Difference in Acid-Base State between Venous and Arterial Blood during Cardiopulmonary Resuscitation
- 18 December 1986
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 315 (25), 1616-1618
- https://doi.org/10.1056/nejm198612183152519
Abstract
To the Editor: The marked elevation in mixed venous partial pressure of carbon dioxide (PCO2) found during cardiopulmonary resuscitation by Weil and coworkers (July 17 issue)1 is an intriguing new observation, and clearly requires further studies to delineate its clinical importance. The authors and your accompanying editorial2 both offer explanations for the high PCO2. I am perplexed, however, because no one even raised for consideration what seems to be the most likely cause — abrupt restoration of oxidative metabolism and a resultant surge of carbon dioxide production as tissue oxygen delivery returns. More than 90 percent . . .Keywords
This publication has 7 references indexed in Scilit:
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- Standards and guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC). National Academy of Sciences - National Research CouncilPublished by American Medical Association (AMA) ,1986
- VENOUS HYPERCARBIA IN CANINE HEMORRHAGIC SHOCKCritical Care Medicine, 1986
- REGIONAL CO2 PRODUCTION IN CANINE ENDOTOXEMIAAnesthesiology, 1985
- Comparison of central venous and arterial pH and PCO2 during open-chest CPR in the canine modelAnnals of Emergency Medicine, 1985
- Hidden Hypercapnia in Hemorrhagic HypotensionAnesthesiology, 1970
- The Acidosis of Cardiac ArrestNew England Journal of Medicine, 1968