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Monitoring Tissue Perfusion in Shock

From Physiology to the Bedside

  • Book
  • © 2018

Overview

  • 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. Introduction

  2. Principles of Oxygen Transport and Consumption

  3. Measuring Tissue perfusion: Systemic Assessment

  4. Measuring Tissue Perfusion: Regional Assessment

Keywords

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

ā€œThe 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.ā€ (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

    EliƩzer Silva

About the editors

Alexandre Augusto Pinto Lima obtained his medical degree from Faculdade de CiĆŖncias MĆ©dicas de Santos, SĆ£o 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 SĆ£o Paulo in 1999, he entered clinical training in clinical infectious diseases at the Division of Intensive Care Unit, Hospital SĆ­rio LibanĆŖs, SĆ£o Paulo. He then served as an assistant medical doctor in the Department of Infectious Diseases and Critical Care Medicine, Universidade de SĆ£o Paulo, and the Department of Intensive Care Medicine, Hospital do Servidor Publico Estadual, SĆ£o 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, EliĆ©zer 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

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