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Vasoplegic Endothelial Dysfunction - Circulatory Shock and Methylene Blue (Paperback, 1st ed. 2021)
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Vasoplegic Endothelial Dysfunction - Circulatory Shock and Methylene Blue (Paperback, 1st ed. 2021)
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This unique work presents one of the most significant organ failure
condition - cardiocirculatory shock - and the prominent role of
Methylene Blue (MB). Through their extensive experience, the
authors' consider that the lifesaving feature of MB is still
underestimated. For this reason they outline key concepts of MB,
mentioning essential experimental data, yet focusing mainly on its
application in the care of critically ill patients. In an
easy-to-read format, the 18 chapters were organized in a
didactically structured order, distributed in four parts. The first
part introduces the general conceptual aspects and physiology of
the endothelium. The second part presents the particularities of
endothelial dysfunction in different types of shock. Methylene blue
is discussed in detail in the third part. In the fourth part,
particular situations of endothelial dysfunction, such as heart
surgery and organ transplantation, are described. Additionally, the
two complementary subjects of acid-base balance and the therapeutic
use of inhaled nitric oxide are mentioned. Finally, looking for
therapeutic alternatives for what we classify as "vasoplegic
endothelial dysfunction", MB remains promising as an adjuvant to
sympathomimetic amines. The combination of three recently proposed
concepts may be useful in obtaining better results against the high
mortality rates in critically ill patients. These three concepts
are "wide-spectrum vasopressors", vasopressor economy strategies,
and microcirculation protection against the harmful effects of
using high concentrations of amines. This books translational
approach will appeal to a variety of readers within the health
specialties of medicine, biomedicine, physiotherapy, nursing,
odontology, and basic science.
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