Impairment of Mesenteric Perfusion as a Marker of Major Bleeding in Trauma Patients
The majority of potentially preventable mortality in trauma patients is related to bleeding; therefore, early recognition and effective treatment of hemorrhagic shock impose a cardinal challenge for trauma teams worldwide. The reduction in mesenteric perfusion (MP) is among the first compensatory re...
Elmentve itt :
| Szerzők: | |
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| Dokumentumtípus: | Cikk |
| Megjelent: |
2023
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| Sorozat: | JOURNAL OF CLINICAL MEDICINE
12 No. 10 |
| Tárgyszavak: | |
| doi: | 10.3390/jcm12103571 |
| mtmt: | 33844366 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/28304 |
| LEADER | 02328nab a2200289 i 4500 | ||
|---|---|---|---|
| 001 | publ28304 | ||
| 005 | 20230923101211.0 | ||
| 008 | 230923s2023 hu o 0|| Angol d | ||
| 022 | |a 2077-0383 | ||
| 024 | 7 | |a 10.3390/jcm12103571 |2 doi | |
| 024 | 7 | |a 33844366 |2 mtmt | |
| 040 | |a SZTE Publicatio Repozitórium |b hun | ||
| 041 | |a Angol | ||
| 100 | 1 | |a Jávor Péter János | |
| 245 | 1 | 0 | |a Impairment of Mesenteric Perfusion as a Marker of Major Bleeding in Trauma Patients |h [elektronikus dokumentum] / |c Jávor Péter János |
| 260 | |c 2023 | ||
| 300 | |a 18 | ||
| 490 | 0 | |a JOURNAL OF CLINICAL MEDICINE |v 12 No. 10 | |
| 520 | 3 | |a The majority of potentially preventable mortality in trauma patients is related to bleeding; therefore, early recognition and effective treatment of hemorrhagic shock impose a cardinal challenge for trauma teams worldwide. The reduction in mesenteric perfusion (MP) is among the first compensatory responses to blood loss; however, there is no adequate tool for splanchnic hemodynamic monitoring in emergency patient care. In this narrative review, (i) methods based on flowmetry, CT imaging, video microscopy (VM), measurement of laboratory markers, spectroscopy, and tissue capnometry were critically analyzed with respect to their accessibility, and applicability, sensitivity, and specificity. (ii) Then, we demonstrated that derangement of MP is a promising diagnostic indicator of blood loss. (iii) Finally, we discussed a new diagnostic method for the evaluation of hemorrhage based on exhaled methane (CH4) measurement. Conclusions: Monitoring the MP is a feasible option for the evaluation of blood loss. There are a wide range of experimentally used methodologies; however, due to their practical limitations, only a fraction of them could be integrated into routine emergency trauma care. According to our comprehensive review, breath analysis, including exhaled CH4 measurement, would provide the possibility for continuous, non-invasive monitoring of blood loss. | |
| 650 | 4 | |a Klinikai orvostan | |
| 700 | 0 | 1 | |a Donka Tibor |e aut |
| 700 | 0 | 1 | |a Horváth Tamara |e aut |
| 700 | 0 | 1 | |a Sándor Lilla |e aut |
| 700 | 0 | 1 | |a Török László |e aut |
| 700 | 0 | 1 | |a Szabó Andrea |e aut |
| 700 | 0 | 1 | |a Hartmann Petra |e aut |
| 856 | 4 | 0 | |u http://publicatio.bibl.u-szeged.hu/28304/1/jcm-12-03571-2.pdf |z Dokumentum-elérés |