The Potential of Tissue Lightguide Spectrophotometry for Monitoring Gastric Mucosal Oxygenation During Mechanical Ventilation

Autor: Artur Fournell, T. W. L. Scheeren, Lothar A. Schwarte
Rok vydání: 1999
Předmět:
Zdroj: Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care ISBN: 9783642643019
DOI: 10.1007/978-3-642-60200-9_20
Popis: In pathologic conditions such as sepsis, assessment of global parameters of circulation and oxygenation can show quite normal results contrasting with values in micro-circulatory regions, where hypoxia may still prevail. One of the areas of special interest in this context is the splanchnic region. But the significance of the gastrointestinal tract (GI) as the “canary” of the body [1] is at odds with the tools we have available to monitor splanchnic circulation, and especially oxygenation, which are very limited. Gastric tonometry may provide us with some useful information about flow in the GI, but in no way does it measure oxygen [2]. This obvious lack of suitable methods prompted us to look for alternatives, and tissue lightguide spectrophotometry [3] seems to be an appropriate way of achieving genuine measurements of oxygen in tissue.
Databáze: OpenAIRE