Erschienen in:
01.07.2014 | Editorial
Clinical significance of monitoring perfusion in non-vital organs
verfasst von:
Alexandre Lima, Jukka Takala
Erschienen in:
Intensive Care Medicine
|
Ausgabe 7/2014
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Excerpt
Monitoring circulation should help to reveal the risk of hypoperfusion of vital organs, and to guide treatment to restore and maintain hemodynamic stability. The wide spectrum of diagnostic and monitoring technologies has helped intensivists to better understand the complex pathophysiology of acute circulatory failure. A common belief is that hypoperfusion may persist despite apparent stabilization of macrovascular hemodynamics. Various approaches have been introduced to avoid such hypoperfusion—mostly with disappointing or controversial results in the ICU patients. These include supranormal oxygen delivery, treatments based on gastrointestinal tonometry, mixed or central venous saturation, systemic hemodynamics and derived values of cardiac and intrathoracic volumes. …