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Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 28))

Abstract

Cellular energy is supplied in the form of high energy phosphate compounds, such as ATP, by metabolic reactions involving the oxidation of hydrocarbons. The concentration of ATP in most cells is maintained by the mitochondrial electron transport systems. Under normal conditions the amount of oxygen present in the mitochondria greatly exceeds that required to maintain oxidative phosphorylation. However when oxygen delivery falls, less efficient anaerobic metabolism takes over, leading to lactate production and acidosis. Cellular processes fail as energy supplies fall, and organ system function deteriorates. Oxygen is thus essential for the normal activity and survival of tissues.

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References

  • De Backer D, Moraine JJ, Berré J, Kahn RJ, Vincent JL (1994) Effects of dobutamine on oxygen consumption in septic patients: Direct vs indirect determinations. Am Rev Respir Crit Care Med 150:95–100.

    Google Scholar 

  • Takala J, Keinänen O, Väisänen P (1989) Measurement of gas exchange in intensive care: Laboratory and clinical validation of a new device. Crit Care Med 17:1041–1047.

    Article  PubMed  CAS  Google Scholar 

  • Kvietys PR, Granger DN (1982) Relationship between intestinal blood flow and oxygen uptake. Am J Physiol 242: G202–G209.

    PubMed  CAS  Google Scholar 

  • Lindbom L, Tuma RF, Arfors KE (1980) Influence of oxygen on perfused capillary density and capillary red cell velocity in rabbit skeletal muscle. Microvasc Research 19:197–208.

    Article  CAS  Google Scholar 

  • Cain SM, Adams RP (1965) Appearance of excess lactate in anesthetized dogs during anemic and hypoxic hypoxia. Am J Physiol 209:604–608.

    PubMed  CAS  Google Scholar 

  • Heusser F, Fahey JT, Lister G (1987) Effect of hemoglobin concentration on critical cardiac output and oxygen transport. Am J Physiol 253: H527–H532.

    Google Scholar 

  • Barcroft J (1920) Physiological effects of insufficient oxygen supply. Nature 106:125–129.

    Article  CAS  Google Scholar 

  • Levine E, Rosen A, Sehgal L (1992) Physiologic effects of acute anemia: Implication for a reduced transfusion trigger. Transfusion 30:11–16.

    Article  Google Scholar 

  • Van Woerkens EC, Trouwborst A, Van Lanschot JJ (1992) Profound hemodilution: What is the critical level of hemodilution at which oxygen delivery-dependent oxygen consumption starts in an anesthetized human? Anesth Analg 75:818–821.

    PubMed  Google Scholar 

  • Fahey JT, Lister G (1987) Postnatal changes in critical cardiac output and oxygen transport in conscious lambs. Am J Physiol 22:H100–H106.

    Google Scholar 

  • De Backer D, Roman A, Van der Linden P, Armistead C, Schitz G, Vincent JL (1992) The effects of balloon filling into the inferior vena cava on the VO2/DO2 relationship. J Crit Care 7:167–173.

    Article  Google Scholar 

  • Cain SM (1977) Oxygen delivery and uptake in dogs during anemic and hypoxic hypoxia. J Appi Physiol 42:228–234.

    CAS  Google Scholar 

  • Samsel RW, Cherqui D, Pietrabissa A, Sanders WM, Edmond JC, Schumacker PT (1991) The limits of oxygen extraction in the isolated liver. J Appi Physiol 70:186–193.

    CAS  Google Scholar 

  • Schlichtig R, Kramer DJ, Boston R, Pinsky MR (1991) Renal 02 consumption during progressive hemorrhage. J Appl Physiol 70:1957–1962.

    Article  PubMed  CAS  Google Scholar 

  • Van der Linden P, Gilbert E, Engelman E, Schmartz D, Vincent JL (1991) Effects of anesthetic agents on systemic critical 02 delivery. J Appi Physiol 71:83–93.

    Google Scholar 

  • Zhang H, Spapen H, Benlabed M, Vincent JL (1993) Systemic oxygen extraction can be improved during repeated episodes of cardiac tamponade. J Crit Care 8:93–99.

    Article  PubMed  CAS  Google Scholar 

  • Cain SM, Bradley WE (1983) Critical 02 transport values at lowered body temperatures in rats. J Appi Physiol 55:1713–1717.

    CAS  Google Scholar 

  • Adams RP, Dieleman LA, Cain SM (1982) A critical value for 02 transport in the rat. J Appi Physiol 53:660–664.

    CAS  Google Scholar 

  • Nelson DP, Beyer C, Samsel RW, Wood LDH, Schumacker PT (1987) Pathological supply dependence of 02 uptake during bacteremia in dogs. J Appi Physiol 63:1487–1492.

    CAS  Google Scholar 

  • Shibutani K, Komatsu T, Kubai K, Sarchala V, Kumar V, Bizarri DV (1983) Critical level of oxygen delivery in anesthetized man. Crit Care Med 11:640–643.

    Article  PubMed  CAS  Google Scholar 

  • Komatsu T, Shibutani K, Okamoto K, Kumar V, Kubal K, Sanchala V, Lees DE (1987) Critical level of oxygen delivery after cardiopulmonary bypass. Crit Care Med 15:194–197.

    Article  PubMed  CAS  Google Scholar 

  • Ronco J J, Fenwick JC, Tweeddale MG, Wiggs BR, Phang PT, Cooper DJ, Cunningham KF, Russell JA, Walley KR (1993) Identification of the critical oxygen delivery for anaerobic metabolism in critically ill septic and nonseptic humans. JAMA 270:1724–1730.

    Article  PubMed  CAS  Google Scholar 

  • Kaufman BS, Rackow EC, Falk JL (1984) The relationship between oxygen delivery and consumption during fluid resuscitation of hypovolemic and septic shock. Chest 85:336–340.

    Article  PubMed  CAS  Google Scholar 

  • Vincent JL, Roman A, DeBacker D, Kahn RJ (1990) Oxygen uptake/supply dependency: Effects of short-term dobutamine infusion. Am Rev Respir Dis 142:2–8.

    PubMed  CAS  Google Scholar 

  • Zhang H, Vincent JL (1993) Arteriovenous differences in PC02 and pH are good indicators of critical hypoperfusion. Am Rev Respir Dis 148:867–871.

    Article  PubMed  CAS  Google Scholar 

  • Silance PG, Simon C, Vincent JL (1994) The relation between cardiac index and oxygen extraction in acutely ill patients. Chest 105:1190–1197.

    Article  PubMed  CAS  Google Scholar 

  • Vincent JL (1996) Determination of 02 delivery and consumption vs cardiac index vs oxygen extraction ratio. Crit Care Clin 12:995–1006.

    Article  PubMed  CAS  Google Scholar 

  • Berton CC, Schnitzler B, Thill B (1996) Reduction in oxygen demand, normalization of oxygen delivery and oxygen extraction. Réan Urg 5:302–312.

    Article  Google Scholar 

  • Bernheim HA, Kluger MJ (1976) Fever: Effect of drug-induced antipyresis on survival. Science 193:237–239.

    Article  PubMed  CAS  Google Scholar 

  • Zhang H, Spapen H, Vincent JL (1994) The effects of dobutamine and norepinephrine on oxygen availability in tamponade-induced stagnant hypoxia. Crit Care Med 22:299–305.

    Article  PubMed  CAS  Google Scholar 

  • Zhang H, Nguyen DN, Spapen H, Moock M, Maciel F, Vincent JL (1995) Sodium nitroprus-side does not influence tissue oxygen extraction capabilities during a critical reduction in oxygen delivery. Cardiovasc Res 30:240–245.

    PubMed  CAS  Google Scholar 

  • Zhang H, Spapen H, Manikis P, Rogiers P, Vincent JL (1995) Tirilazad mesylate (U74006F) improves systemic and splanchnic oxygen extraction capabilities following endotoxic shock. Am J Physiol 268: H1847–H1855.

    PubMed  CAS  Google Scholar 

  • Schmied H, Kurz A, Sessler DI, Kozek S, Reiter A (1996) Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. Lancet 347:289–292.

    Article  PubMed  CAS  Google Scholar 

  • Kurz A, Sessler DI, Lenhardt R (1996) Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of wound infection and temperature. N Engl J Med 334:1209–1215.

    CAS  Google Scholar 

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© 1997 Springer-Verlag Berlin Heidelberg

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Vincent, JL., van der Linden, P. (1997). Physiology of VO2/DO2 . In: Pinsky, M.R. (eds) Applied Cardiovascular Physiology. Update in Intensive Care and Emergency Medicine, vol 28. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60696-0_16

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  • DOI: https://doi.org/10.1007/978-3-642-60696-0_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64512-9

  • Online ISBN: 978-3-642-60696-0

  • eBook Packages: Springer Book Archive

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