scholarly journals A Study on tissue oxygen metabolism using gastric intramucosal pH (gastric pHi) in critically ill patients.

1995 ◽  
Vol 6 (4) ◽  
pp. 337-348
Author(s):  
Kazuya Nakanishi ◽  
Hiroyuki Hirasawa ◽  
Shigeto Oda
1994 ◽  
Vol 22 (1) ◽  
pp. A80 ◽  
Author(s):  
Nicholas Maynard ◽  
Simon Atkinson ◽  
Robert Mason ◽  
Mark Smithies ◽  
David Bihari

1998 ◽  
Vol 24 (1) ◽  
pp. 12-17 ◽  
Author(s):  
X. Calvet ◽  
F. Baigorri ◽  
M. Duarte ◽  
P. Saura ◽  
C. Royo ◽  
...  

1997 ◽  
Vol 23 (7) ◽  
pp. 738-742 ◽  
Author(s):  
X. Calvet ◽  
F. Baigorri ◽  
M. Duarte ◽  
D. Joseph ◽  
P. Saura ◽  
...  

The Lancet ◽  
1992 ◽  
Vol 339 (8792) ◽  
pp. 550-551 ◽  
Author(s):  
Nicholas Maynard ◽  
Richard Beale ◽  
Mark Smithies ◽  
David Bihari

The Lancet ◽  
1992 ◽  
Vol 339 (8787) ◽  
pp. 195-199 ◽  
Author(s):  
G. Gutierrez ◽  
F. Palizas ◽  
G. Doglio ◽  
J. Pusajo ◽  
N. Wainsztein ◽  
...  

2015 ◽  
Vol 40 (1) ◽  
pp. 92-98 ◽  
Author(s):  
Eva Klijn ◽  
A.B. Johan Groeneveld ◽  
Michel E. van Genderen ◽  
Michiel Betjes ◽  
Jan Bakker ◽  
...  

Aim: Peripheral perfusion may predict harmful hypovolemic hypotension during fluid withdrawal by continuous veno-venous hemofiltration (CVVH) in critically ill patients with acute kidney injury. Methods: Twenty-three critically ill AKI patients were subjected to progressive fluid withdrawal. Systemic hemodynamics and peripheral perfusion index (PPI) by pulse oximetry, forearm-to-fingertip skin temperature gradient (Tskin-diff) and tissue oxygen saturation (StO2, near infra-red spectroscopy) were measured. Results: Most hemodynamic values decreased with fluid withdrawal, particularly in the hypotensive group, except for stroke volume (SV) and cardiac output, which decreased to a great extent in the non-hypotensive patients. Increases in systemic vascular resistance (SVR) were less in hypotension. Baseline pulse pressure and PPI were lower in hypotensive (n = 10) than non-hypotensive patients and subsequent PPI values paralleled SV decreases. A baseline PPI ≤0.82 AU predicted hypotension with a sensitivity of 70%, and a specificity of 92% (AUC 0.80 ± 0.11, p = 0.004). Conclusion: Progressive fluid withdrawal during CVVH is poorly tolerated in patients with less increases in SVR. The occurrence of hypotension can be predicted by low baseline PPI.


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