Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?
| Autor: | Gustavo A. Ospina-Tascón, Humberto Madriñán-Navia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Resuscitation Hemodynamics Medical sciences Critical Care and Intensive Care Medicine Bioinformatics Microcirculation Internal medicine Sepsis medicine Microcirculación Humans Severe sepsis business.industry Septic shock General Medicine medicine.disease Shock Septic Shock séptico Oxygen Blood pressure Sepsis bacteriana Ciencias socio biomédicas Shock (circulatory) Monitorización Cardiology Commentary Fluid Therapy medicine.symptom business Perfusion |
| Zdroj: | Revista Brasileira de Terapia Intensiva Repositorio ICESI Universidad ICESI instacron:Universidad ICESI Revista Brasileira de Terapia Intensiva, Volume: 27, Issue: 2, Pages: 92-95, Published: JUN 2015 |
| ISSN: | 1982-4335 0103-507X |
| Popis: | However, how to identify organ perfusion abnormalities at the bedside and select the type and amount of fluids required to improve tissue hypoxia remain highly controversial. Traditionally, clinical signs, such as reduced blood pressure and urinary output, altered consciousness, and mottled skin, have been used to identify tissue perfusion abnormalities. Consequently, current hemodynamic monitoring during shock states mainly focuses on detection of pressure-derived hemodynamic variables related to systemic circulation. However, it has been largely recognized that monitoring these macro-hemodynamic variables is not sufficient to rule out persistent abnormalities of tissue oxygenation. Indeed, the usefulness of resuscitation targets, such as global oxygen-derived parameters, has been strongly questioned |
| Databáze: | OpenAIRE |
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