Meaning of arterio-venous PCO2 difference in circulatory shock

Minerva Anestesiologica

Volumn 72, Issue 6, 2006, Pages 597-604

  Lamia, B ^a   Monnet, X ^a   Teboul, J L ^a  

^a BICÊTRE HOSPITAL   (France)

Author keywords

Anaerobic metabolism; Arteriovenous carbon dioxide pressure difference; Carbon dioxide pressure; Carbon dioxide production; Cardiac output; Tissue hypoxia

Indexed keywords

CARBON DIOXIDE;

AEROBIC METABOLISM; ARTERIAL CARBON DIOXIDE TENSION; ARTERY CATHETER; ARTICLE; BLOOD ANALYSIS; BLOOD CARBON DIOXIDE TENSION; BLOOD SAMPLING; CARBON DIOXIDE TRANSPORT; HEART MUSCLE ISCHEMIA; HEART MUSCLE OXYGEN CONSUMPTION; HEART OUTPUT; HUMAN; HYPOXEMIA; INTENSIVE CARE; MEDICAL DECISION MAKING; METABOLIC ACIDOSIS; NONHUMAN; OXYGEN SUPPLY; PATHOPHYSIOLOGY; PH MEASUREMENT; PULMONARY ARTERY; SEPTIC SHOCK; TISSUE BLOOD FLOW; TREATMENT PLANNING; VENOUS BLOOD; VENOUS CIRCULATION;

ANIMALS; BLOOD GAS ANALYSIS; CARBON DIOXIDE; CELL HYPOXIA; HUMANS; REGIONAL BLOOD FLOW; SHOCK;

EID: 33745287766     PISSN: 03759393     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (33)

1. West JB. Gas transport to the periphery: how gases are moved to the peripheral tissues? In: West JB editor. Respiratory physiology. The essentials. 4th ed. Baltimore: Williams & Wilkins; 1990.p.69-85.
2. 2 difference. Crit Care Med 1998;26:979-80.
3. 2 concentration difference. J Appl Physiol 1993;74:959-64.
4. McHardy GJR. The relationship between the differences in pressure and content of carbon dioxide in arterial and venous blood. Clin Sci 1967;32:299-309.
5. Groeneveld AB, Vermeij CG, Thijs LG. Arterial and mixed venous blood acid-base balance during hypoperfusion with incremental positive end-expiratory pressure in the pig. Anesth Analg 1991;73:576-82.
6. 2 and pH are good indicators of critical hypoperfusion. Am Rev Respir Dis 1993; 148:867-71.
7. 2 and pH in anesthetized dogs during progressive hemorrhage. Anest Analg 1995;80:269-75.
8. Rackow EC, Astiz ME, Mecher CE, Weil MH. Increased venous-arterial carbon dioxide tension difference during severe sepsis in rats. Crit Care Med 1994;22:121-5.
9. Benjamin E. Venous hypercarbia: a nonspecific marker of hypoperfusion. Crit Care Med 1994;22:9-10.
10. 2 production by dog kidney in vitro. Am J Physiol 1966;211:493-505.
11. Gutierrez G. A mathematical model of tissue-blood carbon dioxide exchange during hypoxia. Am J Respir Crit Care Med 2004;169:525-33.
12. 2 production during cardiac arrest and resuscitation. Circulation 1989;80:684-92.
13. Kette F, Weil MH, Gazmuri RJ, Bisera J, Rackow EC. Intramyocardial hypercarbic acidosis during cardiac arrest and resuscitation. Crit Care Med 1993;21:901-6.
14. Cohen IL, Sheikh FM, Perkins RJ, Feustel PJ, Foster ED. Effect of hemorrhagic shock and reperfusion on the respiratory quotient in swine. Crit Care Med 1995;23: 545-52.
15. 2 difference during regional ischemic or hypoxic hypoxia. J Appl Physiol 2000;89:1317-21.
16. 2 and microvascular blood flow during hypoxic and ischemic hypoxia. Crit Care Med 2002;30:379-84.
17. 2 gap fails to reflect intestinal dysoxia in hypoxic hypoxia. Crit Care 2002;6:514-20.
18. Mecher CE, Rackow EC, Astiz ME, Weil MH. Venous hypercarbia associated with severe sepsis and systemic hypoperfusion. Crit Care Med 1990;18:585-9
19. Bakker J, Vincent JL, Gris P, Leon M, Coffernils M, Kahn RJ. Veno-arterial carbon dioxide gradient in human septic shock. Chest 1992;101:509-15.
20. Wendon JA, Harrison PM, Keays R, Gimson AE, Alexander G, Williams R. Arterial-venous pH differences and tissue hypoxia in patients with fulminant hepatic failure. Crit Care Med 1991;19:1362-4.
21. Johnson BA, Weill MH. Redefining ischemia due to circulatory failure as dual defects of oxygen deficits and of carbon dioxide excesses. Crit Care Med 1991;19:1432-8.
22. Chiolero R, Flatt JP, Revelly JP Jequier E. Effects of catecholamines on oxygen consumption and oxygen delivery in critically ill patients. Chest 1991;100:1676-84.
23. 2 supply to demand in humans. Crit Care Med 1998;26: 1007-10.
24. Teboul JL, Boujdaria R, Graini L, Berton C, Richard C. Cardiac index vs oxygen-derived parameters for rational use of dobutamine in patients with congestive heart failure. Chest 1993;103:81-5.
25. 2 collaborative group. N Engl J Med 1995;333:1025-32.
26. Hayes MA, Timmins AC, Yau EH, Palazzo M, Hinds CJ, Watson D. Elevation of systemic oxygen delivery in the treatment of critically ill patients. N Engl J Med 1994;330:1717-22.
27. 2 difference. Intensive Care Med 1999;25; 269-73.
28. 2 gradients as markers of intestinal ischemia. Intensive Care Med 1998;24:599-604.
29. Ruokonen E, Takala J, Kari A, Saxen H, Mertsola J, Hansen EJ. Regional blood flow and oxygen transport in septic shock. Crit Care Med 1993;21:1296-303.
30. Levy B, Bollaert PE, Charpentier C, Nace L, Audibert G, Bauer P et al. Comparison of norepinephrine and dobutamine to epinephrine for hemodynamics, lactate metabolism and gastric tonometric variables in septic shock. A prospective, randomized study. Intensive Care Med 1997;23:282-7.
31. Fiddian-Green RG. Associations between intramucosal acidosis in the gut and organ failure. Crit Care Med 1993;21 (2 Suppl):S103-5.
32. Crapo RO. Arterial blood gases: quality assessment. In: Tobin M, editor. Principle and practice of Intensive Care monitoring. New-York: McGraw-Hill; 1998.p.107-22.
33. 2 content difference to detect anaerobic metabolism in patients. Intensive Care Med 2002;28:272-7.