Общая реаниматология

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Мониторинг венозной сатурации в анестезиологии и интенсивной терапии

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Обзор освещает проблему адекватности транспорта кислорода к тканям и возможность ее оценки с помощью мониторинга насыщения венозной крови кислородом. Приведены физиологические основы и принципы мониторинга венозной сатурации, а также литературные данные об эффективности использования мониторинга насыщения венозной крови кислородом в различных областях медицины критических состояний. Ключевые слова: транспорт кислорода, венозная сатурация, доставка кислорода.

Список литературы

1. Priestley J.

2. Vincent J. L.Prevention and therapy of multiple organ failure. World J. Surg. 1996; 20: 465—470.

3. Marshall J. C.Inflammation, coagulopathy and the pathogenesis of multiple organ dysfunction syndrome. Crit. Care Med. 2001; 29: S99—S106.

4. Zimmerman J. E, Knaus W. A., Sun X., Wagner D. P.Severity stratification and outcome prediction for multisystem organ failure and dysfunction. World J. Surg. 1996; 20: 401—405.

5. Shoemaker W. C, Montgomery E. S., Kaplan E., Elwyn D. H.Physiologic patterns in surviving and nonsurviving shock patients. Arch. Surg. 1973; 106: 630—636.

6. Tuchschmidt J, Fried J., Astiz M., Rackow E.Elevation of cardiac output andoxygen delivery improves outcome in septic shock. Chest 1992; 102: 216—220.

7. 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. JAMA 1993; 270: 2699—270

8. Pearse P., Dawson D, Fawcett J. et al.Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. Critical Care 2005; 9: R687—R693.

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

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

11. Reinhart K.Monitoring O2transport and tissue oxygenation in critically ill patients. In: Reinhart K., Eyrich K. (eds). Clinical aspects of O2 transport and tissue oxygenation. Berlin: Springer; 1989. 195—2

12. Pearse R. M., Rhodes A.Mixed and central venous oxygen saturation. In: Vincent J. L. (ed. ) Yearbook of intensive care and emergency medicine. Berlin: Springer; 2005. 592—602.

13. Barratt-Boyes B. G, Wood E. H.The oxygen saturation of blood in the venae cavae, right-heart chambers, and pulmonary vessels of healthy subjects. J. Lab. Clin. Med. 1957; 50: 93—106.

14. Madsen P., Iversen H, Secher N. H.Central venous oxygen saturation during hypovolaemic shock in humans. Scand. J. Clin. Lab. Invest. 1993; 53: 67—72.

15. Marx G, Reinhart K.Venous oximetry. Curr. Opin Crit. Care 2006; 12: 263—268.

16. Comparison of two fluid-management strategies in acute lung injury. N. Engl. J. Med. 2006; 354: 2564—2575.

17. Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury. N. Engl. J. Med. 2006; 354: 2213—2224.

18. Sandham J. D., Hull R. D., Brant R. F. et al.A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N. Engl. J. Med. 2003; 348: 5—14.

19. Forsyth R, Hoffbrand B., Melmon K.Re-distribution of cardiac output during hemorrhage in the unanesthetized monkey. Circ. Res. 1970; 27: 311—320.

20. Scheinman M. M, Brown M. A., RapaportE.Critical assessment of use of central venous oxygen saturation as a mirror of mixed venous oxygen in severely ill cardiac patients. Circulation 1969; 40: 165—172.

21. Herrera A., Pajuelo A., Morano M.J. et al.Comparison of oxygen saturations in mixed venous and central blood during thoracic anesthesia with selective single-lung ventilation. Rev. Esp. Anestesiol. Reanim. 1993; 40: 349—353.

22. Kong C. H., Thompson F. D., Imms F. J.Cardiac output and oxygen uptake in patients with renal failure. Clin. Sci. 1990; 78: 591—596.

23. Reinhart K., Rudolph T., Bredle D. L. et al.Comparison of central-venous to mixed-venous oxygen saturation during changes in oxygen supply/demand. Chest 1989; 95: 1216—1221.

24. Scalea T. M., Holman M., Fuortes M. et al.Central venous blood oxygen saturation: an early, accurate measurement of volume during hemorrhage. J. Trauma 1988; 28: 725—732.

25. Schou H., Perez de Sa V., Larsson A.Central and mixed venous blood oxygen correlate well during acute normovolemic hemodilution in anesthetized pigs. Acta Anesthesiol. Scand. 1998; 42: 172—177.

26. Berridge J. C.Influence of cardiac output on the correlation between mixed venous and central venous oxygen saturation. Br. J. Anaesth. 1992; 69: 409—410.

27. Reinhart K., Kuhn H. J., Hartog C., Bredle D. L.Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intensive Care Med. 2004; 30: 1572—1578.

28. Dueck M. H., Klimek M., Appenrodt S. et al.Trends but not individual values of central venous oxygen saturation agree with mixed venous oxygen saturation during varying hemodynamic conditions. Anesthesiology 2005; 103: 249—257.

29. Baele P. L., McMichan J. C., Marsh H. M. et al.Continuous monitoring of mixed venous oxygen saturation in critically ill patients. Anesth. Analg. 1982; 61: 513—517.

30. Divertie M. B., McMichan J. C.Continuous monitoring of mixed venous oxygen saturation. Chest 1984; 85: 423—428.

31. Fathey P. J., Harris K., Vanderwarf C.Clinical experience with continuous monitoring of mixed venous oxygen saturation in respiratory failure. Chest 1984; 86: 748—752.

32. Bracht H., Hanggi M., Jeker B. et al.Incidence of low central venous oxygen saturation during unplanned admissions in a multidisciplinary ICU. Critical Care 2007; 11: R2.

33. Kowalenko T., Ander D., Hitchcock R. et al.Continuous central venous oxygen saturation monitoring during the resuscitation of suspected hemorrhagic shock. Acad. Emergency Medicine 1994; 1: A69.

34. Scalea T. M., Hartnett R. W., Duncan A. O. et al.Central venous oxygen saturation: a useful clinical tool in trauma patients. J. Trauma 1990; 30: 1539—1543.

35. Goldman R. H., Klughaupt M., Metcalf T. et al.Measurement of central venous oxygen saturation in patients with myocardial infarction. Circulation 1968; 38: 941—946.

36. Hutter A. M. Jr., Moss A. J.Central venous oxygen saturations. Value of serial determinations in patients with acute myocardial infarction. JAMA 1970; 212: 299—303.

37. Ander D. S., Jaggi M., Rivers E. et al.Undetected cardiogenic shock in patients with congestive heart failure presenting to the emergency department. Am. J. Cardiol. 1998; 82: 888—891.

38. Snyder A. B., Salloum L. J., BaroneJ. E. et al.Predicting short-term outcome of cardiopulmonary resuscitation using central venous oxygen tension measurements. Crit. Care Med. 1991; 19: 111—113.

39. Rivers E. P., Rady M. Y., Martin G. B. et al.Venous hyperoxia after cardiac arrest: characterization of a defect in systemic oxygen utilization. Chest 1992; 102: 1787—1793.

40. Nakazawa K., Hikawa Y., Saitoh Y. et al.Usefulness of central venous oxygen saturation monitoring during cardiopulmonary resuscitation: a comparative case study with end-tidal carbon dioxide monitoring. Intens. Care Med. 1994; 20: 450—451.

41. Paradis N. A., Martin G. B., Goetting M. G. et al.Aortic pressure during human cardiac arrest: identification of pseudo-electromechanical dissociation. Chest 1992; 101: 123—128.

42. Rivers E. P., Wortsman J., Rady M. Y. et al.The effect of the total cumulative epinephrine dose administered during human CPR on hemody-namic, oxygen transport, and utilization variables in the postresuscita-tion period. Chest 1994; 106: 1499—1507.

43. Pearse R., Dawson D., FawcettJ. et al.Changes in central venous saturation after major surgery, and association with outcome. Crit. Care 2005; 9: R694—R699.

44. Jakob S. M. et al.Multicenter study on peri-postoperative central venous oxygen saturation in high-risk surgical patients. Crit. Care 2006; 10: R158.

45. Jamieson W. R., Turnbull K. W., Larrieu A. J. et al.Continuous monitoring of mixed venous oxygen saturation in cardiac surgery. Can. J. Surg. 1982; 25: 538—543.

46. Waller J. L., Kaplan J. A., Bauman D. I., Craver J. M.Clinical evaluation of a new fiberoptic catheter oximeter during cardiac surgery. Anesth. Analg. 1982; 61: 676—679.

47. Krauss X. H., Verdouw P. D., Hughenholtz P. G., Nauta J.On-line monitoring of mixed venous oxygen saturation after cardiothoracic surgery. Thorax 1975; 30: 636—643.

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. Varpula M., Tallgren M., Saukkonen K. et al.Hemodynamic variables related to outcome in septic shock. Intensive Care Med. 2005; 31: 1066—1071.


Для цитирования:

Сметкин А.А., Киров М.Ю. Мониторинг венозной сатурации в анестезиологии и интенсивной терапии . Общая реаниматология. 2008;4(4):86.

For citation:

Smetkin A.A., Kirov M.Yu. Venous Saturation Monitoring in Anesthesiology and Intensive Care . General Reanimatology. 2008;4(4):86. (In Russ.)

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