Research Topics
| Guillermo GutierrezSummaryAffiliation: George Washington University Country: USA Publications
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Detail Information
Publications
Multinational, observational study of procalcitonin in ICU patients with pneumonia requiring mechanical ventilation: a multicenter observational studyFrank Bloos
Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Erlanger Allee 101, 07747 Jena, Germany
Crit Care 15:R88. 2011..The intent of this study was to determine whether serum procalcitonin (PCT) levels are associated with prognosis, measured as organ dysfunctions and 28-day mortality, in patients with severe pneumonia...
Intramucosal-arterial PCO2 gap does reflect tissue dysoxiaGuillermo Gutierrez
Crit Care 7:243-4; author reply 245. 2003
Air embolism as a cause of the systemic inflammatory response syndrome: a case reportTarun Kapoor
Department of Internal Medicine, The George Washington University, Washington, DC, USA
Crit Care 7:R98-R100. 2003..The interaction of air with the systemic arterial endothelium may have triggered the release of endothelium-derived cytokines, resulting in the physiologic response of systemic inflammatory response syndrome...
The riddle of hyperlactatemiaGuillermo Gutierrez
The George Washington University, Medical Faculty Associates, 2150 Pennsylvania Avenue, N, W, Suite 5 427, Washington, DC 20037, USA
Crit Care 13:176. 2009..Understanding how these complex processes interact to produce elevations in lactate continues to be an important area of research...
Central venous to mixed venous blood oxygen and lactate gradients are associated with outcome in critically ill patientsGuillermo Gutierrez
Pulmonary and Critical Care Medicine Division, The George Washington University Medical Center, 2150 Pennsylvania Ave, N W, Washington, DC, 20037, USA
Intensive Care Med 34:1662-8. 2008..These gradients (DeltaSO(2) and Delta[Lac]) may be positive or negative. We tested the hypothesis that positive DeltaSO(2) and Delta[Lac] are associated with improved survival in critically ill patients...
The concentration of oxygen, lactate and glucose in the central veins, right heart, and pulmonary artery: a study in patients with pulmonary hypertensionGuillermo Gutierrez
Division of Pulmonary and Critical Care Medicine, Department of Medicine, The George Washington University Medical Center, Pennsylvania Avenue, NW Washington, District of Columbia 20037, USA
Crit Care 11:R44. 2007..We tested the hypothesis that Delta SO2 and Delta[Lac] result from mixing SVC and inferior vena cava (IVC) blood streams...
Automatic detection of patient-ventilator asynchrony by spectral analysis of airway flowGuillermo Gutierrez
Pulmonary and Critical Care Medicine Division, The George Washington University MFA, 2150 Pennsylvania Ave, NW, Washington, DC 20037, USA
Crit Care 15:R167. 2011..We compared an automatic method of patient-ventilator asynchrony monitoring, based on airway flow frequency analysis, to the asynchrony index (AI) determined visually from airway tracings...
Lactate concentration gradient from right atrium to pulmonary arteryGuillermo Gutierrez
Pulmonary and Critical Care Medicine Division and Department of Medicine, The George Washington University Medical Center Washington, DC, USA
Crit Care 9:R425-9. 2005..Our aim was to determine if the mixing of right atrial with coronary venous blood, having substantially lower [Lac], results in detectable decreases in [Lac] from the RA to the PA...
Blood flow, not hypoxia, determines intramucosal PCO2Guillermo Gutierrez
Pulmonary and Critical Care Medicine Division, Department of Medicine, The George Washington University Medical Center, Washington, DC, USA
Crit Care 9:149-50. 2005..The prevention of increases in intestinal PCO2 in aggressively resuscitated septic animals supports the notion that tissue CO2 accumulation is a function of decreases in blood flow, not of tissue hypoxia...
Of hemorrhagic shock, spherical cows and Aloe veraGuillermo Gutierrez
Pulmonary and Critical Care Medicine Division, Department of Medicine, The George Washington University Medical Center, Washington DC, USA
Crit Care 8:406-7. 2004..The central question explored in this commentary is whether the beneficial effects of an Aloe vera derived drag-reducing polymer during hemorrhagic shock is due to its O2 radical scavenging properties or to changes in blood rheology...
Clinical review: hemorrhagic shockGuillermo Gutierrez
Pulmonary and Critical Care Medicine Division, Department of Medicine, The George Washington University Medical Center, Washington, District of Columbia, USA
Crit Care 8:373-81. 2004..Moreover, hemoglobin concentration should not be the only therapeutic guide in actively bleeding patients. Instead, therapy should be aimed at restoring intravascular volume and adequate hemodynamic parameters...
A mathematical model of tissue-blood carbon dioxide exchange during hypoxiaGuillermo Gutierrez
Pulmonary and Critical Care Medicine Division, George Washington University, Washington, DC 20037, USA
Am J Respir Crit Care Med 169:525-33. 2004..The results of the model support the notion that changes in tissue and venous blood CO(2) concentration during dysoxia reflect primarily alterations in vascular perfusion and not scarcity in cellular energy supply...
Lack of equivalence between central and mixed venous oxygen saturationLakhmir S Chawla
The George Washington University MFA, 2150 Pennsylvania Ave NW, Suite 5-404, Washington, DC 20037, USA
Chest 126:1891-6. 2004..The decrease in So(2) between Scvo(2) to Svo(2) may result from the mixing of atrial and coronary sinus blood. As such, this difference may be a marker of myocardial O(2) consumption...
Future shock?Guillermo Gutierrez
Pulmonary and Critical Care Medicine Division, Department of Medicine, The George Washington University Medical Center, Washington, DC, USA
Crit Care Med 34:1817-8. 2006
Severe sepsis and septic shock: should blood be transfused to raise mixed venous oxygen saturation?Vinayak Jha
Chest 131:1267-8; author reply 1268-9. 2007
The unpretentious role of 2,3-diphosphoglycerate in critical illnessGuillermo Gutierrez
Crit Care Med 33:2423-4. 2005
Lactic acidosis in sepsis: another commentaryGuillermo Gutierrez
Crit Care Med 33:2420-2. 2005
