What is new in microcirculation and tissue oxygenation monitoring?
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What is new in microcirculation and tissue oxygenation monitoring? / de Keijzer, Ilonka N; Massari, Dario; Sahinovic, Marko; Flick, Moritz; Vos, Jaap Jan; Scheeren, Thomas W L.
in: J CLIN MONIT COMPUT, Jahrgang 36, Nr. 2, 04.2022, S. 291-299.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - What is new in microcirculation and tissue oxygenation monitoring?
AU - de Keijzer, Ilonka N
AU - Massari, Dario
AU - Sahinovic, Marko
AU - Flick, Moritz
AU - Vos, Jaap Jan
AU - Scheeren, Thomas W L
N1 - © 2022. The Author(s).
PY - 2022/4
Y1 - 2022/4
N2 - Ensuring and maintaining adequate tissue oxygenation at the microcirculatory level might be considered the holy grail of optimal hemodynamic patient management. However, in clinical practice we usually focus on macro-hemodynamic variables such as blood pressure, heart rate, and sometimes cardiac output. Other macro-hemodynamic variables like pulse pressure or stroke volume variation are additionally used as markers of fluid responsiveness. In recent years, an increasing number of technological devices assessing tissue oxygenation or microcirculatory blood flow have been developed and validated, and some of them have already been incorporated into clinical practice. In this review, we will summarize recent research findings on this topic as published in the last 2 years in the Journal of Clinical Monitoring and Computing (JCMC). While some techniques are already currently used as routine monitoring (e.g. cerebral oxygenation using near-infrared spectroscopy (NIRS)), others still have to find their way into clinical practice. Therefore, further research is needed, particularly regarding outcome measures and cost-effectiveness, since introducing new technology is always expensive and should be balanced by downstream savings. The JCMC is glad to provide a platform for such research.
AB - Ensuring and maintaining adequate tissue oxygenation at the microcirculatory level might be considered the holy grail of optimal hemodynamic patient management. However, in clinical practice we usually focus on macro-hemodynamic variables such as blood pressure, heart rate, and sometimes cardiac output. Other macro-hemodynamic variables like pulse pressure or stroke volume variation are additionally used as markers of fluid responsiveness. In recent years, an increasing number of technological devices assessing tissue oxygenation or microcirculatory blood flow have been developed and validated, and some of them have already been incorporated into clinical practice. In this review, we will summarize recent research findings on this topic as published in the last 2 years in the Journal of Clinical Monitoring and Computing (JCMC). While some techniques are already currently used as routine monitoring (e.g. cerebral oxygenation using near-infrared spectroscopy (NIRS)), others still have to find their way into clinical practice. Therefore, further research is needed, particularly regarding outcome measures and cost-effectiveness, since introducing new technology is always expensive and should be balanced by downstream savings. The JCMC is glad to provide a platform for such research.
U2 - 10.1007/s10877-022-00837-x
DO - 10.1007/s10877-022-00837-x
M3 - SCORING: Review article
C2 - 35275312
VL - 36
SP - 291
EP - 299
JO - J CLIN MONIT COMPUT
JF - J CLIN MONIT COMPUT
SN - 1387-1307
IS - 2
ER -