Abstract
Textbook descriptions of physiological regulation systems in the human body are frequently simplified to enable application of these concepts in clinical practice. An example of a complex control system that has been simplified for clinical monitoring purposes is the maintenance of tissue perfusion. Although tissue perfusion depends on local vasomotor tone, metabolic regulation and cardiac output, perioperative monitoring is in most cases restricted to non-invasive arterial blood pressure measurements in combination with heart rate and oxygen saturation in patients undergoing low risk surgery. The use of more specific indices for tissue perfusion and fluid responsiveness, such as stroke volume, cardiac output, oxygen delivery and consumption, stroke volume variation (SVV) and pulse pressure variation (PPV), is generally restricted to the intensive care setting and high-risk surgical procedures, mainly due to the vulnerability of these specific patient populations.
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Boer, C. (2013). Perioperative Monitoring of Tissue Perfusion: New Developments. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2013. Annual Update in Intensive Care and Emergency Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35109-9_23
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DOI: https://doi.org/10.1007/978-3-642-35109-9_23
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