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The Systemic and Pulmonary Circulations

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Care of the Critically Ill Patient

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Abstract

It is a fundamental physiological truism that the heart and circulation are servants to the oxygen and energy requirements of metabolically active tissues. In their classic work Respiration Haldane and Priestley [42], in explaining this relationship, comment: “The heart and vasomotor system are only the executive agents which carry out the bidding of the tissues, just as the lungs and nervous system do in the case of breathing”. This is a principle which is so easily overlooked by the student faced with the study of cardiovascular function, and yet crucial in the clinical care of patients, where many pathological states are manifestations of failure of this master-to-servant relationship. It follows therefore that we should begin this résumé by finding out what makes a good servant.

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Authors
  1. G. R. Cutfield
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Editors and Affiliations

  1. University of London, London WC1, UK

    Jack Tinker BSc, FRCP, FRCS, DIC (Dean of Postgraduate Medicine, Honorary Consultant Physician) (Dean of Postgraduate Medicine, Honorary Consultant Physician)

  2. The Middlesex Hospital, London W1, UK

    Jack Tinker BSc, FRCP, FRCS, DIC (Dean of Postgraduate Medicine, Honorary Consultant Physician) (Dean of Postgraduate Medicine, Honorary Consultant Physician)

  3. Harvard Medical School and Massachusetts General Hospital, 02114, Boston, Massachusetts, USA

    Warren M. Zapol MD (Professor of Anaesthesia) (Professor of Anaesthesia)

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© 1992 Springer-Verlag London Limited

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Cutfield, G.R. (1992). The Systemic and Pulmonary Circulations. In: Tinker, J., Zapol, W.M. (eds) Care of the Critically Ill Patient. Springer, London. https://doi.org/10.1007/978-1-4471-3400-8_2

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  • DOI: https://doi.org/10.1007/978-1-4471-3400-8_2

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