Microvascular Fluid Resuscitation in Circulatory Shock

The microcirculation is responsible for blood flow regulation and red blood cell distribution throughout individual organs. Patients with circulatory shock have acute failure of the cardiovascular system in which there is insufficient delivery of oxygen to meet metabolic tissue requirements. All sub...

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Bibliographic Details
Published inThe Nursing clinics of North America Vol. 52; no. 2; p. 291
Main Authors Hamlin, Shannan K, Strauss, Penelope Z, Chen, Hsin-Mei, Christy, LaDonna
Format Journal Article
LanguageEnglish
Published United States 01.06.2017
Subjects
Fluid Therapy - methods
Hemodynamics - physiology
Humans
Myocardial Infarction - therapy
Resuscitation - methods
Shock
Microcirculation
Hemodynamic coherence
Oxygen transport
Fluid
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Summary:The microcirculation is responsible for blood flow regulation and red blood cell distribution throughout individual organs. Patients with circulatory shock have acute failure of the cardiovascular system in which there is insufficient delivery of oxygen to meet metabolic tissue requirements. All subtypes of shock pathophysiology have a hypovolemic component. Fluid resuscitation guided by systemic hemodynamic end points is a common intervention. Evidence shows that microcirculatory shock persists even after optimization of macrocirculatory hemodynamics. The ability for nurses to assess the microcirculation at the bedside in real-time during fluid resuscitation could lead to improved algorithms designed to resuscitate the microcirculation.
ISSN:1558-1357
DOI:10.1016/j.cnur.2017.01.006