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Historical development of hemorrhagic shock models with oxygen debt as an end-point |
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| Author (year) [ref.] |
Model |
Method |
Result |
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|
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| Crowell and Smith (1964) [4] |
Dog |
Hypotension of 30 mmHg; various oxygen deficits were allowed to accumulate |
O2D as an indicator of survival |
| Rush et al. (1965) [5] |
Dog |
30 min hemorrhage with varying hemorrhage volumes; achieved O2D varied |
O2D as an indicator of cardiovascular change; the end-point 'survival' was not evaluated |
| Goodyer (1967) [90] |
Dog |
Hypotension of 30–50 mmHg; various oxygen deficits were allowed to accumulate |
Irreversibility of shock is determined by peripheral mechanisms; the end-point'survival' was not evaluated |
| Jones et al. (1968) [7] |
Dog |
Hypotension of 30 mmHg; an oxygen deficit of120 cm3/kg was allowed to accumulate |
O2D as an indicator of survival |
| Rothe (1968) [6] |
Dog |
Hypotension of 30 mmHg; various oxygen deficits were allowed to accumulate |
No correlation betweeen O2D and survival |
| Neuhof et al. (1973) [8] |
Rabbit |
30 min hemorrhage (1 ml/kg per min); achieved O2D varied |
O2D as an indicator of survival |
| Schoenberg et al. (1985) [21] |
Dog |
Hypotension of 30 mmHg; various oxygen deficits were allowed to accumulate |
No correlation betweeen O2D and survival |
| Reinhart et al. (1989) [91] |
Dog |
Hypotension of 40 mmHg; various oxygen deficits were allowed to accumulate |
Excess oxygen uptake in recovery with hydroxyethylstarch; the end-point 'survival' was not evaluated |
| Dunham et al. (1991) [9] |
Dog |
Predetermined O2D after 60 min; independent of blood pressure or hemorrhage volume |
O2D as an indicator of survival and O2D probability of death defined for dog |
| Sheffer et al. (1997) [92] |
Computer |
Computer simulation of myocardial oxygen deficit |
For hemorrhage of 100 ml/min: time interval from injury to cardiac O2D inversely related to infusion rate; the end-point 'survival' was not evaluated |
| Siegel et al. (1997) [43] |
Dog |
Predetermined O2D after 60 min; independent of blood pressure or hemorrhage volume |
Superiority of recombinant hemoglobin over colloid or whole blood in resuscitation |
| Rixen et al. (2001) [44] |
Pig |
Predetermined O2D after 60 min; independent of blood pressure or hemorrhage volume |
O2D as an indicator of survival and O2D probability of death defined for pig. |
| Siegel et al. (2003) [37] |
Dog |
Predetermined O2D after 60 min; independent of blood pressure or hemorrhage volume |
Determination of critical level of partial resuscitation as 30% of blood volume loss to return O2D to survival levels without vital organ cellular injury |
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O2D, oxygen debt. | |||
Rixen and Siegel Critical Care 2005 9:441 doi:10.1186/cc3526 |
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