Monitoring Tissue Perfusion in Shock

From Physiology to the Bedside

  • Alexandre Augusto Pinto Lima
  • Eliézer Silva

Table of contents

  1. Front Matter
    Pages i-viii
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Glenn Hernández, Lara Rosenthal, Jan Bakker
      Pages 3-12
  3. Principles of Oxygen Transport and Consumption

    1. Front Matter
      Pages 13-13
    2. Ricardo Castro, Glenn Hernández, Jan Bakker
      Pages 15-23
    3. David Berlin, Vivek Moitra, Jan Bakker
      Pages 25-34
    4. Adriano José Pereira, Eliézer Silva
      Pages 35-48
  4. Measuring Tissue perfusion: Systemic Assessment

    1. Front Matter
      Pages 49-49
    2. Loek P. B. Meijs, Alexander J. G. H. Bindels, Jan Bakker, Michael R. Pinsky
      Pages 51-76
    3. Arnaldo Dubin, Eliézer Silva
      Pages 77-92
    4. Xavier Monnet, Jean-Louis Teboul
      Pages 121-130
    5. Glenn Hernández Poblete, Maarten W. Nijsten, Jan Bakker
      Pages 131-142
  5. Measuring Tissue Perfusion: Regional Assessment

    1. Front Matter
      Pages 143-143
    2. Roberto Rabello Filho, Thiago Domingos Corrêa
      Pages 145-151
    3. Alexandre Augusto Pinto Lima, Daniel De Backer
      Pages 153-171
    4. Diego Orbegozo-Cortès, Daniel De Backer
      Pages 173-180
    5. Jihad Mallat, Benoit Vallet
      Pages 181-192

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.


Critically Ill Hypoxia Microcirculation Peripherall Perfusion Shock Tissue Oxygenation

Editors and affiliations

  • Alexandre Augusto Pinto Lima
    • 1
  • Eliézer Silva
    • 2
  1. 1.Department of Intensive CareErasmus MC University Hospital RotterdamRotterdamThe Netherlands
  2. 2.Medical School Hospital of the Albert EinsteinSao PauloBrazil

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-319-43128-4
  • Online ISBN 978-3-319-43130-7
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Internal Medicine & Dermatology