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呼气末二氧化碳作为心肺复苏期间循环状态的无创监测指标:一项初步临床研究。

End-tidal carbon dioxide as a noninvasive monitor of circulatory status during cardiopulmonary resuscitation: a preliminary clinical study.

作者信息

Lepilin M G, Vasilyev A V, Bildinov O A, Rostovtseva N A

机构信息

All-Union Cardiology Research Center, Academy of Medical Sciences, Moscow, USSR.

出版信息

Crit Care Med. 1987 Oct;15(10):958-9. doi: 10.1097/00003246-198710000-00013.

DOI:10.1097/00003246-198710000-00013
PMID:3115681
Abstract

In four postoperative cardiac patients during controlled ventilation, acute circulatory failure was associated with decreases in end-tidal CO2 (PetCO2) and cardiac index. Closed cardiac compression caused an increase in both PetCO2 and cardiac index, with complete restoration to baseline values after successful CPR. Our data indicate that PetCO2 measurements during controlled ventilation in acute circulatory failure patients may be used as an indirect noninvasive tool to monitor the patient's hemodynamic status during CPR.

摘要

在4例接受控制通气的心脏术后患者中,急性循环衰竭与呼气末二氧化碳分压(PetCO2)和心脏指数降低相关。胸外心脏按压使PetCO2和心脏指数均升高,心肺复苏成功后完全恢复至基线值。我们的数据表明,急性循环衰竭患者在控制通气期间测量PetCO2可作为一种间接无创工具,用于监测心肺复苏期间患者的血流动力学状态。

相似文献

1
End-tidal carbon dioxide as a noninvasive monitor of circulatory status during cardiopulmonary resuscitation: a preliminary clinical study.呼气末二氧化碳作为心肺复苏期间循环状态的无创监测指标:一项初步临床研究。
Crit Care Med. 1987 Oct;15(10):958-9. doi: 10.1097/00003246-198710000-00013.
2
End-tidal carbon dioxide monitoring during cardiopulmonary resuscitation.心肺复苏期间的呼气末二氧化碳监测。
JAMA. 1987;257(4):512-5.
3
End-tidal CO2 as a guide to successful cardiopulmonary resuscitation: a preliminary report.呼气末二氧化碳作为成功心肺复苏的指导:初步报告。
Crit Care Med. 1985 Nov;13(11):910-1. doi: 10.1097/00003246-198511000-00012.
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Expired carbon dioxide: a noninvasive monitor of cardiopulmonary resuscitation.呼出二氧化碳:心肺复苏的无创监测指标
Circulation. 1988 Jan;77(1):234-9. doi: 10.1161/01.cir.77.1.234.
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End tidal carbon dioxide as an haemodynamic determinant of cardiopulmonary resuscitation in the rat.
Cardiovasc Res. 1989 Apr;23(4):364-8. doi: 10.1093/cvr/23.4.364.
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[Predictive value of partial pressure of end-tidal carbon dioxide on the effect of active abdominal compression-decompression cardiopulmonary resuscitation and serum S100B protein on cerebral function].[呼气末二氧化碳分压对主动腹部按压-减压心肺复苏效果及血清S100B蛋白对脑功能的预测价值]
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018 Feb;30(2):117-122. doi: 10.3760/cma.j.issn.2095-4352.2018.02.005.
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Association between Prehospital CPR Quality and End-Tidal Carbon Dioxide Levels in Out-of-Hospital Cardiac Arrest.院外心脏骤停患者的院前心肺复苏质量与呼气末二氧化碳水平之间的关联
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8
Hemodynamic monitoring during CPR.心肺复苏期间的血流动力学监测。
Ann Emerg Med. 1993 Feb;22(2 Pt 2):289-95. doi: 10.1016/s0196-0644(05)80458-5.
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End-tidal carbon dioxide concentration during cardiopulmonary resuscitation.心肺复苏期间的呼气末二氧化碳浓度
N Engl J Med. 1988 Mar 10;318(10):607-11. doi: 10.1056/NEJM198803103181005.
10
Cardiac output and end-tidal carbon dioxide.心输出量与呼气末二氧化碳
Crit Care Med. 1985 Nov;13(11):907-9. doi: 10.1097/00003246-198511000-00011.

引用本文的文献

1
Simultaneous monitoring of noninvasive hemodynamic profile and capnography for tissue perfusion evaluation.同时监测无创血流动力学参数和二氧化碳图以评估组织灌注。
J Anesth. 1994 Dec;8(4):400-405. doi: 10.1007/BF02514616.
2
In emergently ventilated trauma patients, low end-tidal CO2 and low cardiac output are associated and correlate with hemodynamic instability, hemorrhage, abnormal pupils, and death.在紧急通气的创伤患者中,呼气末二氧化碳分压降低和心输出量降低与血流动力学不稳定、出血、异常瞳孔和死亡相关且具有相关性。
BMC Anesthesiol. 2013 Sep 11;13(1):20. doi: 10.1186/1471-2253-13-20.
3
Clinical utility of a colorimetric end-tidal CO2 detector in cardiopulmonary resuscitation and emergency intubation.
比色法呼气末二氧化碳检测仪在心肺复苏和紧急气管插管中的临床应用
J Clin Monit. 1991 Oct;7(4):289-93. doi: 10.1007/BF01619347.