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[Gastrointestinal tonometry: a new tool for the anesthesiologist]
M Portas González1, I Garutti Martínez, L Fernández-Quero Bonilla
1Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital General Universitario Gregorio Marañón, Madrid. maite_portas@hotmail.com
Revista Espanola De Anestesiologia Y Reanimacion
|November 7, 2003
Summary
Gastrointestinal tonometry offers a sensitive, indirect method for detecting intestinal hypoperfusion, a critical factor in sepsis and organ failure. This technique provides early warnings of splanchnic blood flow issues, aiding in timely interventions for critically ill patients.
Area of Science:
- Critical Care Medicine
- Gastroenterology
- Hemodynamics
Context:
- Intestinal hypoperfusion is a significant contributor to sepsis and multiorgan failure.
- Splanchnic blood flow can be compromised even with minor hemodynamic changes.
- Current invasive monitoring methods lack sensitivity for detecting intestinal hypoperfusion.
Purpose:
- To review the pathophysiology of ischemic intestinal lesions.
- To explain the principles and methods of gastrointestinal tonometry.
- To discuss the clinical applications of gastrointestinal tonometry in critical care.
Summary:
- Gastrointestinal tonometry provides an indirect measure of splanchnic perfusion.
- It aids in the early diagnosis of ischemic conditions like ischemic colitis.
- Applications include monitoring during mechanical ventilation weaning, abdominal compartment syndrome, and post-surgery.
Impact:
- Early detection of intestinal hypoperfusion can prevent severe systemic complications.
- Improved understanding of tonometry can enhance patient management in critical care settings.
- This monitoring technique offers valuable prognostic information for critically ill patients.