2015, Number 2
<< Back Next >>
Residente 2015; 10 (2)
Valoración hemodinámica durante la guardia
Román-Vistraín G, Muñoz-Ramírez CM, Márquez-González H, Zárate-Castañón P
Language: Spanish
References: 14
Page: 69-76
PDF size: 296.92 Kb.
ABSTRACT
Introduction: In this article we present assessing hemodynamics which may be carried out through an arterial blood gas and a vein gas samples, which represent the continuation of the journey of the oxygen since it comes to arterial blood to be delivered to the tissues, and the remaining oxygen that came into the right atrium, this way we can assess indirectly the cardiac output.
Methods: We will explain the formulas that evaluate the blood content of oxygen, venous content of oxygen, as well as arteriovenous differences, which represent the amount of oxygen that remains in circulation after its passage by the capillaries, rate of extraction of oxygen, which determines the amount of oxygen that is consumed by the tissues, and we will finish with the establishment of the formula to calculate the cardiac output.
Conclusions: By assessing hemodynamics we can determine indirectly alterations in the systemic circulation, as well as alterations in tissue oxygenation, also describes the causes that condition and these alterations.
REFERENCES
Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L et al. The American European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994; 149: 818-824.
Darovic GO. Pulmonary artery pressure monitoring. In: Darovic GO, editor. Hemodynamic monitoring. Invasive and noninvasive clinical application. 3th ed. Philadelphia: W.B. Saunders Company; 2002. pp. 191-243.
Jardines-Abdo A. Tratamiento de las alteraciones de la oxigenación en la sepsis grave. MEDISAN. 2001; 5 (4): 99-102.
Cambonie G, Guillaumont S, Luc F, Vergnes C, Milesi C, Voisin M. Haemodynamic features during high-frequency oscillatory ventilation in preterm’s. Acta Paediatr. 2003; 92: 1068-1073.
Herrera E. Transporte de oxígeno. Rev Mexicana de Anestesiología. 1991; 14: 138-142.
Toumpoulis IK, Anagnostopoulos CE, Swistel DG, DeRose JJ. Does EuroSCORE predict length of stay and specific postoperative complications after cardiac surgery? Eur J Cardiothorac Surg. 2005; 27 (1): 128-133.
Pajón MJ, Fernández-de la Reguera G, Hurtado IC, Molina FJ, Blackaller R, Luna P. Complicaciones del uso del catéter de flotación pulmonar en cirugía cardiovascular: estudio prospectivo. Arch Inst Cardiol Mex. 1986; 56 (2): 147-155.
Rivers E. Mixed versus central venous oxygen saturation may be not numerically equal, but both are still clinically useful. Chest. 2006; 129 (3): 507-508.
Lequeux PY, Bouckaert Y, Sekkat H, van der Linden P, Stefanidis C, Huynh CH et al. Continuous mixed venous and central venous oxygen saturation in cardiac surgery with cardiopulmonary bypass. Eur J Anaesthesiol. 2010; 27 (3): 295-299.
Astiz ME, Rackow EC. Assessing perfusion failure during circulatory shock. Crit Care Clin. 1993; 9: 299-312.
Hidalgo-Méndez P, González-Alfonso, Lastayo-Casanova R, Alegret-Rodríguez M, Méndez-Martínez J, Fuentes-Herrera L et al. Confiabilidad de los cálculos especiales de la oxigenación de muestras venosas centrales en cirugía cardiaca. Cor Salud. 2010; 2 (4): 200-210.
García-Hernández JA, Vázquez-Florida A, Martínez-López A, Praena-Fernández JM, Cayuela-Domínguez A, Cano-Francoa J et al. Extracción de oxígeno como predictor de mortalidad en pacientes con ventilación con alta frecuencia. An Pediatr (Barc). 2013; 78 (2): 94-103.
Mesquida J, Borrat X, Lorente JA, Masip J, Baigorri F. Objetivos de la reanimación hemodinámica. Med Intensivista. 2011; 35 (8): 499-508.
Hu BY, Laine GA, Wang S, Solis RT. Combined central venous oxygen saturation and lactate as markers of occult hypoperfusion and outcome following cardiac surgery. J Cardiothorac Vasc Anesth. 2012; 26: 52-57.