Effect of acute moderate changes in PaCO2 on global hemodynamics and gastric perfusion

Critical Care Medicine

Volumn 28, Issue 2, 2000, Pages 360-365

  Mas, Arantxa ^b   Saura, Pilar ^b   Joseph, Domènech ^a   Blanch, Lluis ^a   Baigorri, Francisco ^a   Artigas, Antonio ^a   Fernández, Rafael ^a  

^a Hospital Universitari Parc Taulí   (Spain)

^b Centre Hospitalari Manresa   (Spain)

Author keywords

Critical illness; Deadspace ventilation; Gastric perfusion; Hemodynamics; Hypercapnia; Hypocapnia; Mechanical ventilation; Respiratory acidosis; Respiratory alkalosis; Tonometry

Indexed keywords

AGED; ARTERIAL CARBON DIOXIDE TENSION; ARTICLE; ARTIFICIAL VENTILATION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROSSOVER PROCEDURE; FEMALE; HEMODYNAMICS; HUMAN; HYPERCAPNIA; HYPOCAPNIA; LUNG DEAD SPACE; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SPLANCHNIC BLOOD FLOW; STOMACH BLOOD FLOW; TONOMETRY;

EID: 0034047078     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-200002000-00012     Document Type: Article

References (31)

1. 1. Feihl F, Perret C: Permissive hypercapnia: How permissive should we be? Am J Respir Crit Care Med 1994; 150:1722-1737
2. 2. Fiddian-Green RG: Associations between intramucosal acidosis in the gut and organ failure. Crit Care Med 1993; 21(suppl 2): S103-S107
3. 3. Consensus Conference. Tissue Hypoxia: How to detect, how to correct, how to prevent. Am J Respir Crit Care Med 1996; 154: 1573-1578
4. 4. Calvet X, Baigorri F, Duarte M, et al: Effect of ranitidine on gastric intramucosal pH in critically ill patients. Intensive Care Med 1998; 24:12-17
5. 5. Thorens JB, Jolliet P, Ritz M, et al: Effects of rapid permissive hypercapnia on hemodynamics, gas exchange, and oxygen transport and consumption during mechanical ventilation for the acute respiratory distress syndrome. Intensive Care Med 1996; 22: 182-191
6. 6. Chabot F, Mertes PM, Delorme N, et al: Effect of acute hypercapnia on alpha atrial natriuretic peptide, renin, angiotensin II, aldosterone and vasopressin plasma levels in patients with COPD. Chest 1995; 107:780-786
7. 7. Weinberger SE, Schwartzstein RM, Weiss JW: Hypercapnia. N Engl J Med 1989; 321: 1223-1231
8. 8. Nunn JF: Carbon dioxide. In: Nunn's Applied Respiratory Physiology. Nunn (Ed). Butterworth-Heinemann, Oxford, 1993, pp 219-246
9. 2 in children after open heart surgery. Crit Care Med 1989; 17:874-878
10. 10. Prince HL: Effects of carbon dioxide on the cardiovascular system. Anesthesiology 1960; 21:652-662
11. 11. Kiely DG, Cargill RI, Lipworth BJ: Effects of hypercapnia on hemodynamic, inotropic, lusitropic and electrophysiologic indices in humans. Chest 1996; 109:1215-1221
12. 2 in anesthetized man. J Appl Physiol 1968; 25:80-87
13. 13. Cullen DJ, Eger EI: Cardiovascular effects of carbon dioxide in man. Anesthesiology 1974; 41:345-349
14. 14. Gregory GA, Eger EI, Smith NT: The cardiovascular effects of carbon dioxide in man awake and during diethyl ether anesthesia. Anesthesiology 1974; 40:301-304
15. 15. Richardson DW, Kontos HA, Raper AJ, et al: Systemic circulatory responses to hypocapnia in man. Am J Physiol 1972; 223: 1308-1312
16. 16. Rowe GG, Castillo CA, Crumpton CW: Effects of hyperventilation on systemic and coronary hemodynamics. Am Heart J 1962; 63:67-77
17. 17. Fujita Y, Sakai T, Ohsumi A: Effects of hypocapnia and hypercapnia on splanchnic circulation and hepatic function in the beagle. Anesth Analg 1989; 69:152-157
18. 18. Esen F, Telci L, Çakar N, et al: Evaluation of gastric intramucosal pH measurements with tissue oxygenation indices in patients with severe sepsis. Clin Intensive Care 1996; 7:180-189
19. 19. Grum CM: Tissue oxygenation in low flow states and during hypoxemia. Crit Care Med 1993; 21(suppl 2):S44-S49
20. 20. Arnold J, Hendriks J, Ince C, et al: Tonometry to assess the adequacy of splanchnic oxygenation in the critically ill patient. Intensive Care Med 1994; 20:452-456
21. 21. Fiddian-Green RG: Management of gastric intramucosal acidosis. In: Yearbook of Intensive Care and Emergency Medicine. Vincent JL (Ed). Berlin, Springer-Verlag, 1994, pp 200-216
22. 22. Thaler W, Frey L, Marzoli GP, et al: Assessment of splanchnic tissue oxygenation by gastric tonometry in patients undergoing laparoscopic and open cholecystectomy. Br J Surg 1996; 83:620-624
23. 23. Marik PE: Gastric intramucosal pH: A better predictor of multiorgan dysfunction syndrome and death than oxygen-derived variables in patients with sepsis. Chest 1993; 104:225-229
24. 24. Gutierrez G, Palizas F, Doglio G, et al: Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 1992; 339:195-199
25. 25. Gutierrez G, Bismar H, Dantzker D, et al: Comparison of gastric intramucosal pH with measures of oxygen transport and consumption in critically ill patients. Crit Care Med 1992; 20:451-457
26. 26. Groeneveld AB, Kolkman JJ: Splanchnic tonometry: A review of physiology, methodology, and clinical applications. J Crit Care 1994; 9:198-210
27. 27. Bouachour G, Guiraud MP, Gouello JP, et al: Gastric intramucosal pH: An indicator of weaning outcome from mechanical ventilation in COPD patients. Eur Respir J 1996; 9:1868-1873
28. 28. Fiddian-Green RG: The pH-gap: A measurement for establishing the presence or absence of intestinal mucosal ischemia independently of disturbances in systemic acid base balance. Eur Surg Res 1993; 25: 42S
29. 29. Cardenas VJ, Zwischenberger JB, Tao W, et al: Correction of blood pH attenuates changes in hemodynamics and organ blood flow during permissive hypercapnia. Crit Care Med 1996; 24:827-834
30. 30. Johnson EE: Splanchnic hemodynamic response to passive hyperventilation. J Appl Physiol 1975; 38:156-162
31. 31. Dutton R, Levitzky M, Berkman R: Carbon dioxide and liver blood flow. Bull Eur Physiopathol Respir 1976; 12:265-272