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Monitoring Gut Perfusion

  • Chapter
Gut Dysfunction in Critical Illness

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 26))

Abstract

In pursuit of an ideal clinical monitor of tissue perfusion, attention has focused on the gastrointestinal (GI) tract. Its inner-most mucosal layer has a countercurrent system of arterioles and venules that improves absorptive function but makes it susceptible to reduced oxygen delivery (DO2) states. Splanchnic vasoconstriction is an early response to a reduction in global DO2 as blood is diverted to organs such as heart and brain. Whether due to myocardial failure and/or hypovolemia, the reduction in splanchnic blood volume is disproportionately greater than that seen in other beds [1]. There is also considerable evidence to suggest that splanchnic hypoperfusion may be a significant factor in the pathogenesis of the multiple organ dysfunction syndrome (MODS) [2].

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Authors
  1. M. Mythen
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  2. J. Faehnrich
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Editor information

Editors and Affiliations

  1. Department of Surgery, Pennsylvania University Hospital, 3400 Spruce Street, 19104, Philadelphia, PA, USA

    J. L. Rombeau

  2. Department of Intensive Care Critical Care Research Program, Kuopio University Hospital, FIN-70211, Kuopio, Finland

    J. Takala

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© 1996 Springer-Verlag Berlin Heidelberg

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Mythen, M., Faehnrich, J. (1996). Monitoring Gut Perfusion. In: Rombeau, J.L., Takala, J. (eds) Gut Dysfunction in Critical Illness. Update in Intensive Care and Emergency Medicine, vol 26. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80224-9_17

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  • DOI: https://doi.org/10.1007/978-3-642-80224-9_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-80226-3

  • Online ISBN: 978-3-642-80224-9

  • eBook Packages: Springer Book Archive

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