Are oxygen indices effective for predicting pathological intrapulmonary shunt in mechanically ventilated children?

Archives of Medical Research

Volumn 30, Issue 3, 1999, Pages 179-185

  Maulen Radovan, Irene ^a   Castrellón, Pedro Gutiérrez ^a   Ochoa, Enna Cosio ^a   Aguirre, Martha Márquez ^a  

^a INSTITUTO NACIONAL DE PEDIATRÍA   (Mexico)

Author keywords

Blood gases; Children; FiO2; Oxygen indices; Pulmonary shunt

Indexed keywords

OXYGEN;

ADOLESCENT; ARTERIAL OXYGEN TENSION; ARTICLE; ARTIFICIAL VENTILATION; BLOOD GAS; CHILD; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; CRITICAL ILLNESS; HUMAN; HYPEROXIA; HYPOXEMIA; LUNG ARTERIOVENOUS SHUNT; PREDICTION; PROSPECTIVE STUDY;

ADOLESCENT; BIOLOGICAL TRANSPORT; CHILD; CHILD, PRESCHOOL; CRITICAL ILLNESS; HUMANS; INFANT; LUNG; OXYGEN; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL;

EID: 0345593788     PISSN: 01880128     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0188-0128(99)00012-3     Document Type: Article

References (19)

1. Zetterstrom H. Assessment of the efficiency of pulmonary oxygenation. The choice of oxygenation index. Acta Anaesthesiol Scand. 32:1988;579.
2. Martyn J.A., Aikawa N., Wilson R.S., Szyfelbein S.K., Burke J.F. Extrapulmonary factors influencing the ratio of arterial oxygen tension to inspired oxygen concentration in burn patients. Crit Care Med. 7:1979;492.
3. Oliven A., Abinader E., Bursztein S. Influence of varying inspired oxygen tensions on the pulmonary venous admixture (shunt) of mechanically ventilated patients. Crit Care Med. 8:1980;99.
4. Covelli H.D., Nessan V.J., Tuttle W.K. III Oxygen derived variables in acute respiratory failure. Crit Care Med. 11:1983;646.
5. Cane R.D., Shapiro B.A., Templin R., Walther K. Unreliability of oxygen tension-based indices in reflecting intrapulmonary shunting in critically ill patients. Crit Care Med. 16:1988;1243.
6. Rasanen J., Downs J.B., Malec D.J., Oates K. Oxygen tensions and oxyhemoglobin saturations in the assessment of pulmonary gas exchange. Crit Care Med. 15:1987;1058.
7. Shefet D., Maxwell C., Hess D., Shefet D.A. A comparison of five common equations used to calculate Qs/Qt [abstract]. Respir Care. 31:1986;943.
8. Gilbert R., Keighley J.F. The arterial-alveolar oxygen tension ratio. an index of gas exchange applicable to varying inspired oxygen concentrations Am Rev Respir Dis. 109:1974;142.
9. 2? Respir Care. 30:1985;961.
10. Hoffstein V., Duguid N., Zamel N., Rebuck A.S. Estimation of changes in alveolar-arterial oxygen gradient induced by hypoxia. J Lab Clin Med. 104:1984;685.
11. Dean J.M., Wetzel R.C., Gioia R., Rogers M.C. Arterial blood gas derived variables as estimates of pulmonary shunt in critically ill children. Crit Care Med. 13:1985;1029.
12. Viale J.P., Percival C.J., Annat G., Rousselet B., Motin J. Arterial-alveolar oxygen partial pressure ratio. a theoretical reappraisal Crit Care Med. 14:1986;153.
13. Herrick I.A., Champion L.K., Froese A.B. A clinical comparison of indices of pulmonary gas exchange with changes in the inspired oxygen concentration. Can J Anaesth. 37:1990;69.
14. Gowda M.S., Klocke R.A. Variability of indices of hypoxemia in adult respiratory distress syndrome. Crit Care Med. 25:1997;41.
15. Coetzee A., Swanevelder J., van der Spuy G., Jansen J. Gas exchange indiceshow valid are they? S Afr Med J. 85(Suppl 11):1995;1227.
16. Maxwell C., Hess D., Shefet D. Use of the arterial/alveolar oxygen tension ratio to predict the inspired oxygen concentration needed for a desired arterial oxygen tension. Respir Care. 29:1984;1135.
17. nd ed:1994;47 Raven Press, New York. p.
18. Gould M.K., Ruoss S.J., Rizk N.W., Doyle R.L., Raffin T.A. Indices of hypoxemia in patients with acute respiratory distress syndrome. reliability, validity and clinical usefulness Crit Care Med. 25:1997;6.
19. Scarpelly E.M. Normal pulmonary function in children. Scarpelly E.M. Pulmonary physiology. 1990;233 Lea & Febiger Press, Philadelphia. p.