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Monitoring Tissue Perfusion in Shock

From Physiology to the Bedside

  • 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

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Table of contents (14 chapters)

  1. Front Matter

    Pages i-viii
  2. Introduction

    1. Front Matter

      Pages 1-1
    2. Holistic Monitoring and Treatment in Septic Shock

      • Glenn Hernández, Lara Rosenthal, Jan Bakker
      Pages 3-12
  3. Principles of Oxygen Transport and Consumption

    1. Front Matter

      Pages 13-13
    2. Oxygen Transport and Tissue Utilization

      • Ricardo Castro, Glenn Hernández, Jan Bakker
      Pages 15-23
    3. Guyton at the Bedside

      • David Berlin, Vivek Moitra, Jan Bakker
      Pages 25-34
    4. Tissue Response to Different Hypoxic Injuries and Its Clinical Relevance

      • Adriano José Pereira, Eliézer Silva
      Pages 35-48
  4. Measuring Tissue perfusion: Systemic Assessment

    1. Front Matter

      Pages 49-49
    2. Cardiac Function (Cardiac Output and Its Determinants)

      • Loek P. B. Meijs, Alexander J. G. H. Bindels, Jan Bakker, Michael R. Pinsky
      Pages 51-76
    3. Oxygen Transport Assessment

      • Arnaldo Dubin, Eliézer Silva
      Pages 77-92
    4. Central Venous-to-Arterial Carbon Dioxide Partial Pressure Difference

      • Xavier Monnet, Jean-Louis Teboul
      Pages 121-130
    5. Lactate

      • Glenn Hernández Poblete, Maarten W. Nijsten, Jan Bakker
      Pages 131-142
  5. Measuring Tissue Perfusion: Regional Assessment

    1. Front Matter

      Pages 143-143
    2. Clinical Assessment

      • Roberto Rabello Filho, Thiago Domingos Corrêa
      Pages 145-151
    3. Optical Monitoring

      • Alexandre Augusto Pinto Lima, Daniel De Backer
      Pages 153-171
    4. Transcutaneous O2 and CO2 Monitoring

      • Diego Orbegozo-Cortès, Daniel De Backer
      Pages 173-180
    5. Regional Capnography

      • Jihad Mallat, Benoit Vallet
      Pages 181-192

About this book

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.

Reviews

“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)

Editors and Affiliations

  • Department of Intensive Care, Erasmus MC University Hospital Rotterdam, Rotterdam, The Netherlands

    Alexandre Augusto Pinto Lima

  • Medical School Hospital of the Albert Einstein, Sao Paulo, Brazil

    Eliézer Silva

About the editors

Alexandre Augusto Pinto Lima obtained his medical degree from Faculdade de Ciências Médicas de Santos, São Paulo, Brazil, in 1996. After an internship and residency in tropical infectious diseases and HIV medicine at Instituto de Infectologia Hospital Emilio Ribas, Universidade de São Paulo in 1999, he entered clinical training in clinical infectious diseases at the Division of Intensive Care Unit, Hospital Sírio Libanês, São Paulo. He then served as an assistant medical doctor in the Department of Infectious Diseases and Critical Care Medicine, Universidade de São Paulo, and the Department of Intensive Care Medicine, Hospital do Servidor Publico Estadual, São Paulo. Dr. Lima joined the circulation research group at Adult Intensive Care, Erasmus University Medical Center Rotterdam in 2005. There he gained his PhD under the supervision of Prof. Jan Bakker. His field of study is hemodynamic circulation, with emphasis on optical methods for measuring tissue oxygenation.

Bibliographic Information

  • Book Title: Monitoring Tissue Perfusion in Shock

  • Book Subtitle: From Physiology to the Bedside

  • Editors: Alexandre Augusto Pinto Lima, Eliézer Silva

  • DOI: https://doi.org/10.1007/978-3-319-43130-7

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing AG, part of Springer Nature 2018

  • Hardcover ISBN: 978-3-319-43128-4Published: 15 June 2018

  • Softcover ISBN: 978-3-030-13257-6Published: 25 July 2019

  • eBook ISBN: 978-3-319-43130-7Published: 04 June 2018

  • Edition Number: 1

  • Number of Pages: VIII, 206

  • Number of Illustrations: 17 b/w illustrations, 17 illustrations in colour

  • Topics: Intensive / Critical Care Medicine, Emergency Medicine, Anesthesiology, Internal Medicine

Buy it now

Buying options

eBook USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Other ways to access