Microcirculatory monitoring in septic patients: Where do we stand?

详细信息    查看全文

• 作者：G. Gruartmoner^a ; ^{ggruartmoner@tauli.cat} ; J. Mesquida^a ; C. Ince^b
• 关键词：Microcirculation ; Videomicroscopy ; Near-infrared spectroscopy ; Shock
• 刊名：Medicina Intensiva
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：41
• 期：1
• 页码：44-52
• 全文大小：1340 K
• 卷排序：41

文摘

Microcirculatory alterations play a pivotal role in sepsis-related morbidity and mortality. However, since the microcirculation has been a “black box”, current hemodynamic management of septic patients is still guided by macrocirculatory parameters. In the last decades, the development of several technologies has shed some light on microcirculatory evaluation and monitoring, and the possibility of incorporating microcirculatory variables to clinical practice no longer seems to be beyond reach. The present review provides a brief summary of the current technologies for microcirculatory evaluation, and attempts to explore the potential role and benefits of their integration to the resuscitation process in critically ill septic patients.