Skip to main content

Influence of Right Ventricular Function on Oxygen Delivery in ARDS

  • Conference paper
Yearbook of Intensive Care and Emergency Medicine 1993

Part of the book series: Yearbook of Intensive Care and Emergency Medicine 1993 ((YEARBOOK,volume 1993))

  • 120 Accesses

Abstract

The risk of developing adult respiratory distress Syndrome (ARDS) increases with the number of clinical disorders that occur in the patient. Therefore, maintenance and monitoring of oxygenation is an important part of the intensive care in patients with ARDS. In order to prevent multiple organ dysfunction or failure (MOF), oxygen delivery (DO2) and oxygen consumption (VO2) should be adequate to satisfy tissue oxygen demand. Since DO2 depends on hemoglobin level, on pulmonary gas exchange and cardiac Performance, many studies concerning ARDS or sepsisinduced distrubances in pulmonary function and cardiac Performance (especially of the right ventricle, RV) have appeared in the recent literature [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Squara, P, Dhainaut JF, Branet F (1992) Acute right ventricular failure. In: Pinsky MR, Dhainaut JF (eds) Pathophysiologic foundations of critical care, Williams & Wilkins, pp 280–311

    Google Scholar 

  2. Patterson SW, Starling EH (1914) On the mechanical factors which determine the Output of the ventricle. J Physiol 48: 357–365

    PubMed  CAS  Google Scholar 

  3. Shibutani K, Komatsu T, Kubal K, Sanchala V, Kumar V, Bizzari DV (1983) Critical level of oxygen delivery in anesthetized man. Crit Care Med 11: 640–643

    Article  PubMed  CAS  Google Scholar 

  4. Komatsu T, Shibutani K, Okamoto K, et al. (1987) Critical level of oygen delivery after cardiopulmonary bypass. Crit Care Med 15: 194–197

    Article  PubMed  CAS  Google Scholar 

  5. Edwards JD (1991) Oxygen transport in cardiogenic and septic shock. Crit Care Med 19: 658–663

    Article  PubMed  CAS  Google Scholar 

  6. Mohsenifar Z, Amin D, Jasper AC, Shah PK, Koerner SK (1987) Dependence of oxygen consumption on oxygen delivery in patients with chronic congestive heart failure. Chest 92: 447–450

    Article  PubMed  CAS  Google Scholar 

  7. Shoemaker WC (1987) Relation of oxygen transport patterns to the pathophysiology and therapy of shock states. Intensive Care Med 13: 230–243

    Article  PubMed  CAS  Google Scholar 

  8. Diebel LN, Wilson RF, Tagett MG, Kline RA (1992) End–diastolic volume: A better indicator of preload in the critically ill. Arch Surg 127: 817–822

    Google Scholar 

  9. Gentzier RD, Briselli MF, Gault JH (1974) Angiographie estimation of right ventricular volume in man. Circulation 50: 324–330

    Google Scholar 

  10. Dhainaut JF, Lanore JJ,, de Gournay JM et al. (1988) Right ventricular dysfunction in patients with septic shock. Intensive Care Med 14: 488–491

    Article  PubMed  Google Scholar 

  11. Reuse C, Frank N, Contempre, Vincent JL (1988) Right ventricular function in septic shock. Intensive Care Med 14: 486–487

    Article  PubMed  Google Scholar 

  12. Mitsuo T, Shimazaki S, Matsuda H (1992) Right ventricular dysfunction in septic patients. Crit Care Med 20: 630–634

    Article  PubMed  CAS  Google Scholar 

  13. Jardin F, Gueret P, Dubourg O, Farcot JC, Margairaz A, Bourdarias JP (1985) Right ventricular volumes by thermodilution in the adult respiratory distress Syndrome. Chest 88: 34–39

    Article  PubMed  CAS  Google Scholar 

  14. Steltzer H, Owen AN, Petcold R, Germann P, Hammerle AF (1992) Small volume resuscitation: Echocardiographically guided changes in left ventricular Performance in patients with circulatory shock. Anesthesiology 77: A229

    Google Scholar 

  15. Zapol WM, Snider MT (1977) Pulmonary hypertension in acute respiratory failure. New Engl J Med 296: 476–480

    Article  PubMed  CAS  Google Scholar 

  16. Pontoppidan H, Wilson RS, Rie MA, et al. (1977) Respiratory intensive care. Anesthesiology 47: 96–116

    Article  PubMed  CAS  Google Scholar 

  17. Vlahakes GJ, Turley K, Hoffmann JIE (1981) The pathophysiology of failure in acute right ventricular hypertension: Hemodynamic and biochemical correlations. Circulation 63: 87–95

    Google Scholar 

  18. Sibbald WJ, Driedger AA, Cunningham DG, Cheung H (1986) Right and left ventricular Performance in acute hypoxemic respiratory failure. Crit Care Med 14: 852–857

    Article  PubMed  CAS  Google Scholar 

  19. Radermacher P, Santak B, Wüst HJ, Tarnow J, Falke KJ (1990) Prostacyclin and right ventricular function in patients with pulmonary hypertension associated with ARDS. Intensive Care Med 16: 227–232

    Article  PubMed  CAS  Google Scholar 

  20. Viquerat CE, Righetti A, Suter PM (1983) Biventricular volumes and function in patients with adult respiratory distress Syndrome ventilated with PEEP. Chest 83: 509–514

    Article  PubMed  CAS  Google Scholar 

  21. Potkin RT, Hudson LD, Weaver LJ, Trobaugh G (1987) Effect of positive endexpiratory pressure on right and left ventricular function in patients with the adult respiratory distress Syndrome. Am Rev Respir Dis 135: 307–311

    PubMed  CAS  Google Scholar 

  22. Jardin F, Brun-Ney D, Hardy A, Aegerter P, Beauchet A, Bourdarias JP (1991) Combined thermodilution and two-dimensional echocardiographic evaluation of right ventricular function during respiratory support with PEEP. Chest 99: 162–168

    Article  PubMed  CAS  Google Scholar 

  23. Biondi JW, Schulman DS, Souffer R, et al. (1988) The effect of incremental positive endexpiratory pressure on right ventricular hemodynamics and ejection fraction. Anest Anaig 84: 144–151

    Google Scholar 

  24. Schulman DS, Biondi JW, Zohgbi S, Zaret BL, Souffer R (1990) Coronary flow limits right ventricular Performance during positive end–expiratory pressure. Am Rev Respir Dis 141: 1531–1537

    PubMed  CAS  Google Scholar 

  25. Danek SJ, Lynch JP, Weg JP, Dantzker DR (1980) The dependency of oxygen uptake on oxygen delivery in the adult respiratory distress Syndrome. Am Rev Respir Dis 122: 387–395

    PubMed  CAS  Google Scholar 

  26. Kariman K, Burns SR (1985) Regulation of tissue oxygen extraction is disturbed in adult respiratory distress Syndrome. Am Rev Respir Dis 132: 109–114

    PubMed  CAS  Google Scholar 

  27. Lorente JA, Renes E, Gömez-Aguinaga MA (1991) Oxygen delivery-dependent oxygen consumption in acute respiratory failure. Crit Care Med 19: 770–775

    Article  PubMed  CAS  Google Scholar 

  28. Annat G, Viale JP, Percival C, Froment M, Motin J (1986) Oxygen delivery and uptake in the adult respiratory distress Syndrome. Am Rev Respir Dis 133: 999–1001

    PubMed  CAS  Google Scholar 

  29. Ronco JJ, Phang PT, Wally KR, Wiggs B, Fenwick JC, Rüssel JA (1991) Oxygen consumption is independent of chaflges in oxygen delivery in severe adult respiratory distress Syndrome. Am Rev Respir Dis 143: 1267–1273

    PubMed  CAS  Google Scholar 

  30. Sugimoto H, Ohashi N, Sawada Y, Yoshioka T, Sugimoto T (1984) Effects of positive endexpiratory pressure on tissue gas tension and oxygen transport. Crit Care Med 12: 661–663

    Article  PubMed  CAS  Google Scholar 

  31. Teboul JL, Annane D, Thuillez C, Depret J, Bellisant E, Richard C (1992) Effects of cardiovascular drugs on oxygen consumption/oxygen delivery relationship in patients with congestive heart failure. Chest 101: 1582–1587

    Article  PubMed  CAS  Google Scholar 

  32. Bartlett RH, Dechert RE (1990) Oxygen kinetics: Pitfalls in clinical research. J Crit Care 5: 77–80

    Google Scholar 

  33. Steltzer H, Hiesmayr M, Mayer N, Krafft P, Hammerle AF (1993) The relationship between oxygen delivery and uptake in the critically ill: Is there a critical or optimal therapeutical value? A metaanalysis. Anesthesia (in press)

    Google Scholar 

  34. Russell JA, Ronco JJ, Lockhat D, Beizberg A, Kiess M, Dodek PM (1990) Oxygen delivery and consumption and ventricular preload are greater in survivors than in nonsurvivors of the adult respiratory distress Syndrome. Am Rev Respir Dis 141: 659–665

    Article  PubMed  CAS  Google Scholar 

  35. Krafft P, Steltzer H, Hiesmayr M, Klimscha W, Hammerle AF (1993) Mixed venous oxygen Saturation in critically ill patients: The role of defined events. Chest (in press)

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Steltzer, H., Krafft, P., Hammerle, A.F. (1993). Influence of Right Ventricular Function on Oxygen Delivery in ARDS. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1993. Yearbook of Intensive Care and Emergency Medicine 1993, vol 1993. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84904-6_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-84904-6_36

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-56463-8

  • Online ISBN: 978-3-642-84904-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics