Hemodynamic assessment and management of patients with the adult respiratory distress syndrome.
In summary, ARDS and the combination of MV and PEEP may have complicated hemodynamic effects in terms of cardiac output and regional blood flow. These effects should be assessed primarily in terms of the adequacy of tissue oxygenation. Hemodynamic management of patients with ARDS should be aimed at improving tissue oxygenation by reducing metabolic needs, and improving both the arterial oxygen content (Table 3) and the cardiac output (Table 4). In most patients, these goals can be realized simultaneously.
Lazar
N M
NM
University of Toronto School of Medicine, Ontario, Canada.
Luce
J M
JM
D002302:Cardiac Output; D006321:Heart / Q000503:physiopathology*; D006801:Humans; D010100:Oxygen / Q000097:blood; D012039:Regional Blood Flow; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000097:blood / Q000503:physiopathology* / Q000628:therapy; D013318:Stroke Volume
D010100:Oxygen