Understanding clinical signs of poor tissue perfusion during septic shock

H Ait-Oufella, J Bakker - Intensive care medicine, 2016 - Springer
Acute circulatory failure associated with infection, referred to as septic shock, is
characterized by an inadequate tissue perfusion and oxygenation relative to metabolic …

[HTML][HTML] Clinical review: Clinical imaging of the sublingual microcirculation in the critically ill-where do we stand?

R Bezemer, SA Bartels, J Bakker, C Ince - Critical care, 2012 - Springer
A growing body of evidence exists associating depressed microcirculatory function and
morbidity and mortality in a wide array of clinical scenarios. It has been suggested that …

[HTML][HTML] The role of vasoactive agents in the resuscitation of microvascular perfusion and tissue oxygenation in critically ill patients

EC Boerma, C Ince - Intensive care medicine, 2010 - Springer
Purpose The clinical use of vasoactive drugs is not only intended to improve systemic
hemodynamic variables, but ultimately to attenuate derangements in organ perfusion and …

Early microvascular changes in sepsis and severe sepsis

A Spanos, S Jhanji, A Vivian-Smith, T Harris… - Shock, 2010 - journals.lww.com
Efforts to improve survival from sepsis are focusing increasingly on intervention during the
earliest stages of this disease. The importance of derangements in microvascular flow in …

Microcirculatory and mitochondrial hypoxia in sepsis, shock, and resuscitation

C Ince, EG Mik - Journal of applied physiology, 2016 - journals.physiology.org
After shock, persistent oxygen extraction deficit despite the apparent adequate recovery of
systemic hemodynamic and oxygen-derived variables has been a source of uncertainty and …

[HTML][HTML] Microcirculatory dysfunction in cardiogenic shock

H Merdji, B Levy, C Jung, C Ince, M Siegemund… - Annals of Intensive …, 2023 - Springer
Cardiogenic shock is usually defined as primary cardiac dysfunction with low cardiac output
leading to critical organ hypoperfusion, and tissue hypoxia, resulting in high mortality rate …

Microcirculatory dysfunction and tissue oxygenation in critical illness

L Østergaard, A Granfeldt, N Secher… - Acta …, 2015 - Wiley Online Library
Severe sepsis is defined by organ failure, often of the kidneys, heart, and brain. It has been
proposed that inadequate delivery of oxygen, or insufficient extraction of oxygen in tissue …

Early increases in microcirculatory perfusion during protocol-directed resuscitation are associated with reduced multi-organ failure at 24 h in patients with sepsis

S Trzeciak, JV McCoy, R Phillip Dellinger… - Intensive care …, 2008 - Springer
Objective Sepsis mortality is closely linked to multi-organ failure, and impaired
microcirculatory blood flow is thought to be pivotal in the pathogenesis of sepsis-induced …

Targeting the microcirculation in resuscitation of acutely unwell patients

A Harrois, L Dupic, J Duranteau - Current opinion in critical care, 2011 - journals.lww.com
Microcirculatory hemodynamics have to be restored as soon as possible during the early
phase of the management of acutely unwell patients. Future trials should test whether …

Monitoring microcirculation: utility and barriers–a point-of-view review

A Dubin, VS Kanoore Edul… - Vascular health and …, 2020 - Taylor & Francis
Microcirculation is a particular organ of the cardiovascular system. The goal of this narrative
review is a critical reappraisal of the present knowledge of microcirculation monitoring …