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Critical Care
Published in: Critical Care 1/2019

Open Access 01-12-2019 | Subarachnoid Hemorrhage | Letter

Assessment of intestinal perfusion by a new balloon-tipped transpyloric probe

Author: Samir G. Sakka

Published in: Critical Care | Issue 1/2019

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Excerpt

Clinical tools for assessment of hepato-splanchnic perfusion and oxygenation are still very limited. Recently, a special balloon-tipped intestinal probe which is based on the principle of photoplethysmography (PPG) has been developed and was found to adequately detect an impairment of splanchnic perfusion in an experimental model of septic shock. Here, a critically ill patient is presented in whom as assessed by transpulmonary thermodilution systemic oxygen delivery increased following a fluid challenge while PPG indicated an improvement in splanchnic microcirculation. Further and larger clinical studies are required to investigate this relationship sufficiently. …
Literature
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Sakka SG, Reinhart K, Meier-Hellmann A. Does the optimization of cardiac output by fluid loading increase splanchnic blood flow? Br J Anaesth. 2001;86:657–62.CrossRef
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Uusaro A, Ruokonen E, Takala J. Gastric mucosal pH does not reflect changes in splanchnic blood flow after cardiac surgery. Br J Anaesth. 1995;74:149–54.CrossRef
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Duenser MW, Takala J, Brunauer A, Bakker J. Re-thinking resuscitation: leaving blood pressure cosmetics behind and moving forward to permissive hypotension and a tissue perfusion-based approach. Crit Care. 2013;17:326.CrossRef
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Jacquet-Lagrèze M, Bonnet-Garin JM, Allaouchiche B, Vassal O, Restagno D, Paquet C, Ayoub JY, Etienne J, Vandenesch F, Daulwader O, Junot S. A new device for continuous assessment of gut perfusion: proof of concept on a porcine model of septic shock. Crit Care. 2014;18:R153.CrossRef
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Fink MP. Analyzing the value of monitoring duodenal mucosal perfusion using photoplethysmography. Crit Care. 2014;18:561.CrossRef
Metadata
Title
Assessment of intestinal perfusion by a new balloon-tipped transpyloric probe
Author
Samir G. Sakka
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2019
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-019-2326-8

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