Monitoring Tissue Perfusion in Shock: From Physiology to the Bedside by Alexandre Augusto Pinto Lima
English | 24 Jun. 2018 | ISBN: 3319431285 | 206 Pages | PDF | 4.27 MB
English | 24 Jun. 2018 | ISBN: 3319431285 | 206 Pages | PDF | 4.27 MB
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.