Published in:
01-02-2007 | Review
High-altitude physiology and pathophysiology: implications and relevance for intensive care medicine
Authors:
Michael Grocott, Hugh Montgomery, Andre Vercueil
Published in:
Critical Care
|
Issue 1/2007
Login to get access
Abstract
Cellular hypoxia is a fundamental mechanism of injury in the critically ill. The study of human responses to hypoxia occurring as a consequence of hypobaria defines the fields of high-altitude medicine and physiology. A new paradigm suggests that the physiological and pathophysiological responses to extreme environmental challenges (for example, hypobaric hypoxia, hyper-baria, microgravity, cold, heat) may be similar to responses seen in critical illness. The present review explores the idea that human responses to the hypoxia of high altitude may be used as a means of exploring elements of the pathophysiology of critical illness.