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Monitoring of the Body Circulation — an Introduction

  • G. Martinelli
  • M. Nastasi
  • F. Petrini
Conference paper

Abstract

Recently, Gattinoni et al. [1] — in the “SvO2 study” — showed that the manipulation of haemodynamics to values higher than physiological ones does not lead to any improvement in prognosis. The Authors’ opinion is that the ability to increase cardiac output is more an index of the physiological reserve and overall gravity rather than a rational treatment target. In this study, the mortality rate is lower when the physiological reserve is high, but increasing the haemodynamics in patients with low or normal physiological reserve up to supranormal values does not change either the final outcome or the morbidity in survivors. On this ground, the Authors affirm that the solution to the potential problem of tissue hypoxia does not appear to be an artificial increase in the total oxygen transport.

Keywords

Pulmonary Capillary Wedge Pressure Physiological Reserve Intrathoracic Blood Volume Splanchnic Ischaemia Splanchnic Oxygen 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 1997

Authors and Affiliations

  • G. Martinelli
  • M. Nastasi
  • F. Petrini

There are no affiliations available

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