monitoring trauma and intensive care unit resuscitation with tissue hemoglobin oxygen saturation监控创伤和重症监护室复苏与组织血红蛋白氧饱和度.pdfVIP

Available online /content/13/S5/S10 Review Monitoring trauma and intensive care unit resuscitation with tissue hemoglobin oxygen saturation Rachel J Santora1 and Frederick A Moore1,2 1Department of Surgery, The Methodist Hospital, 6550 Fannin Street, SM 1661, Houston, TX 77030, USA 2Department of Surgery, Weill Cornell Medical College, 525 E. 68th Street, New York, NY 10065, USA Corresponding author: Rachel J Santora, rjsantora@ Published: 30 November 2009 Critical Care 2009, 13(Suppl 5):S10 (doi:10.1186/cc8008) This article is online at /content/13/S5/S10 © 2009 BioMed Central Ltd Abstract to better understand massive transfusion (MT). The present Introduction: The purpose of the present review is to review our article will briefly review these experiences. experience with near-infrared spectroscopy (NIRS) monitoring in shock resuscitation and predicting clinical outcomes. Intensive care unit traumatic shock resuscitation Methods: The management of critically ill patients with goal- oriented intensive care unit (ICU) resuscitation continues to evolve In the 1980s William Shoemaker and colleagues wrote a as our understanding of the appropriate physiologic targets improves. series of papers addressing the use of physiologic monitoring It is now recognized that resuscitation to achieve supranormal to predict outcome and to assist in clinical decision-making indices is not beneficial in all patients and may precipitate [1-3]. Two interesting variables identifi