Monitoring Tissue Perfusion in Shock From Physiology to the Bedside

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

  • PDF / 4,474,142 Bytes
  • 206 Pages / 439.43 x 683.15 pts Page_size
  • 94 Downloads / 243 Views

DOWNLOAD

REPORT


123

Monitoring Tissue Perfusion in Shock

Alexandre Augusto Pinto Lima Eliézer Silva Editors

Monitoring Tissue Perfusion in Shock From Physiology to the Bedside

Editors Alexandre Augusto Pinto Lima Department of Intensive Care Erasmus MC University Hospital Rotterdam Rotterdam The Netherlands

Eliézer Silva Medical School Hospital of the Albert Einstein Sao Paulo Brazil

ISBN 978-3-319-43128-4    ISBN 978-3-319-43130-7 (eBook) https://doi.org/10.1007/978-3-319-43130-7 Library of Congress Control Number: 2018942954 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

The era of modern hemodynamic monitoring begins, in many ways, with the development of the flow-directed pulmonary artery catheter by Swan and Ganz in 1970. This technological achievement contributed to a great extent to the understanding of the pathophysiology of shock and represented an important contribution to the application of physiological principles of circulation to the bedside care of critically ill patients. The ability of measuring cardiac output culminated later on with a wide variety of diagnostic and monitoring technologies that has granted us the ability of monitoring peripheral vascular beds also susceptible to hypoperfusion. As with most recent advances in clinical monitoring, new and useful information has been provided. Evidence produced over the last decade has clearly shown that even though global hemodynamic variables may be normalized, there could be regions with inadequate oxygenation at the tissue level. On these grounds, this book is intended to update the most recent dev