• Crit Care · Jan 2010

    Comment

    Tissue saturation measurement--exciting prospects, but standardisation and reference data still needed.

    • Nicola Jones and Marius Terblanche.
    • Department of Critical Care Medicine, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, UK. nljones@doctors.org.uk
    • Crit Care. 2010 Jan 1;14(3):169.

    AbstractSepsis and shock result in disturbances in microcirculatory perfusion and tissue oxygen utilisation that may not be reflected in global measures of haemodynamics. Near-infrared spectroscopy enables measurement of tissue oxygen saturation (StO2) and provides information on local microvascular and mitochondrial function. This measure could be incorporated with existing targets of goal-directed therapy to provide an integrated approach to haemodynamic resuscitation of both the macro- and microcirculation in various shock states. However, key methodological factors must be addressed before widespread clinical application.

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