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Кислородный баланс у больных с сепсисом и полиорганной недостаточностью

https://doi.org/10.15360/1813-9779-2007-2-52-56

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Аннотация

Обзор посвящен подходам к коррекции кислородного баланса при профилактике и лечении сепсиса и полиорганной недостаточности. Обсуждаются вопросы зависимости потребления кислорода от его доставки, прогностической значимости этих показателей и оправданности увеличения доставки кислорода различными способами (инфузионная и трансфузионная терапия, инотропная и респираторная поддержка).

 

Об авторах

Д. А. Остапченко
ГУ НИИ общей реаниматологии РАМН, Москва


А. В. Власенко
ГУ НИИ общей реаниматологии РАМН, Москва


А. В. Рылова
ГУ НИИ общей реаниматологии РАМН, Москва


Список литературы

1. Tissue hypoxia. How to detect, how to correct, how to prevent? 3 Cconference de Consensus Europeenne en reanimation et medicine d'urgence. Versaille, France; 1995.

2. Kreymann G., Grosser S., Buggisch P., et al. Oxygen consumption and resting metabolic rate in sepsis, sepsis syndrome, and septic shock. Crit. Care Med. 1993; 21: 1012—1019.

3. Shoemaker W. C., Appel P. L., Bishop M. H., Hardin E. Temporal blood volume, hemodynamic and oxygen transport patterns in ARDS. Crit. Care Med. 1994; 22: 86.

4. Shoemaker W. C., Appel P. L., Kram H. B. Hemodynamic and oxygen transport monitoring to titrate therapy in septic shock. New Horizons. 1993; 1: 145—159.

5. Shoemaker W. C., Appel P. L., Kram H. B. Hemodynamic and oxygen transport responses in survivors and nonsurvivors of high-risk surgery. Crit. Care Med. 1993; 21: 977—990.

6. Shoemaker W. C., Appel P. L., Kram H. B. Role of oxygen debt in the development of organ failure sepsis and death in high risk surgical patients. Chest 1992; 102: 208—215.

7. Shoemaker W. C., Wo C. C. J., Demetriades D. et al. Early physiologic patterns in acute illness and accidents: Toward a concept of circulatory dysfunction and shock based on invasive and noninvasive hemodynamic monitoring. New Horizons 1996; 4: 395—412.

8. Shoemaker W. C., Wo C. C. J., Thangathura D. et al. Hemodynamic patterns of survivors and nonsurvivors during high risk elective surgical operations. Wored J. Surg. 1999; 23: 1264—1270.

9. Shoemaker W. C., Montgomery E. S., Kaplan E. et al. Physiologyc pattern in surviving and non-surviving shock patiens. Use of sequential cardiorespiratory parameters in defining criteria for therapeutic goals end early varning of death. Arch. Surg. 1973; 106: 630—636.

10. Shoemaker W. C., Appel P. L., Kram H. B. Oxygen transport measurements to evaluate tissue perfusion and titrate therapy. Crit. Care Med. 1991; 19: 672—688.

11. Shoemaker W. C., Appel P. L., Kram H. B. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest 1988; 94: 1176—1183.

12. Золотокрылина Е. С. Вопросы патогенеза и лечения полиорганной недостаточности у больных с тяжелой сочетанной травмой, массивной кровопотерей в раннем постреанимационном периоде. Анестезиология и реаниматология 1996; 1: 9—13.

13. Reilly J. M., Cunnion R. E., Burch-Whitman C. et al. A circulating myocardial depressant substance is associated with cardiac dysfunction and peripheral hypoperfusion (lactic acidemia) in patients with septic shock. Chest 1989; 95: 1072—1080.

14. Thiemermann C. Nitric oxide and septic shock. Gen. Pharmac. 1997; 29: 159—166.

15. Parker M. M. Pathophysiology of cardiovascular disfunction in septic shock. New Horizons 1998; 6: 130—138.

16. Неговский В. А. Очерки по реаниматологии. М.: Медицина; 1986.

17. Chiara O., Pelosi P., Segala M. Mesenteric and renal oxygen transport during hemorrage and reperfusion: evaluation of optimal goals for resuscitation. J. Trauma Injury Infection & Critcal Care 2001; 51 (2): 356—362.

18. Bone R. C., Fein A. M., Balk R. A. et al. Definitions of sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit. Care Med. 1992; 20: 864—874.

19. Fleming A., Bishop M., Shoemaker W. et al. Prospective trial of supranormal values as goals of resuscitation in severe trauma. Arch. Surg. 1992; 127: 1175—1181.

20. Bishop M. H., Shoemaker W. C., Thadepalli H. D. et al. Increased oxygen consumption facilitates survival in severe trauma. Crit. Care Med. 1994; 22: 61.

21. Tuchschmidt J., Fried J., Astiz M. et al. Elevation of cardiac output and oxygen delivery improves outcome in septic shock. Chest 1992; 102: 216—220.

22. Tuchschmidt J., Fried J., Swinney R. et al. Early hemodynamic correlates of survival in patients with septic shock. Crit. Care Med. 1989; 17: 719—723.

23. Boyd O., Bennett E. D. Enhancement of perioperative tissue perfusion as a therapeutic strategy for major surgery. New Horizons1996; 4: 453—465.

24. Boyd O., Grounds R. M., Bennett E. D. A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. J.A.M.A. 1993; 270: 2699—2707.

25. Лукьянова Л. Д. Современные проблемы гипоксии. Вестн. Рос. Акад. Мед. наук 2000: 3—11.

26. Gattinoni L., Brazzi L., Pelosi P. et al. Atrial of goal-oriented hemodynamic therapy in critically ill patients. N. Engl. J. Med. 1995; 333: 1025—1032.

27. Ronco J. J., Fenwick J. C., Tweeddale M. G. et al. Identification of the critical oxygen delivery for anaerobic metabolism in critically ill septic and nonseptic humans. J.A.M.A. 1993; 270: 1724—1730.

28. Ronco J. J., Fenwick J. C., Wiggs B. R. et al. Oxygen consumption is independent of increases in oxygen delivery by dobutamine in patients who have sepsis and normal or increased concentrations of arterial plasma lactate. Am. Rev. Respir. Dis. 1993; 147: 25—31.

29. Ronco J. J., Phang P. T., Walley K. R. et al. Oxygen consumption is independent of changes in oxygen delivery in severe adult respiratory distress syndrome. Am. Rev. Respir. Dis. 1991; 143: 1267—1273.

30. Connors A. F. Jr., Speroff T., Dawson N. V. et al. The effectiveness of right heart catheterization in the initial care of critically ill patients. J.A.M.A. 1996; 276: 889—897.

31. Остапченко Д. А. Гипоксия и ее коррекция у больных с тяжелой тупой и сочетанной травмой груди: дис. … д-ра мед. наук. М.; 2005.

32. Рейнхард К. Зависимость потребления от доставки кислорода — миф или реальность? В кн.: Недашковский Э. В. (ред.). Актуальные проблемы анестезиологии и реаниматологии. Архангельск — Тромсе; 1997. 44—47.

33. Dantzker D. R., Foresman B., Gutierrez G. Oxygen supply and utilization relationships. Am. Rev. Respir. Dis. 1991; 142: 675—679.

34. Vermeij C. G., Feenstra B. W. A., Adrichem W. J. et al. Independent oxygen uptake and oxygen delivery in septic and postoperative patients. Chest 1991; 99:1438—1444.

35. Ruokonen E., Takala J., Kari A. et al. Regional blood flow and oxygen transport in septic shock. Crit. Care Med. 1993; 21: 1296—1303.

36. Ruokonen E., Takala J., Uusaro A. Effect of vasoactive treatment on the relationship between mixed venous and regional oxygen saturation. Crit. Care Med. 1991; 19: 1365—1369.

37. Hayes M. A., Timmins A. C., Yau E. H. S. et al. Elevation of systemic oxygen delivery in the treatment of critically ill patients. N. Engl. J. Med. 1994; 330: 1717—1722.

38. Hayes M. A., Timmins A. C., Yau E. H. S. et al. Oxygen transport patterns in patients with sepsis syndrome or septic shock: Influence of treatment and relationship to outcome. Crit. Care Med. 1997; 25: 926—936.

39. Hayes M. A. Oxygen delivery and outcome. Cur. Opinion in Anaesthesiology 1998; 11 (2): 12—133.

40. Matuschak G. M. Supranormal oxygen delivery in critical illness. New Horizons 1997; 5: 233—238.

41. Rhodes A. R., Lamb F. J., Malagon I. et al. A prospective study of the use of a dobutamine stress test to identify outcome in patients with sepsis, severe sepsis, or septic shock. Crit. Care Med. 1999; 27: 2361—2366.

42. Smithies M., Bihari D. J. Delivery dependent oxygen consumption: Asking the wrong questions and not getting any answers. Crit. Care Med. 1993; 21: 1622—1626.

43. Abou-Khali B., Scalea T. M., Trooskin S. Z. et al. Hemodinamic responses to shock on young trauma patients: Need for invasive monitoring. Crit. Care Med. 1985; 106: 630—636.

44. Pollack M. P., Fields A. I., Ruttiman U. E. Distribution of cardiopulmonary variables in pediatric survivors and nonsurvivors of septic shock. Crit. Care Med. 1985; 13: 454—459.

45. Pollack M. P., Fields A. I., Ruttiman U. E. Sequential cardiopulmonary variables of infants and children in septic shock. Crit. Care Med. 1984; 12: 554—559.

46. Шумейкер В., Зельман В., Во Ч. и др. Предсказание исхода тяжелой травмы с помощью неинвазивного мониторинга. Анестезиология и реаниматология 2003; 6: 8—13.

47. Rhodes A. R., Lamb F. J., Malagon I. et al. A prospective study of the use of a dobutamine stress test to identify outcome in patients with sepsis, severe sepsis, or septic shock. Crit. Care Med. 1999; 27: 2361—2366.

48. Rivers E., Nguyen B., Havstad S. et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N. Engl. J. Med. 2001; 345: 1368—1377.

49. Dellinger R. P., Carlet J., Mazur H. et al. Survivng Sepsis Campaign for management of severe sepsis and septic shock. Crit. Care Med. 2004; 32: 858—872.

50. Erstad B. L. Oxygen transport goals in the resuscitation of critically ill patients. An. Pharmacotherapy1994; 28 (11): 1273—1284.


Для цитирования:


Остапченко Д.А., Власенко А.В., Рылова А.В. Кислородный баланс у больных с сепсисом и полиорганной недостаточностью. Общая реаниматология. 2007;3(2):52-56. https://doi.org/10.15360/1813-9779-2007-2-52-56

For citation:


Ostapchenko D.A., Vlasenko A.V., Rylova A.V. Oxygen Balance in Patients with Sepsis and Multiple Organ Dysfunction. General Reanimatology. 2007;3(2):52-56. (In Russ.) https://doi.org/10.15360/1813-9779-2007-2-52-56

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