Does gastric tonometry-guided therapy reduce total mortality in critically ill patients?

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• 作者：Michael G Mythen (1)
  
  1. The Institute of Sport Exercise and Health ; University College London ; 170 Tottenham Court Road ; London ; W1T 7HA ; UK
  
• 刊名：Critical Care
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：19
• 期：1
• 全文大小：285 KB
• 参考文献：1. Zhang, X, Xuan, W, Yin, P, Wang, L, Wu, X, Wu, Q (2015) Gastric tonometry guided therapy in critical care patients: a systematic review and meta-analysis. Crit Care 19: pp. 22 CrossRef
  2. Schlichtig, R, Mehta, N, Gayowski, TJ (1996) Tissue-arterial PCO2 difference is a better marker of ischaemia than intramural pH (pHi) or arterial pH-pHi difference. J Crit Care 11: pp. 51-56 CrossRef
  3. Fiddian-Green, RG, Baker, S (1987) Predictive value of the stomach wall pH for complications after cardiac operations: comparison with other monitoring. Crit Care Med 15: pp. 153-156 CrossRef
  4. Gutierrez, G, Palizas, F, Doglio, G, Wainsztein, N, Gallesio, A, Pacin, J (1992) Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 339: pp. 195-199 CrossRef
  5. Maynard, N, Bihari, D, Beale, R, Smithies, M, Baldock, G, Mason, R (1993) Assessment of splanchnic oxygenation by gastric tonometry in patients with acute circulatory failure. JAMA 270: pp. 1203-1210 CrossRef
  6. Mythen, MG, Webb, AR (1994) Intra-operative gut mucosal hypoperfusion is associated with increased post-operative complications and cost. Intensive Care Med 20: pp. 99-104 1707662" target="_blank" title="It opens in new window">CrossRef
  7. Gomersall, CD, Joynt, GM, Freebairn, RC, Hung, V, Buckley, TA, Oh, TE (2000) Resuscitation of critically ill patients based on the results of gastric tonometry: a prospective, randomized, controlled trial. Crit Care Med 28: pp. 607-614 CrossRef
  8. Boyd, O, Mackay, CJ, Lamb, G, Bland, JM, Grounds, RM, Bennett, ED (1993) Comparison of clinical information gained from routine blood-gas analysis and from gastric tonometry for intramural pH. Lancet 341: pp. 142-146 CrossRef
  9. Bennett-Guerrero, E, Panah, MH, Bodian, CA, Methikalam, BJ, Alfarone, JR, DePerio, M (2000) Automated detection of gastric luminal partial pressure of carbon dioxide during cardiovascular surgery using the Tonocap. Anesthesiology 92: pp. 38-45 CrossRef
  10. Hamilton-Davies, C, Mythen, MG, Salmon, JB, Jacobson, D, Shukla, A, Webb, AR (1997) Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry. Intensive Care Med 23: pp. 276-281 CrossRef
  11. Higgins, D, Mythen, MG, Webb, AR (1994) Low intramucosal pH is associated with failure to acidify the gastric lumen in response to pentagastrin. Intensive Care Med 20: pp. 105-108 1707663" target="_blank" title="It opens in new window">CrossRef
  12. Mythen, MG, Webb, AR (1995) Perioperative plasma volume expansion reduces the incidence of gut mucosal hypoperfusion during cardiac surgery. Arch Surg 130: pp. 423-429 CrossRef
  
• 刊物主题：Intensive / Critical Care Medicine; Emergency Medicine;
• 出版者：BioMed Central
• ISSN：1364-8535

文摘

Zhang and colleagues have recently published a systematic review and meta-analysis of six studies and conclude that 鈥榞astric tonometry guided therapy can reduce total mortality in critically ill patients鈥? So why did gastric tonometry come and go, and what can we learn from this piece of modern history?