The Splanchnic Circulation

1. Front Matter

   Pages I-XI

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2. Regional Blood Flow Distribution

   • M. R. Pinsky

   Pages 1-13

3. Gut Metabolism and Anion Flux

   • J. A. Kellum, R. Bellomo

   Pages 14-26

4. The Splanchnic Microcirculation: Cytokines and Cell Adhesion Molecules

   • K. Ley

   Pages 27-38

5. Effects of N-Acetyl-Cysteine on Splanchnic Circulation

   • A. G. N. Agustí, J. Ibañez, B. Togores

   Pages 39-43

6. Hepatic Acute-Phase Response

   • D. Thébert, A. Mignon, J.-F. A. Dhainaut

   Pages 44-58

7. Effects of Catecholamines on Hepatic Blood Flow: Tissue Oxygenation

   • A. Meier-Hellmann, K. Reinhart

   Pages 59-72

8. Liver-Lung Interactions in Critical Illness

   • G. M. Matuschak

   Pages 73-93

9. Lung-Liver Interface

   • R. Rodriguez-Roisin

   Pages 94-99

10. Regional Monitoring of Gut Mucosal Viability

    • G. Gutierrez, R. A. Cabezas

    Pages 100-112

11. Gastric Intramucosal pH Determination: Limitations of the Technique

    • X. Calvet, F. Baigorri, A. Artigas

    Pages 113-127

12. Gut Permeability

    • T. Hassanein, D. H. van Thiel, A. Gurakar

    Pages 128-144

13. Serum Lactate: Marker of Prognosis, Not Inadequacy of Oxygen Delivery

    • J. A. Russell

    Pages 145-152

14. Augmentation of Splanchnic Blood Flow

    • J.-L. Vincent, D. Schmartz, D. De Backer

    Pages 153-164

15. Selective Decontamination of the Digestive Tract

    • C. P. Stoutenbeek, H. K. Fvan Saene

    Pages 165-174

16. Effect of Aspirin on Central and Peripheral Cardiovascular Adaptation to Exercise in Heart Failure: Participation of Splanchnic Flow

    • E. Domingo, M. R. Gilabert, R. Ballester

    Pages 175-190

17. Resuscitation of Trauma Patients

    • A. Gullo, G. Berlot

    Pages 191-197

18. Back Matter

    Pages 199-203

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This monograph focuses on splanchnic function in health and disease. It represents a distillate of the communication that took place at the First International Symposium of Applied Physiol­ ogy of the Peripheral Circulation, "Splanchnic Circulation: No Longer a Silent Partner." The individual chapters roughly follow the individual presentations and display in durable form the con­ cepts and importance that this symposium achieved. The concept for this annual symposium was the child of An­ tonio Artigas, who not only recruited sponsorship but also Jean­ Francois Dhainaut and me to help with the organization and work. We chose the splanchnic circulation as the peripheral cir­ culatory system to be presented first for many important reasons. Much new information has become available which demon­ strates, as the title of the symposium implies, that splanchnic function has major influence on the overall expression of health and disease in humans. All aspects of splanchnic physiology, it seems, have been rediscovered to be dynamic, important, and complex in their interactions within individual tissues and among remote tissues and organs. It is hoped that after having reviewed this monograph the reader will agree that the splanchnic circula­ tion and its organ systems are emerging as important aspects of critical illness and host-defense homeostasis.

• Organ-System-Interaktion
• Pathophysiologie
• Splanchnic
• Trauma
• Viszeral
• blood
• circulation
• critial illness
• gastrointestinal
• lebensgefährliche Erkrankungen
• organ
• organ-system-interaction
• outcome
• pathophysiology
• resuscitation

• Dept. of Anesthesiology and Critical Care Medicine, University of Pittsburgh, Pittsburgh, USA

  Michael R. Pinsky

• Clinical Pharmacology and Critical Care Medicine, Cochin Port-Royal University Hospital, Paris, France

  Jean-Francois Dhainaut

• Servei des Medicina Intensiva Parc Tauli, Consorci Hospitalari Parc Tauli, Sabadell, Spain

  Antonio Artigas

Policies and ethics