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循环系统的治疗性控制。

Therapeutic control of the circulation.

作者信息

Parkin William Geoffrey, Leaning Mark Stephen

机构信息

Applied Physiology Pty Ltd, Sydney, Australia.

出版信息

J Clin Monit Comput. 2008 Dec;22(6):391-400. doi: 10.1007/s10877-008-9147-7. Epub 2008 Nov 12.

DOI:10.1007/s10877-008-9147-7
PMID:19002596
Abstract

By regarding the circulation from the perspective of the venous return, continuous therapeutic control of the mean arterial blood pressure, cardiac output and tissue oxygen flow can be seen to be the consequence of a series of equations based on conventionally measured variables. This approach permits a graphical solution to circulation guidance, open or closed loop control and goal directed therapy of broad general applicability.

摘要

从静脉回流的角度看待循环时，可以发现，基于常规测量变量的一系列方程式的结果是对平均动脉血压、心输出量和组织氧流量进行持续的治疗控制。这种方法允许以图形方式解决循环引导、开环或闭环控制以及具有广泛普遍适用性的目标导向治疗问题。

相似文献

1
Therapeutic control of the circulation.循环系统的治疗性控制。
J Clin Monit Comput. 2008 Dec;22(6):391-400. doi: 10.1007/s10877-008-9147-7. Epub 2008 Nov 12.
2
Three dimensional closed loop control of the human circulation.人体循环系统的三维闭环控制
Int J Clin Monit Comput. 1991;8(1):35-42. doi: 10.1007/BF02916090.
3
The classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is/is not correct.经典的盖顿观点认为，体循环平均充盈压、右心房压力和静脉阻力决定静脉回流量，这一观点是/不是正确的。
J Appl Physiol (1985). 2006 Nov;101(5):1529. doi: 10.1152/japplphysiol.00900.2006.
4
The classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is/is not correct.经典的盖顿观点认为，体循环平均充盈压、右心房压力和静脉阻力决定静脉回心血量，这一观点是/不是正确的。
J Appl Physiol (1985). 2006 Nov;101(5):1528-9. doi: 10.1152/japplphysiol.00900.2006.
5
The classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is/is not correct.传统的盖顿观点认为，体循环平均充盈压、右心房压力和静脉阻力决定静脉回流量，这一观点是/不正确的。
J Appl Physiol (1985). 2006 Nov;101(5):1529. doi: 10.1152/japplphysiol.00900.2006.
6
The classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is/is not correct.经典的盖顿观点认为，体循环平均充盈压、右心房压力和静脉阻力决定静脉回心血量，这一观点是/不是正确的。
J Appl Physiol (1985). 2006 Nov;101(5):1529-30. doi: 10.1152/japplphysiol.00900.2006.
7
Regulation of cardiac output.心输出量的调节
Anesthesiology. 1968 Mar-Apr;29(2):314-26. doi: 10.1097/00000542-196803000-00016.
8
Point: the classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is/is not correct.观点：经典的盖顿观点认为平均体循环压力、右心房压力和静脉阻力决定静脉回流量，这一观点是/不是正确的。
J Appl Physiol (1985). 2006 Nov;101(5):1523-5. doi: 10.1152/japplphysiol.00698.2006. Epub 2006 Jul 6.
9
Counterpoint: the classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is not correct.反驳观点：经典的盖顿观点认为，平均体循环压力、右心房压力和静脉阻力决定静脉回流量，这一观点并不正确。
J Appl Physiol (1985). 2006 Nov;101(5):1525-6; discussion 1526-7. doi: 10.1152/japplphysiol.00698a.2006.
10
The classical Guyton view that mean systemic pressure, right atrial pressure, and venous resistance govern venous return is/is not correct.经典的盖顿观点认为，体循环平均充盈压、右心房压力和静脉阻力决定静脉回流量，这种观点是/不是正确的。
J Appl Physiol (1985). 2006 Nov;101(5):1528. doi: 10.1152/japplphysiol.00900.2006.

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Ann Intensive Care. 2025 Aug 8;15(1):115. doi: 10.1186/s13613-025-01535-y.
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Decoding portal vein pulsatility: hemodynamic determinants in a post-hoc analysis of a prospective observational trial.解读门静脉搏动性：一项前瞻性观察性试验事后分析中的血流动力学决定因素
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The impact of blood pressure targets on venous return physiology during post cardiac arrest care.

本文引用的文献

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Volume state control - a new approach.容量状态控制——一种新方法。
Crit Care Resusc. 1999 Sep;1(3):311-21.
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Clinical usefulness of respiratory variations in arterial pressure.动脉压呼吸变异的临床应用价值
Am J Respir Crit Care Med. 2004 Jan 15;169(2):151-5. doi: 10.1164/rccm.200211-1360CC.
3
Effect of mean circulatory filling pressure and other peripheral circulatory factors on cardiac output.平均循环充盈压及其他外周循环因素对心输出量的影响。
心脏骤停后护理期间血压目标对静脉回流生理的影响。
Acta Anaesthesiol Scand. 2025 May;69(5):e70038. doi: 10.1111/aas.70038.
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Relationship between point-of-care ultrasound venous congestion assessment parameters, intravenous pressure, and venous return: a post-hoc analysis of a prospective cohort study.床旁超声静脉充血评估参数、静脉压与静脉回流之间的关系：一项前瞻性队列研究的事后分析
Ultrasound J. 2025 Feb 27;17(1):15. doi: 10.1186/s13089-025-00421-9.
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Reply to: The pressure gradient for venous return and its derivatives are ambiguous measures.回复：静脉回流的压力梯度及其衍生指标是不明确的测量方法。
Intensive Care Med Exp. 2024 Dec 5;12(1):113. doi: 10.1186/s40635-024-00698-5.
6
The pressure gradient for venous return and its derivatives are ambiguous measures.静脉回流的压力梯度及其衍生指标是不明确的测量方法。
Intensive Care Med Exp. 2024 Nov 11;12(1):101. doi: 10.1186/s40635-024-00692-x.
7
Transitions from Aerobic to Anaerobic Metabolism and Oxygen Debt during Elective Major and Emergency Non-Cardiac Surgery.择期大手术及急诊非心脏手术期间从有氧代谢向无氧代谢的转变及氧债
Biomedicines. 2024 Aug 5;12(8):1754. doi: 10.3390/biomedicines12081754.
8
Venous return physiology applied to post-cardiac arrest haemodynamic management: a post hoc analysis of the NEUROPROTECT trial.应用于心脏骤停后血流动力学管理的静脉回流生理学：NEUROPROTECT试验的事后分析
Intensive Care Med Exp. 2024 Aug 13;12(1):70. doi: 10.1186/s40635-024-00657-0.
9
Cardiopulmonary interactions-which monitoring tools to use?心肺相互作用——使用哪些监测工具？
Front Physiol. 2023 Aug 9;14:1234915. doi: 10.3389/fphys.2023.1234915. eCollection 2023.
10
A framework for heart-lung interaction and its application to prone position in the acute respiratory distress syndrome.心肺相互作用的框架及其在急性呼吸窘迫综合征俯卧位中的应用。
Front Physiol. 2023 Aug 7;14:1230654. doi: 10.3389/fphys.2023.1230654. eCollection 2023.
Am J Physiol. 1955 Mar;180(3):463-8. doi: 10.1152/ajplegacy.1955.180.3.463.
4
Rationale for cardiovascular monitoring.心血管监测的基本原理。
Curr Opin Crit Care. 2003 Jun;9(3):222-4. doi: 10.1097/00075198-200306000-00009.
5
Ernest Henry Starling, his predecessors, and the "Law of the Heart".欧内斯特·亨利·斯塔林、他的前辈们与“心脏定律”
Circulation. 2002 Dec 3;106(23):2986-92. doi: 10.1161/01.cir.0000040594.96123.55.
6
Predicting fluid responsiveness in ICU patients: a critical analysis of the evidence.预测重症监护病房患者的液体反应性：证据的批判性分析。
Chest. 2002 Jun;121(6):2000-8. doi: 10.1378/chest.121.6.2000.
7
Toward consistent definitions for preload and afterload.迈向预负荷和后负荷的一致定义。
Adv Physiol Educ. 2001 Dec;25(1-4):53-61. doi: 10.1152/advances.2001.25.1.53.
8
The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators.右心导管检查在危重症患者初始治疗中的有效性。支持研究人员。
JAMA. 1996 Sep 18;276(11):889-97. doi: 10.1001/jama.276.11.889.
9
Use of a mean systemic filling pressure analogue during the closed-loop control of fluid replacement in continuous hemodiafiltration.在连续性血液透析滤过中液体置换的闭环控制期间使用平均体循环充盈压类似物。
J Crit Care. 1994 Jun;9(2):124-33. doi: 10.1016/0883-9441(94)90023-x.
10
The surprising kidney-fluid mechanism for pressure control--its infinite gain!令人惊讶的肾脏-体液压力控制机制——其无限增益！
Hypertension. 1990 Dec;16(6):725-30. doi: 10.1161/01.hyp.16.6.725.