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Abstract

Recently, Gattinoni et al. [1] — in the “SvO2 study” — showed that the manipulation of haemodynamics to values higher than physiological ones does not lead to any improvement in prognosis. The Authors’ opinion is that the ability to increase cardiac output is more an index of the physiological reserve and overall gravity rather than a rational treatment target. In this study, the mortality rate is lower when the physiological reserve is high, but increasing the haemodynamics in patients with low or normal physiological reserve up to supranormal values does not change either the final outcome or the morbidity in survivors. On this ground, the Authors affirm that the solution to the potential problem of tissue hypoxia does not appear to be an artificial increase in the total oxygen transport.

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© 1997 Springer-Verlag Italia

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Martinelli, G., Nastasi, M., Petrini, F. (1997). Monitoring of the Body Circulation — an Introduction. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2296-6_17

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  • DOI: https://doi.org/10.1007/978-88-470-2296-6_17

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-3-540-75032-1

  • Online ISBN: 978-88-470-2296-6

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