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Holistic Monitoring and Treatment in Septic Shock
Pages 3-12
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.
Holistic Monitoring and Treatment in Septic Shock
Pages 3-12
Oxygen Transport and Tissue Utilization
Pages 15-23
Guyton at the Bedside
Pages 25-34
Tissue Response to Different Hypoxic Injuries and Its Clinical Relevance
Pages 35-48
Cardiac Function (Cardiac Output and Its Determinants)
Pages 51-76
Oxygen Transport Assessment
Pages 77-92
Central and Mixed Venous O2 Saturation: A Physiological Appraisal
Pages 93-119
Central Venous-to-Arterial Carbon Dioxide Partial Pressure Difference
Pages 121-130
Lactate
Pages 131-142
Clinical Assessment
Pages 145-151
Optical Monitoring
Pages 153-171
Transcutaneous O2 and CO2 Monitoring
Pages 173-180
Regional Capnography
Pages 181-192
Clinical Implications of Monitoring Tissue Perfusion in Cardiogenic Shock
Pages 193-206
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