Microcirculatory monitoring in septic patients: Where do we stand?

Abstract 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 s...

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Bibliographic Details
Published inMedicina intensiva (English ed.) Vol. 41; no. 1; pp. 44 - 52
Main Authors Gruartmoner, G, Mesquida, J, Ince, C
Format Journal Article
LanguageEnglish
Published 01.01.2017
Subjects
Critical Care
Internal Medicine
Shock
Microcirculation
Espectroscopia de luz en el espectro cercano al infrarrojo
Videomicroscopy
Microcirculación
Videomicroscopia
Near-infrared spectroscopy
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Summary:Abstract 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.
ISSN:2173-5727
2173-5727
DOI:10.1016/j.medine.2017.02.007