Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury
Objective: to reveal a relationship between the impaired oxygen transport and the sectoral distribution of fluids in severe concomitant injury (SCI). Subjects and methods: A follow-up covered 29 patients with SCI. The severity of the condition was evaluated using the traumatic shock scale (Dzhanelid...
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2008-12-01
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| Series: | Общая реаниматология |
| Online Access: | https://www.reanimatology.com/rmt/article/view/635 |
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| author | T. A. Pavlova Ye. V. Grigoryev Ye. A. Kameneva |
| author_facet | T. A. Pavlova Ye. V. Grigoryev Ye. A. Kameneva |
| author_sort | T. A. Pavlova |
| collection | DOAJ |
| description | Objective: to reveal a relationship between the impaired oxygen transport and the sectoral distribution of fluids in severe concomitant injury (SCI). Subjects and methods: A follow-up covered 29 patients with SCI. The severity of the condition was evaluated using the traumatic shock scale (Dzhanelidze Research Institute of Emergency Care, Saint Petersburg). Differences were estimated between the groups of patients with varying traumatic shock and between the surviving and deceased victims. The victims were examined by the generally accepted standards of clinical and laboratory studies; noninvasive monitoring of hemodynamics and fluid distribution along the body’s aqueous sectors was made in all the patients, by applying integral tetrapolar rheovasography and two-frequency bioimpedance study (Diamant-M, Saint Petersburg). Results. The diagnostic and predictive values of determination of the cardiac index have been ascertained by the Tishchenko tetrapolar rheovasography in patients with SCI. The cardiac index of less than 3.2 l/min^m2 in the first 24 hours after referral to an intensive care unit (ICU) is a predictor of mortality. The above cardiac index is consistent with the presence of evident oxygen debt along with the respective oxygen extraction coefficient of greater than 42%. With lower cardiac index, there may be associated dyshidria: hyperosmolar hyperhydration of the intravascular sector and interstice with a tendency for intracellular sector dehydration. On the basis of determination of a low cardiac index (less than 3.2 l/min^m2 in the first 24 hours after referral to the ICU), intensive care tactics aimed at preventing and correcting the above-mentioned homeostatic disorders should be chosen. Key words: severe injury, cardiac index, oxygen transport, water electrolyte disorders. |
| format | Article |
| id | doaj-art-6487066d4e3e478084bf83dbe7c5410a |
| institution | DOAJ |
| issn | 1813-9779 2411-7110 |
| language | English |
| publishDate | 2008-12-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj-art-6487066d4e3e478084bf83dbe7c5410a2025-08-20T03:18:49ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102008-12-014610.15360/1813-9779-2008-6-16635Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant InjuryT. A. PavlovaYe. V. GrigoryevYe. A. KamenevaObjective: to reveal a relationship between the impaired oxygen transport and the sectoral distribution of fluids in severe concomitant injury (SCI). Subjects and methods: A follow-up covered 29 patients with SCI. The severity of the condition was evaluated using the traumatic shock scale (Dzhanelidze Research Institute of Emergency Care, Saint Petersburg). Differences were estimated between the groups of patients with varying traumatic shock and between the surviving and deceased victims. The victims were examined by the generally accepted standards of clinical and laboratory studies; noninvasive monitoring of hemodynamics and fluid distribution along the body’s aqueous sectors was made in all the patients, by applying integral tetrapolar rheovasography and two-frequency bioimpedance study (Diamant-M, Saint Petersburg). Results. The diagnostic and predictive values of determination of the cardiac index have been ascertained by the Tishchenko tetrapolar rheovasography in patients with SCI. The cardiac index of less than 3.2 l/min^m2 in the first 24 hours after referral to an intensive care unit (ICU) is a predictor of mortality. The above cardiac index is consistent with the presence of evident oxygen debt along with the respective oxygen extraction coefficient of greater than 42%. With lower cardiac index, there may be associated dyshidria: hyperosmolar hyperhydration of the intravascular sector and interstice with a tendency for intracellular sector dehydration. On the basis of determination of a low cardiac index (less than 3.2 l/min^m2 in the first 24 hours after referral to the ICU), intensive care tactics aimed at preventing and correcting the above-mentioned homeostatic disorders should be chosen. Key words: severe injury, cardiac index, oxygen transport, water electrolyte disorders.https://www.reanimatology.com/rmt/article/view/635 |
| spellingShingle | T. A. Pavlova Ye. V. Grigoryev Ye. A. Kameneva Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury Общая реаниматология |
| title | Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury |
| title_full | Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury |
| title_fullStr | Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury |
| title_full_unstemmed | Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury |
| title_short | Predictive Significance of Oxygen Transport Values for Assessment of Aqueous Sectors in Severe Concomitant Injury |
| title_sort | predictive significance of oxygen transport values for assessment of aqueous sectors in severe concomitant injury |
| url | https://www.reanimatology.com/rmt/article/view/635 |
| work_keys_str_mv | AT tapavlova predictivesignificanceofoxygentransportvaluesforassessmentofaqueoussectorsinsevereconcomitantinjury AT yevgrigoryev predictivesignificanceofoxygentransportvaluesforassessmentofaqueoussectorsinsevereconcomitantinjury AT yeakameneva predictivesignificanceofoxygentransportvaluesforassessmentofaqueoussectorsinsevereconcomitantinjury |