PMID: 7008720Feb 1, 1981Paper

Use of transcutaneous oxygen sensors to titrate PEEP

Annals of Surgery
K K TremperW C Shoemaker

Abstract

The relationship of transcutaneous oxygen tension (PtcO2) to arterial oxygen tension (PaO2), pulmonary shunt (Qsp/Qt), mixed venous oxygen tension (PVO2), and O2 delivery was determined in patients with respiratory failure in order to explore the possible usefulness of PtcO2 to titrate the level of positive end expiratory pressure (PEEP). Transcutaneous oxygen sensors were applied to the chest of surgical ICU adult patients who were in acute postoperative respiratory failure. The patients had mechanical ventilation with volume ventilators and an intermittent mandatory ventilation (IMV) rate, which allowed normal pH and arterial CO2 tension ventilation (PacO2). Swan-Ganz and arterial catheters were inserted. The blood volume was measured by iodinated I-125-serum albumin and brought into the normal range, before the study began, with appropriate volume therapy. Serial cardiorespiratory data were taken before and after PEEP was increased from zero to 20 cm H2O, in 5 cm increments. PtcO2 correlated well with PaO2 and PV-O2; it was inversely correlated with Qsp/Qt. PtcO2 correlated with O2 delivery in only seven severely ill patients mean alveolar-arterial oxygen tension difference [A-aDO2] was 380 mmHg and the pulmonary shunt was 3...Continue Reading

References

Oct 5, 1978·The New England Journal of Medicine·A TenaillonJ Lissac
Dec 1, 1979·Critical Care Medicine·K K TremperW C Shoemaker
Dec 1, 1979·Journal of Pediatric Surgery·M I Rowe, G Weinberg
May 1, 1976·Critical Care Medicine·G RoothC Ogren
May 1, 1975·Medical & Biological Engineering·P EberhardK Hammacher
Feb 1, 1980·Critical Care Medicine·M Walkinshaw, W C Shoemaker

Citations

Jan 1, 1985·International Journal of Clinical Monitoring and Computing·N L PaceP Zwanikken
Nov 1, 1984·Canadian Anaesthetists' Society Journal·K K Tremper
May 16, 2013·Critical Care : the Official Journal of the Critical Care Forum·Jonathan A Silversides, Niall D Ferguson
Jul 1, 1993·Scandinavian Journal of Clinical and Laboratory Investigation·P N LarsenF Moesgaard
Oct 1, 1989·Scandinavian Journal of Clinical and Laboratory Investigation·P N LarsenN Helledie
Mar 1, 1992·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·S V RithaliaB R Doran
Jul 1, 1991·Journal of Medical Engineering & Technology·S V Rithalia
Feb 1, 1982·Anaesthesia·K K Tremper

Related Concepts

Diastolic Blood Pressure
Cardiac Output
Electrode
Pulse Rate
Dioxygen
Positive End-Expiratory Pressure

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