Monitoring CO2 in shock states

Verfasser / Beitragende:
[Pierre-Eric Danin, Nils Siegenthaler, Jacques Levraut, Gilles Bernardin, Jean Dellamonica, Karim Bendjelid]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Clinical Monitoring and Computing, 29/5(2015-10-01), 591-600
Format:
Artikel (online)
ID: 605510296
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024 7 0 |a 10.1007/s10877-014-9638-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10877-014-9638-7 
245 0 0 |a Monitoring CO2 in shock states  |h [Elektronische Daten]  |c [Pierre-Eric Danin, Nils Siegenthaler, Jacques Levraut, Gilles Bernardin, Jean Dellamonica, Karim Bendjelid] 
520 3 |a The primary end point when treating acute shock is to restore blood circulation, mainly by reaching macrocirculatory parameters. However, even if global haemodynamic goals can be achieved, microcirculatory perfusion may remain impaired, leading to cellular hypoxia and organ damage. Interestingly, few methods are currently available to measure the adequacy of organ blood flow and tissue oxygenation. The rise in tissue partial pressure of carbon dioxide (CO2) has been observed when tissue perfusion is decreased. In this regard, tissue partial pressure of CO2 has been proposed as an early and reliable marker of tissue hypoxia even if the mechanisms of tissue partial pressure in CO2 rise during hypoperfusion remain unclear. Several technologies allow the estimation of CO2 content from different body sites: vascular, tissular (in hollow organs, mucosal or cutaneous), and airway. These tools remain poorly evaluated, and some are used but are not widely used in clinical practice. The present review clarifies the physiology of increasing tissue CO2 during hypoperfusion and underlines the specificities of the different technologies that allow bedside estimation of tissue CO2 content. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Shock  |2 nationallicence 
690 7 |a Microcirculation  |2 nationallicence 
690 7 |a Carbon dioxide  |2 nationallicence 
690 7 |a Tissue hypoxia  |2 nationallicence 
690 7 |a Intensive care  |2 nationallicence 
700 1 |a Danin  |D Pierre-Eric  |u Medical Intensive Care, Nice University Hospital, Nice, France  |4 aut 
700 1 |a Siegenthaler  |D Nils  |u Intensive Care Division, Geneva University Hospitals, Geneva, Switzerland  |4 aut 
700 1 |a Levraut  |D Jacques  |u Emergency Department, Nice University Hospital, Nice, France  |4 aut 
700 1 |a Bernardin  |D Gilles  |u Medical Intensive Care, Nice University Hospital, Nice, France  |4 aut 
700 1 |a Dellamonica  |D Jean  |u Medical Intensive Care, Nice University Hospital, Nice, France  |4 aut 
700 1 |a Bendjelid  |D Karim  |u Intensive Care Division, Geneva University Hospitals, Geneva, Switzerland  |4 aut 
773 0 |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/5(2015-10-01), 591-600  |x 1387-1307  |q 29:5<591  |1 2015  |2 29  |o 10877 
856 4 0 |u https://doi.org/10.1007/s10877-014-9638-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10877-014-9638-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Danin  |D Pierre-Eric  |u Medical Intensive Care, Nice University Hospital, Nice, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Siegenthaler  |D Nils  |u Intensive Care Division, Geneva University Hospitals, Geneva, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Levraut  |D Jacques  |u Emergency Department, Nice University Hospital, Nice, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bernardin  |D Gilles  |u Medical Intensive Care, Nice University Hospital, Nice, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dellamonica  |D Jean  |u Medical Intensive Care, Nice University Hospital, Nice, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bendjelid  |D Karim  |u Intensive Care Division, Geneva University Hospitals, Geneva, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/5(2015-10-01), 591-600  |x 1387-1307  |q 29:5<591  |1 2015  |2 29  |o 10877