Oxygen Transport in the Critically Ill Patient: Münster (FRG), 11–12 May, 1990 (Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine (215))

Lacking the capacity to store oxygen, the human organism depends on having an unimpaired and continuous supply of oxygen for its survival. Life-threatening disturbances can be encountered by the clinician at any step in the oxygen cascade from ambient air to tissue metabolism. It is therefore necessary for the mechanisms of oxygen uptake, transport, distribution and diffusion into tissues as well as the unaffected cellular metabolism to be well understood and monitored. An international symposium focusing on these issues was held in Münster, FRG, May 11-12, 1990. This book contains the lectures held at the symposium, and thus provides an excellent basis for further discussion. Front Matter....Pages I-XIV Front Matter....Pages 1-1 The Influence of Breathing Pattern and FiO 2 ....Pages 3-6 Ventilation-Perfusion Distribution and Diffusion Limitations....Pages 7-16 Drugs and Pulmonary Perfusion....Pages 17-27 The Effects of Anemia....Pages 29-31 Front Matter....Pages 33-33 Influence of Artificial Ventilation and PEEP on Pulmonary Gas Exchange and Oxygen Uptake....Pages 35-43 Extracorporeal Support of Gas Exchange....Pages 45-47 Non — Conventional Ventilation....Pages 49-56 Front Matter....Pages 57-57 Ventricular Pump Function and Failure....Pages 59-68 Control of Cardiac Output — Response of the Organism....Pages 71-74 Tissue Adaptation to Hypoxia....Pages 75-77 Haemoglobin and Artificial Blood....Pages 79-82 Front Matter....Pages 83-83 Multiple Systems Organ Failure....Pages 85-93 Oxygen Transport and Tissue Oxygenation in Sepsis....Pages 95-98 Pharmacological Intervention In The Failing Heart....Pages 99-112 Mechanical Support of the Failing Heart....Pages 113-123 Front Matter....Pages 125-125 Distribution of Blood Flow in the Critically Ill Patient....Pages 127-135 Pharmakological Limitations of Oxygen Transport....Pages 137-143 Oxygen Transport Measured by Tissue Perfusion in High — Risk Surgical Patients....Pages 145-152 Determinants and Control Parameters of Oxygen Supply and Oxygen Consumption....Pages 153-167 Front Matter....Pages 169-169 Catecholamines and Pulmonary Perfusion....Pages 171-176 Front Matter....Pages 169-169 Pharmacological Interventions to optimize O 2 Transport....Pages 177-181 Influence of Nutrition on Respiratory System....Pages 183-190 Front Matter....Pages 191-191 New Techniques of Monitoring Arterial Oxygen Availability....Pages 193-203 Venous and Mixed-Venous Oxygen Saturation....Pages 205-215 Measurement of Oxygen Uptake and Consumption....Pages 217-223