Regional Blood Flow and Oxygen Transport in Patients with Low Cardiac Output Syndrome after Cardiac Surgery
作者:
ESKO RUOKONEN,
JUKKA TAKALA,
AARNO KARI,
期刊:
Survey of Anesthesiology
(OVID Available online 1994)
卷期:
Volume 38,
issue 4
页码: 215-215
ISSN:0039-6206
年代: 1994
出版商: OVID
数据来源: OVID
摘要:
Comment: Although this was a nonrandomized study, the authors studied patients who received post-bypass therapy in the ICU according to their cardiac index, which was either above or below 1.75 L/m2. No discussion of drugs given before the study period began is included, i.e., post-bypass and before arrival into the ICU. The criteria to determine whether sodium nitroprusside was used in addition to dobutamine are not stated. Also, a cardiac index of 1.75 L/m2may be an inappropriate threshold for instituting therapy; perhaps a lower threshold might be more informative. This study seems to indicate that splanchnic oxygen delivery is maintained at the expense of peripheral oxygen delivery, when cardiac function is marginal.
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