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Monitoring Tissue Perfusion in Shock pp 153–171Cite as

Optical Monitoring

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Abstract

Optical methods apply light with different wavelengths directly to tissue components and assess tissue microvascular oxygenation based on the specific absorption spectrum of oxygenated haemoglobin and deoxygenated haemoglobin. Commonly used optical methods for tissue monitoring in shock include near-infrared spectroscopy, peripheral perfusion index and laser Doppler flowmetry. NIRS-measured parameters provide quantitative information regarding blood flow and local oxygen consumption and are calculated directly or indirectly using arterial or venous occlusion. Laser Doppler flowmetry measures microvascular function based on endothelium-dependent vascular responses in the skin microcirculation during reactive hyperaemia. The peripheral perfusion index is derived from the photoelectric plethysmographic signal of pulse oximetry and has been used as a noninvasive measure of peripheral vascular tone variations.

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Authors and Affiliations

  1. Department of Intensive Care, Erasmus MC University, Rotterdam, The Netherlands

    Alexandre Augusto Pinto Lima

  2. CHIREC Hospitals, Université Libre de Bruxelles, Brussels, Belgium

    Daniel De Backer

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  1. Alexandre Augusto Pinto Lima
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Correspondence to Alexandre Augusto Pinto Lima .

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  1. Department of Intensive Care, Erasmus MC University Hospital Rotterdam, Rotterdam, The Netherlands

    Alexandre Augusto Pinto Lima

  2. Medical School Hospital of the Albert Einstein, Sao Paulo, Brazil

    Eliézer Silva

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Pinto Lima, A.A., De Backer, D. (2018). Optical Monitoring. In: Pinto Lima, A., Silva, E. (eds) Monitoring Tissue Perfusion in Shock. Springer, Cham. https://doi.org/10.1007/978-3-319-43130-7_11

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  • DOI: https://doi.org/10.1007/978-3-319-43130-7_11

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