Hemodynamic and oxygen transport patterns in surviving and nonsurviving postoperative patients

  title={Hemodynamic and oxygen transport patterns in surviving and nonsurviving postoperative patients},
  author={Richard D. Bland and William C. Shoemaker and Edward Abraham and Juan Carlos Cobo},
  journal={Critical Care Medicine},
Invasive hemodynamic monitoring was performed on 220 critically ill surgical patients judged by clinical evaluation to have a high likelihood of surgical complications or death. Patients with markedly abnormal pre-operative hemodynamic values were excluded from analysis. Data were separated into preoperative, intra-operative and postoperative time intervals and the mean value of each variable for each patient at each time period was computed. In comparison to survivors, the nonsurvivors… 

Oxygen delivery is an important predictor of outcome in patients with ruptured abdominal aortic aneurysms.

DO2 is an earlier and better predictor of MOD after ruptured AAA than previously identified risk factors and strategies to restore normal DO2 may be useful to improve outcome in these high-risk patients.

Early cardiorespiratory findings after severe blunt thoracic trauma and their relation to outcome

Early depression of cardiac, function is associated with poor outcome in patients with thoracic trauma, and measurements of oxygen transport variables may influence resuscitation and the timing of surgical procedures.

Measurement of tissue perfusion by oxygen transport patterns in experimental shock and in high-risk surgical patients

A very early predictive index based on observations of cardiac index values was found to predict outcome in 94% of high-risk patients and found to reduce mortality and morbidity significantly.

Systemic hemodynamics, gastric intramucosal Pco2 changes, and outcome in critically ill burn patients

  • José A. LorenteAna Ezpeleta Tomás Pascual
  • Medicine
    Critical care medicine
  • 2000
There are hemodynamic and biochemical changes that occur early after burn trauma that are associated with prognosis after an apparently successful resuscitation, and particularly, a hemodynamic profile characterized by systemic acidosis, low systemic blood flow, and systemic and pulmonary vasoconstriction early after trauma is associated with a poor outcome.

A Trial of Goal-Oriented Hemodynamic Therapy in Critically Ill Patients

Whether increasing the cardiac index to a supranormal level (cardiac-index group) or increasing mixed venous oxygen saturation to a normal level (oxygen-saturation group) would decrease morbidity and mortality among critically ill patients, as compared with a control group in which the target was a normal cardiac index.

Hypocapnia does not alter hepatic blood flow or oxygen consumption in patients with head injury.

Hypocapnic hyperventilation does not alter hepatic hemodynamic parameters in patients with head injury and might be used without undesirable effect on the hepatic-splanchnic perfusion in case of intracranial hypertension.


Hemodynamic therapy aimed at achieving supranormal values for the cardiac index or normal values for mixed venous oxygen saturation does not reduce morbidity or mortality among critically ill patients.

Hemodynamic and oxygen transport patterns for outcome prediction, therapeutic goals, and clinical algorithms to improve outcome. Feasibility of artificial intelligence to customize algorithms.

A preliminary evaluation of the feasibility of artificial intelligence techniques to accomplish individualized algorithms that may further improve patient care and outcome is described.