients. This study explored the information that the relatives of adult ICU patients wanted to find in the information booklets. DESIGN:Multicenter survey. SETTING:Twenty-three French ICUs. SUBJECTS:One close relativ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e3181a03063

    authors: Soltner C,Lassalle V,Galienne-Bouygues S,Pottecher J,Floccard B,Delapierre L,Jungfer F,Sargentini C,Alberti C,Beydon L,Lifrea Group.

    更新日期:2009-07-01 00:00:00

  • Prediction of Large Vessel Occlusions in Acute Stroke: National Institute of Health Stroke Scale Is Hard to Beat.

    abstract:OBJECTIVES:Endovascular treatment for acute ischemic stroke with a large vessel occlusion was recently shown to be effective. We aimed to develop a score capable of predicting large vessel occlusion eligible for endovascular treatment in the early hospital management. DESIGN:Retrospective, cohort study. SETTING:Two t...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001630

    authors: Vanacker P,Heldner MR,Amiguet M,Faouzi M,Cras P,Ntaios G,Arnold M,Mattle HP,Gralla J,Fischer U,Michel P

    更新日期:2016-06-01 00:00:00

  • Endocardial and transcutaneous cardiac pacing, calcium chloride, and epinephrine in postcountershock asystole and bradycardias.

    abstract::Clinically, asystole or a bradyarrhythmia may follow countershock of ventricular fibrillation (VF) in up to 40% of attempts. This study evaluated the effects of artificial cardiac pacing, calcium chloride (CaCl2), and epinephrine in postcountershock asystole/bradycardia. Micromanometer catheters were positioned in the...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198509000-00001

    authors: Niemann JT,Adomian GE,Garner D,Rosborough JP

    更新日期:1985-09-01 00:00:00

  • Polynitroxylated pegylated hemoglobin: a novel neuroprotective hemoglobin for acute volume-limited fluid resuscitation after combined traumatic brain injury and hemorrhagic hypotension in mice.

    abstract:OBJECTIVE:Resuscitation of hemorrhagic hypotension after traumatic brain injury is challenging. A hemoglobin-based oxygen carrier may offer advantages. The novel therapeutic hemoglobin-based oxygen carrier, polynitroxylated pegylated hemoglobin (PNPH), may represent a neuroprotective hemoglobin-based oxygen carrier for...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e318206b1fa

    authors: Shellington DK,Du L,Wu X,Exo J,Vagni V,Ma L,Janesko-Feldman K,Clark RS,Bayir H,Dixon CE,Jenkins LW,Hsia CJ,Kochanek PM

    更新日期:2011-03-01 00:00:00

  • Multicenter, randomized, placebo-controlled phase III study of pyridoxalated hemoglobin polyoxyethylene in distributive shock (PHOENIX).

    abstract:OBJECTIVE:To compare the effectiveness and safety of the hemoglobin-based nitric oxide scavenger, pyridoxalated hemoglobin polyoxyethylene, against placebo in patients with vasopressor-dependent distributive shock. DESIGN:Multicenter, randomized, placebo-controlled, open-label study. SETTING:Sixty-one participating I...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/CCM.0000000000000554

    authors: Vincent JL,Privalle CT,Singer M,Lorente JA,Boehm E,Meier-Hellmann A,Darius H,Ferrer R,Sirvent JM,Marx G,DeAngelo J

    更新日期:2015-01-01 00:00:00

  • Longitudinal assessment of Integra in primary burn management: a randomized pediatric clinical trial.

    abstract:BACKGROUND:Early excision with autograft-allograft closure is standard in severe burn management. Cadaver skin is associated with risks such as antigenicity, infection, and limited availability and shelf life. Previous studies have shown that Integra is safe to use in burns of <20% total body surface area. However, the...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.CCM.0000285991.36698.E2

    authors: Branski LK,Herndon DN,Pereira C,Mlcak RP,Celis MM,Lee JO,Sanford AP,Norbury WB,Zhang XJ,Jeschke MG

    更新日期:2007-11-01 00:00:00

  • Nitrogen balance, protein loss, and the open abdomen.

    abstract:OBJECTIVE:Goal-directed nutritional support is essential to improving morbidity and mortality. Open abdominal decompression is similarly crucial to the successful treatment of intra-abdominal hypertension and abdominal compartment syndrome. The open abdomen, however, places the patient at risk for potentially significa...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000250390.49380.94

    authors: Cheatham ML,Safcsak K,Brzezinski SJ,Lube MW

    更新日期:2007-01-01 00:00:00

  • Validation of a compact system for measuring gas exchange.

    abstract::Measuring gas exchange in critically ill patients can provide valuable information on their nutritional status and energy expenditure. Several semiautomated machines are available for measuring oxygen consumption (VO2) and carbon dioxide production (VCO2). This study evaluated, under controlled laboratory conditions, ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198609000-00010

    authors: Eccles RC,Swinamer DL,Jones RL,King EG

    更新日期:1986-09-01 00:00:00

  • Metabolic support in sepsis and multiple organ failure: more questions than answers ...

    abstract::The metabolic support of critically ill patients is a relatively new topic of active research and discussion, and surprisingly little is known about the effects of critical illness on metabolic physiology and activity. The metabolic changes seen in critical illness are highly complex, and how and when to treat them ar...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000278601.93369.72

    authors: Vincent JL

    更新日期:2007-09-01 00:00:00

  • Characteristics and Outcomes of HIV-Infected Patients With Severe Sepsis: Continued Risk in the Post-Highly Active Antiretroviral Therapy Era.

    abstract:OBJECTIVES:Although highly active antiretroviral therapy has led to improved survival in HIV-infected individuals, outcomes for HIV-infected patients with sepsis in the post-highly active antiretroviral therapy era are conflicting. Access to highly active antiretroviral therapy and healthcare disparities continue to af...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001003

    authors: Cribbs SK,Tse C,Andrews J,Shenvi N,Martin GS

    更新日期:2015-08-01 00:00:00

  • Sublingual capnometry versus traditional markers of tissue oxygenation in critically ill patients.

    abstract:OBJECTIVE:The purpose of this study was to determine the prognostic value of sublingual PCO2 (P(SL)CO2), lactate concentration, and mixed venous oxygen saturation (S(MV)O2) in hemodynamically unstable intensive care patients and, additionally, to compare the temporal changes of these variables in response to treatment....

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000054862.74829.EA

    authors: Marik PE,Bankov A

    更新日期:2003-03-01 00:00:00

  • Critical Care Ultrasound: A Systematic Review of International Training Competencies and Program.

    abstract:OBJECTIVES:Critical care ultrasonography has become established within ICUs as a diagnostic tool and to guide management strategies and practical procedures. Following an international consensus statement in 2011, various national professional societies and organizations have sought to develop and deliver training prog...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003626

    authors: Wong A,Galarza L,Duska F

    更新日期:2019-03-01 00:00:00

  • The efficacy and safety of proton pump inhibitors vs histamine-2 receptor antagonists for stress ulcer bleeding prophylaxis among critical care patients: a meta-analysis.

    abstract:OBJECTIVE:To examine the efficacy and safety of proton pump inhibitors in comparison with histamine-2 receptor antagonists for stress-related upper gastrointestinal bleeding prophylaxis among critical care patients. DATA SOURCES:PubMed, EMBASE, Cochrane Library, and ClinicalTrials.gov. STUDY SELECTION:Randomized, con...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/CCM.0b013e3181d69ccf

    authors: Lin PC,Chang CH,Hsu PI,Tseng PL,Huang YB

    更新日期:2010-04-01 00:00:00

  • Acute renal failure in the newborn.

    abstract::Recent advances in prenatal and neonatal care have increased the number of live births and extended the life expectancy of critically ill premature infants. These infants represent a formidable therapeutic challenge in that multisystem involvement and previously uncommon conditions, such as intravascular coagulation, ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-197701000-00007

    authors: Aschinberh LC,Zeis PM,Hageman JR,Vidyasagar D

    更新日期:1977-01-01 00:00:00

  • Sustained endotoxemia leads to marked down-regulation of early steps in the insulin-signaling cascade.

    abstract:OBJECTIVES:To determine the effects of sustained, 3-day endotoxin infusion on early steps of the insulin-signaling pathway in rat liver and skeletal muscle in vivo; to examine insulin signaling in well-established acute endotoxin models of insulin resistance. DESIGN:Prospective, controlled animal study. SETTING:Unive...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200104000-00032

    authors: McCowen KC,Ling PR,Ciccarone A,Mao Y,Chow JC,Bistrian BR,Smith RJ

    更新日期:2001-04-01 00:00:00

  • Mortality among patients admitted to intensive care units during weekday day shifts compared with "off" hours.

    abstract:OBJECTIVE:To determine whether mortality rates among intensive care unit (ICU) patients differ according to the time of ICU admission, we compared the death rates for patients admitted during weekday day shifts and off hours (from 6:30 pm to 8:29 am the next day for night shifts, from Saturday 1:00 pm to Monday 8:29 am...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000249832.36518.11

    authors: Luyt CE,Combes A,Aegerter P,Guidet B,Trouillet JL,Gibert C,Chastre J

    更新日期:2007-01-01 00:00:00

  • Effects of dobutamine and norepinephrine on oxygen availability in tamponade-induced stagnant hypoxia: a prospective, randomized, controlled study.

    abstract:OBJECTIVES:To explore the effects of dobutamine and norepinephrine on the global cardiovascular response and on the relationship between oxygen uptake (VO2) and oxygen delivery (DO2) during an acute reduction in blood flow associated with tamponade. DESIGN:Prospective, randomized, controlled acute intervention study. ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199402000-00022

    authors: Zhang H,Spapen H,Vincent JL

    更新日期:1994-02-01 00:00:00

  • Implementation of the Smart Use of Antibiotics Program to Reduce Unnecessary Antibiotic Use in a Neonatal ICU: A Prospective Interrupted Time-Series Study in a Developing Country.

    abstract:OBJECTIVES:We aimed to implement our Smart Use of Antibiotics Program to ensure the proper use of antimicrobials, improve patient care and outcomes, and reduce the risks of adverse effects and antimicrobial resistance. DESIGN:We compared the time periods before (baseline) and after (intervention) the implementation of...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003463

    authors: Lu C,Liu Q,Yuan H,Wang L

    更新日期:2019-01-01 00:00:00

  • Use of intraosseous blood to assess blood chemistries and hemoglobin during cardiopulmonary resuscitation with drug infusions.

    abstract:OBJECTIVE:To compare intraosseous with central venous blood samples for biochemical analyses and hemoglobin levels during cardiopulmonary resuscitation (CPR) and during cardiopulmonary resuscitation with infusion of sodium bicarbonate, epinephrine, and saline boluses through the intraosseous site. DESIGN:Prospective, ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199906000-00039

    authors: Johnson L,Kissoon N,Fiallos M,Abdelmoneim T,Murphy S

    更新日期:1999-06-01 00:00:00

  • Effect of hemorrhagic shock on bacterial translocation, intestinal morphology, and intestinal permeability in conventional and antibiotic-decontaminated rats.

    abstract::Bacterial translocation and ileal and cecal injury have been shown to occur 24 h after limited periods of hemorrhagic shock. The present studies were performed to determine the temporal sequence of mucosal injury, permeability, and bacterial translocation after hemorrhagic shock. The results indicated that bacterial t...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199005000-00014

    authors: Deitch EA,Morrison J,Berg R,Specian RD

    更新日期:1990-05-01 00:00:00

  • Inhibition by methylprednisolone of leukocyte-induced pulmonary damage.

    abstract:BACKGROUND AND METHODS:The purpose of this study was twofold: the development of a chronic model of leukocyte-mediated pulmonary injury and the evaluation of the protective effects of methylprednisolone. Rabbits were inoculated ip with zymosan. Blood gases and circulating leukocytes were evaluated. Survivors were kille...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199102000-00023

    authors: Chiara O,Giomarelli PP,Borrelli E,Casini A,Segala M,Grossi A

    更新日期:1991-02-01 00:00:00

  • Real-Time Risk Prediction on the Wards: A Feasibility Study.

    abstract:OBJECTIVE:Failure to detect clinical deterioration in the hospital is common and associated with poor patient outcomes and increased healthcare costs. Our objective was to evaluate the feasibility and accuracy of real-time risk stratification using the electronic Cardiac Arrest Risk Triage score, an electronic health r...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001716

    authors: Kang MA,Churpek MM,Zadravecz FJ,Adhikari R,Twu NM,Edelson DP

    更新日期:2016-08-01 00:00:00

  • Stem cells in sepsis and acute lung injury.

    abstract:OBJECTIVE:Sepsis and acute lung injury continue to be major causes of morbidity and mortality worldwide despite advances in our understanding of pathophysiology and the discovery of new management strategies. Recent investigations show that stem cells may be beneficial as prognostic biomarkers and novel therapeutic str...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e3181f96f5f

    authors: Cribbs SK,Matthay MA,Martin GS

    更新日期:2010-12-01 00:00:00

  • High-risk intrahospital transport of critically ill patients: safety and outcome of the necessary "road trip".

    abstract:OBJECTIVE:Intrahospital transport of critically ill patients is often necessary for optimal patient care. However, transport of intensive care unit (ICU) patients within the hospital has been associated with a high rate of potentially detrimental complications. This study was designed to determine the occurrence rate o...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199510000-00009

    authors: Szem JW,Hydo LJ,Fischer E,Kapur S,Klemperer J,Barie PS

    更新日期:1995-10-01 00:00:00

  • National estimates of intensive care utilization and costs: Canada and the United States.

    abstract::Although ICUs generate attention as consumers of resources, no national data on utilization and costs were available in Canada. U.S. estimates are too old for current comparison. Based on national hospital survey data from Statistics Canada, we calculated the utilization of ICUs in all Canadian general hospitals from ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199011000-00020

    authors: Jacobs P,Noseworthy TW

    更新日期:1990-11-01 00:00:00

  • Early recovery after closed traumatic head injury: somatosensory evoked potentials and clinical findings.

    abstract:OBJECTIVE:To determine the ability of somatosensory evoked potentials (SEP) compared with clinical findings to monitor and predict recovery in patients suffering from closed head injury with predominantly diffuse axonal injury (DAI). DESIGN:Prospective cohort study. SETTING:Neurologic intensive care unit (ICU) of a u...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200103000-00005

    authors: Claassen J,Hansen HC

    更新日期:2001-03-01 00:00:00

  • Morphine Dose Optimization in Critically Ill Pediatric Patients With Acute Respiratory Failure: A Population Pharmacokinetic-Pharmacogenomic Study.

    abstract:OBJECTIVE:To develop a pharmacokinetic-pharmacogenomic population model of morphine in critically ill children with acute respiratory failure. DESIGN:Prospective pharmacokinetic-pharmacogenomic observational study. SETTING:Thirteen PICUs across the United States. PATIENTS:Pediatric subjects (n = 66) mechanically ven...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003741

    authors: Zuppa AF,Benitez GR,Zane NR,Curley MAQ,Bradfield J,Hakonarson H,Gastonguay MS,Moorthy G,Prodell J,Gastonguay MR

    更新日期:2019-06-01 00:00:00