Diagnostic Measures to Evaluate Oxygenation in Critically Ill Adults: Implications and Limitations
作者： Karen L. Johnson
DOI: 10.1097/00044067-200410000-00003
关键词:
摘要: Accurate assessment and treatment of disturbances in oxygenation are crucial to optimal outcomes critically ill patients. Oxygenation is dependent upon adequate pulmonary gas exchange, oxygen delivery, consumption. Each these physiologic processes may vary independently response pathophysiologic conditions therapeutic interventions. The author reviews diagnostic measures available evaluate consumption Currently tools their potential value as well key methodological limitations addressed. Failure on behalf clinicians fully appreciate can lead misdiagnoses inappropriate treatment. aim this article help advanced practice nurses more understand the implications ensure accurate oxygenation.
aacnjournals.org
unirioja.es
sci-hub.se 参考文章(121)
R. W. Morris, M. Nairn, T. A. Torda, A comparison of fifteen pulse oximeters. Part I: A clinical comparison; Part II: A test of performance under conditions of poor perfusion. Anaesthesia and Intensive Care. ,vol. 17, pp. 62- 73 ,(1989) , 10.1177/0310057X8901700113
Paul C Hébert, George Wells, Morris A Blajchman, John Marshall, Claudio Martin, Giuseppe Pagliarello, Martin Tweeddale, Irwin Schweitzer, Elizabeth Yetisir, Transfusion Requirements in Critical Care Investigators for the Canadian Critical Care Trials Group, A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care The New England Journal of Medicine. ,vol. 340, pp. 409- 417 ,(1999) , 10.1056/NEJM199902113400601
Timothy J Barreiro, Irene Perillo, An approach to interpreting spirometry. American Family Physician. ,vol. 69, pp. 1107- 1114 ,(2004)
Gabriele Sganga, Giuseppe Boldrini, Mauro Pittiruti, JH Siegel, Ivo Giovannini, B Coleman, The physiologic meaning of the respiratory index in various types of critical illness. Circulatory shock. ,vol. 17, pp. 179- 193 ,(1985)
R. K. WEBB, A. C. RALSTON, W. B. RUNCIMAN, Potential errors in pulse oximetry. II. Effects of changes in saturation and signal quality. Anaesthesia. ,vol. 46, pp. 207- 212 ,(1991) , 10.1111/J.1365-2044.1991.TB09411.X
Karim Bendjelid, Nicolas Schutz, Peter M. Suter, Jacques -A. Romand, Après circulation extra-corporelle, la mesure continue de la Svo2 et la co-oxymétrie du sang mêlé ne sont pas interchangeables Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 51, pp. 610- 615 ,(2004) , 10.1007/BF03018404
R Gilbert, J F Keighley, The arterial-alveolar oxygen tension ratio. An index of gas exchange applicable to varying inspired oxygen concentrations. The American review of respiratory disease. ,vol. 109, pp. 142- 145 ,(1974) , 10.1164/ARRD.1974.109.1.142
R. B. Light, Intrapulmonary oxygen consumption in experimental pneumococcal pneumonia. Journal of Applied Physiology. ,vol. 64, pp. 2490- 2495 ,(1988) , 10.1152/JAPPL.1988.64.6.2490
David L. Reich, Aleksandar Timcenko, Carol A. Bodian, Jonathan Kraidin, Joshua Hofman, Marietta DePerio, Steven N. Konstadt, Tuula Kurki, James B. Eisenkraft, Predictors of pulse oximetry data failure. Anesthesiology. ,vol. 84, pp. 859- 864 ,(1996) , 10.1097/00000542-199604000-00013
JAMES W. DAVIS, STEVEN R. SHACKFORD, ROBERT C. MACKERSIE, DAVID B. HOYT, Base deficit as a guide to volume resuscitation. Journal of Trauma-injury Infection and Critical Care. ,vol. 28, pp. 1464- 1467 ,(1988) , 10.1097/00005373-198810000-00010