THE ROLE OF GUT MUCOSAL HYPOPERFUSION IN THE PATHOGENESIS OF POSTOPERATIVE ORGAN DYSFUNCTION

被引:161
作者
MYTHEN, MG [1 ]
WEBB, AR [1 ]
机构
[1] UCL HOSP, MIDDLESEX HOSP, DEPT INTENS CARE, MORTIMER ST, LONDON W1N 8AA, ENGLAND
关键词
D O I
10.1007/BF01704701
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
In the quest for an absolute monitor of tissue oxygen utilisation the tonometer is, unfortunately, not the Holy Grail. However, the tonometer is commercially available and a practical monitor of gut mucosal perfusion for use in the peri-operative period. As the tonometer is not yet in general use we are faced with an ideal opportunity to audit its introduction, something we have failed to do for other clinical monitors. © 1994 Springer-Verlag.
引用
收藏
页码:203 / 209
页数:7
相关论文
共 85 条
[11]  
DAHN MS, 1987, SURGERY, V101, P69
[12]   EFFECTS OF KETAMINE, HALOTHANE, ENFLURANE, AND ISOFLURANE ON SYSTEMIC AND SPLANCHNIC HEMODYNAMICS IN NORMOVOLEMIC AND HYPOVOLEMIC CIRRHOTIC RATS [J].
DEBAENE, B ;
GOLDFARB, G ;
BRAILLON, A ;
JOLIS, P ;
LEBREC, D .
ANESTHESIOLOGY, 1990, 73 (01) :118-124
[13]   EFFECT OF HEMORRHAGIC-SHOCK ON BACTERIAL TRANSLOCATION, INTESTINAL MORPHOLOGY, AND INTESTINAL PERMEABILITY IN CONVENTIONAL AND ANTIBIOTIC-DECONTAMINATED RATS [J].
DEITCH, EA ;
MORRISON, J ;
BERG, R ;
SPECIAN, RD .
CRITICAL CARE MEDICINE, 1990, 18 (05) :529-536
[14]  
DEITCH EA, 1990, ARCH SURG-CHICAGO, V125, P403
[15]   EFFECT OF INCREASED INTRAABDOMINAL PRESSURE ON MESENTERIC ARTERIAL AND INTESTINAL MUCOSAL BLOOD-FLOW [J].
DIEBEL, LN ;
DULCHAVSKY, SA ;
WILSON, RF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 33 (01) :45-49
[16]   GASTRIC-MUCOSAL PH AS A PROGNOSTIC INDEX OF MORTALITY IN CRITICALLY ILL PATIENTS [J].
DOGLIO, GR ;
PUSAJO, JF ;
EGURROLA, MA ;
BONFIGLI, GC ;
PARRA, C ;
VETERE, L ;
HERNANDEZ, MS ;
FERNANDEZ, S ;
PALIZAS, F ;
GUTIERREZ, G .
CRITICAL CARE MEDICINE, 1991, 19 (08) :1037-1040
[17]  
EICHHORN J H, 1986, Journal of the American Medical Association, V256, P1017, DOI 10.1001/jama.256.8.1017
[18]  
EIGER EII, 1965, ANESTHESIOLOGY, V26, P61
[19]  
Fiddian-Green R G, 1990, Semin Thorac Cardiovasc Surg, V2, P389
[20]  
FIDDIANGREEN RG, 1991, CRIT CARE MED, V19, P763