Monitoring Tissue Perfusion in Shock
From Physiology to the Bedside
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Beschreibung
This book describes various aspects of the basic physiological processes critical to tissue perfusion and cellular oxygenation, including the roles of the circulatory system, respiratory system, blood flow distribution and microcirculation.
In the context of monitoring critically ill patients in the early hours of circulatory shock, it is essential to recognize changes in traditional parameters such as mean arterial pressure and cardiac output, and to assess the need for active intervention. However, even if global macrocirculatory variables are restored, abnormalities in tissue oxygenation may persist. Tissue hypoperfusion is connected to the development of organ failure and, if it goes unrecognized, may worsen the prognosis. As a result, there is a growing interest in methods for monitoring regional perfusion in peripheral tissues to predict or diagnose ongoing hypoperfusion.
In this work, eminent experts from a range of disciplines convey a working knowledge of how regional monitoring in shock can complement the conventional global parameters of oxygen transport, and demonstrate that real-time bedside assessment of tissue oxygenation is readily achievable using noninvasive monitoring techniques. Accordingly, the book offers a valuable, easy-to-use guide for the entire ICU team and other clinicians.
Shows the benefit of monitoring tissue oxygenation as a point-of-care test using noninvasive methods
Demonstrates how evaluation of regional tissue oxygenation at the bedside is feasible and reproducible
Represents an easy-to-use resource for the ICU team and other clinicians
Shows the benefit of monitoring tissue oxygenation as a point-of-care test using noninvasive methods Demonstrates how evaluation of regional tissue oxygenation at the bedside is feasible and reproducible Represents an easy-to-use resource for the ICU team and other clinicians
Autor*in
Alexandre Augusto Pinto Lima
Themen in »Monitoring Tissue Perfusion in Shock«
Critically Ill Hypoxia Microcirculation Peripherall Perfusion Shock Tissue Oxygenation
Stimmen zu »Monitoring Tissue Perfusion in Shock«
“The book highlights the fact that clinicians cannot improve microcirculation despite all their efforts to correct the macrocirculation. I recommend buying this book: it is a compilation of what is currently known about microcirculation and allows the reader to understand its importance.” (Yesim Cokay Abut, Anestesia & Analgesia, Vol. 128 (6), June, 2019)
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