Subcutaneous oxygen tensions provide similar information to ileal luminal CO2 tensions in an animal model of haemorrhagic shock

Intensive Care Medicine

Volumn 26, Issue 5, 2000, Pages 592-600

  Venkatesh, B ^a   Morgan, T J ^a   Lipman, J ^a  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

Author keywords

Carbon dioxide; Haemorrhage; Ischaemia; Lactate; Mucosal; Oxygen; Resuscitation; Shock; Subcutaneous; Tonometry

Indexed keywords

CARBON DIOXIDE; LACTIC ACID; OXYGEN;

ANIMAL DISEASE; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; CARBON DIOXIDE TENSION; HEMORRHAGIC SHOCK; ILEUM; ISCHEMIA; NONHUMAN; OXYGEN TENSION; RAT; RESUSCITATION; SUBCUTANEOUS TISSUE; TONOMETRY;

ANIMALS; BLOOD GAS ANALYSIS; CARBON DIOXIDE; FEMALE; HEMODYNAMIC PROCESSES; HYDROGEN-ION CONCENTRATION; ILEUM; LACTATES; MODELS, ANIMAL; OXYGEN; RATS; RATS, SPRAGUE-DAWLEY; RESUSCITATION; SHOCK, HEMORRHAGIC; SPLANCHNIC CIRCULATION;

EID: 0034074076     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001340051209     Document Type: Article

References (55)

1. 1. Dantzker D (1993) Adequacy of tissue oxygenation. Crit Care Med 21: S40-S43
2. 2. Neutze JM, Wyler F, Rudolph AM (1968) Changes in distribution of cardiac output after hemorrhage in rabbits. Am J Physiol 215: 857-64
3. 3. Bohlen HG (1980) Intestinal tissue PO2 and microvascular responses during glucose exposure. Am J Physiol 238: H164-171
4. 4. Boda D, Muranyi L (1959) Gastrotonometry: an aid to the control of ventilation during artificial respiration. Lancet 273: 181-182
5. 5. Fiddian-Green RG, Amelin PM, Herrmann JB, et al (1986) Prediction of the development of sigmoid ischemia on the day of aortic operations. Indirect measurements of intramural pH in the colon. Arch Surg 121: 654-60
6. 6. Mythen MG, Purdy G, Mackie IJ, McNally T, Webb AR, Machin SJ (1993) Postoperative multiple organ dysfunction syndrome associated with gut mucosal hypoperfusion, increased neutrophil degranulation and C1-esterase inhibitor depletion. Br J Anaesth 71: 858-63
7. 7. Mythen MG, Webb AR (1994) Intraoperative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med 20: 99-104
8. 8. Maynard N, Bihari D, Beale R, et al (1993) Assessment of splanchnic oxygenation by gastric tonometry in patients with acute circulatory failure. JAMA 270: 1203-1210
9. 9. Gutierrez G, Palizas F, Doglio G, Wainsztein N, Gallesio A, Pacin J, Dubin A, Schiavi E, Jorge M, Pusajo J, et al (1992) Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 339: 195-199
10. 10. Mythen MG, Webb AR (1995) Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 130: 423-429
11. 11. Ganong W (1997) Circulation through special regions. In: Ganong W (ed) Review of Medical Physiology. Appleton & Lange, Stamford, CT,, pp 567-585
12. 12. Makisalo HJ, Soini HO, Tapani Lalla ML, Hockerstedt KA (1988) Subcutaneous and liver tissue oxygen tension in hemorrhagic shock: an experimental study with whole blood and two colloids. Crit Care Med 16: 857-61
13. 13. Hartmann M, Montgomery A, Jonsson K, Haglund U (1991) Tissue oxygenation in hemorrhagic shock measured as transcutaneous oxygen tension, subcutaneous oxygen tension, and gastrointestinal intramucosal pH in pigs. Crit Care Med 19: 205-10
14. 14. Soini HO, Takala J, Nordin AJ, Makisalo HJ, Hockerstedt KA (1992) Peripheral and liver tissue oxygen tensions in hemorrhagic shock. Crit Care Med 20: 1330-1334
15. 15. Riddington D, Venkatesh B, Clutton-Brock T, Bion J (1994) Measuring carbon dioxide tension in saline and alternative solutions: quantification of bias and precision in two blood gas analyzers. Crit Care Med 22: 96-100
16. 16. Morgan TJ, Venkatesh B, Endre ZH (1997) Continuous measurement of gut luminal PCO2 in the rat: responses to transient episodes of graded aortic hypotension. Crit Care Med 25: 1575-1578
17. 17. ABL 625 Blood Gas, Oximetry, Electrolytes and Metabolite Systems Reference Manual, EML 100/105 Specifications, 1996, 2.5.6
18. 18. Venkatesh B, Clutton Brock TH, Hendry SP (1994) A multiparameter sensor for continuous intra-arterial blood gas monitoring: a prospective evaluation. Crit Care Med 22: 588-94
19. 19. Venkatesh B, Clutton-Brock TH, Hendry SP (1995) Evaluation of the Paratrend 7 intravaascular blood gas monitor during cardiac surgery. Comparison with an in-line blood gas monitor during cardiopulmonary bypass. J Cardiothor Vasc Anesth 9: 412-419
20. 20. Knichwitz G, Rotker J, Molhoff T, Richter K, Brussel T (1998) Continuous intramucosal PCO2 measurement allows the early detection of intestinal malperfusion. Crit Care Med 26: 1550-1557
21. 21. Zahel DD, Hopf HW, Hunt TK (1995) Transmural gut oxygen gradients in shocked rats resuscitated with heparan. Arch Surg 130: 59-63
22. 22. Zabel DD, Hopf HW, Hunt TK (1996). The role of nitric oxide in subcutaneous and transmural gut tissue oxygenation. Shock 5: 341-343.
23. 23. Pearce FJ, Connett RJ, Drucker WR (1985) Extracellular-intracellular lactate gradients in skeletal muscle during hemorrhagic shock in the rat. Surgery 98: 625-31
24. 24. Schlichtig R, Bowles SA (1994) Distinguishing between aerobic and anaerobic appearance of dissolved CO2 in intestine during low flow. J Appl Physiol 76: 2443-51
25. 25. Farhi L, Rahn H (1955) Gas stores of body and unteady state. J Appl Physiol 7: 472-484
26. 26. Farhi L, Rahn H (1960) Dynamics of changes in carbon dioxide stores. Anesthesiology 21: 604-614
27. 27. Eleftheriadis E, Kotzampassi K, Papanotas K, Heliadis N, Sarris K (1996) Gut ischemia, oxidative stress, and bacterial translocation in elevated abdominal pressure in rats. World J Surg 20: 11-16
28. 28. Reilly PM, Bulkley GB (1993) Vasoactive mediators and splanchnic perfusion. Crit Care Med 21: S55-68
29. 29. Nordin A, Makisalo H, Mildh L, Hockerstedt K (1998) Gut intramucosal pH as an early indicator of effectiveness of therapy for hemorrhagic shock. Crit Care Med 26: 1110-1117
30. 30. Edouard AR, Degremont AC, Duranteau J, Pussard E, Berdeaux A, Samii K (1994) Heterogeneous regional vascular responses to simulated transient hypovolemia in man. Intensive Care Med 20: 414-20
31. 31. Hunt TK, Zederfeldt BH, Goldstick TK, Conolly WB (1967) Tissue oxygen tensions during controlled hemorrhage. Surg Forum 18: 3-4
32. 32. Kwan MR, Hunt TK (1973) Continuous tissue oxygen tension measurements during acute blood loss. J Surg Res 14: 420-425
33. 33. Rashkin MC, Bosken C, Baughman RP (1985) Oxygen delivery in critically ill patients. Relationship to blood lactate and survival. Chest 87: 580-584
34. 34. Stacpoole PW (1993) Lactic acidosis. Endocrin Metab Clin North Am 221-245
35. 35. Gutierrez G, Hurtado FJ, Gutierrez AM, Fernandez E (1993) Net uptake of lactate by rabbit hindlimb during hypoxia. Am Rev Resp Dis 148: 1204-1209
36. 36. Woll PJ, Record CO (1979) Lactate elimination in man: effects of lactate concentration and hepatic dysfunction. Eur J Clin Invest 9: 397-404
37. 37. Gutierrez G, Clark C, Brown SD, Price K, Ortiz L, Nelson C (1994) Effect of dobutamine on oxygen consumption and gastric mucosal pH in septic patients. Am J Resp Crit Care Med 150: 324-329
38. 38. McKinley BA, Parmley CL, Butler BD (1998) Skeletal muscle PO2, PCO2, and pH in hemorrhage, shock, and resuscitation in dogs. J Trauma 44: 119-27
39. 39. Nielsen PA, Secher NJ (1970) Blood flow in adipose tissue and skeletal muscle during hemorrhagic shock in heparinized dogs. Life Sci 9: 75-82
40. 40. Venkatesh B, Clutton-Brock TH, Hendry SP (1994) Continuous measurement of blood gases using a combined electrochemical and spectrophotometric sensor. J Med Eng Technol 18: 165-168
41. 41. Knichwitz G, Rotker J, Brussel T, Kuhmann M, Mertes N, Mollhoff T (1996) A new method for continuous intramucosal PCO2 measurement in the gastrointestinal tract. Anesth Analg 83: 6-11
42. 42. Valadka A, Gopinath S, Contant C, Uzura M, Robertson C (1998) Relationship of brain tissue PO2 to outcome after severe head injury. Crit Care Med 26: 1576-1581
43. 43. Marik PE, Lorenzana A (1996) Effect of tube feedings on the measurement of gastric intramucosal pH. Crit Care Med 24: 1498-1500
44. 44. Ninikoski J, Hunt TK (1972) Measurement of wound oxygen with implanted Silastic tube. Surgery 71: 22-6
45. 45. Ninikoski J, Heughan C, Hunt TK (1972) Oxygen tensions in human wounds. J Surg Res 12: 77-82
46. 46. Ishizaki Y, Bandai Y, Shimomura K, Abe H, Ohtomo Y, Idezuki Y (1993). Changes in splanchnic blood flow and cardiovascular effects following peritoneal insufflation of carbon dioxide. Surg Endosc 7: 420-423
47. 47. Hoka S, Arimura H, Bosnjak ZJ, Kampine JP (1992) Regional venous outflow, blood volume, and sympathetic nerve activity during hypercapnia and hypoxic hypercapnia. Can J Physiol Pharmacol 70: 1032-9
48. 48. Buhre W, Weyland A, Grune F, et al (1998) Influence of arterial carbon dioxide tension on systemic vascular resistance in patients undergoing cardiopulmonary bypass. Acta Anaesthesiol Scand 42: 167-171
49. 49. Savin E, Bailliart O, Bonnin P, et al (1995) Vasomotor effects of transcutaneous CO2 in stage II peripheral occlusive arterial disease. Angiology 46: 785-791
50. 50. Kallinen J, Didier A, Miller JM, Nuttall A, Grenman R(1991) The effect of CO2-and O2-gas mixtures on laser Doppler measured cochlear and skin blood flow in guinea pigs. Hear Res 55: 255-262
51. 51. Nordin A, Makisalo H, Hockerstedt K (1994) Dopamine infusion during resuscitation of experimental hemorrhagic shock. Crit Care Med 22: 151-156
52. 52. Gainer JL, Lipa MJ, Ficenec MC (1995) Hemorrhagic shock in rats. Lab Anim Sci 45: 169-72
53. 53. Erstad BL, Armstrong DK (1999) The application of animal models to critical care patients. Crit Care Med 27: 2045-6
54. 54. Debaene B, Goldfarb G, Braillon A, Jolis P, Lebrec D (1990) Effects of ketamine, halothane, enflurane, and isoflurane on systemic and splanchnic hemodynamics in normovolemic and hypovolemic cirrhotic rats. Anesthesiology 73: 118-24
55. 55. Eger EI (1984) The pharmacology of isoflurane. Br J Anaesth 56: 71S-99S