Editor-in-Chief, Deputy Editor 2017-2019

 

Editor-in-Chief:

Tom MOREELS

 

Deputy Editor:

Nicolas LANTHIER

 

Expert Point Of View



Assessment of splanchnic circulation : which relevance?


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Hepato-splanchnic hemodynamics can be significantly altered patients with shock, and especially in septic patients, as indicated by decreased ShO2 and gastric mucosal pH, and, possibly in some cases, hepato-splanchnic VO2/DO2 dependency. The effects of the different interventions on hepato-splanchnic blood flow are variable and could not be inferred from the evaluation of global hemodynamic parameters. The assessment of splanchnic circulation may be of value, but, to our point of view, the use of non-invasive measurements such as gastric tonometry and ICG decay should be used first to identify patients with persisting abnormal splanchnic blood flow or metabolism, which may most benefit from invasive measurements. [Product Details...]