Hemodynamic coherence and the rationale for monitoring the microcirculation

C Ince - Critical care, 2015 - Springer
This article presents a personal viewpoint of the shortcoming of conventional hemodynamic
resuscitation procedures in achieving organ perfusion and tissue oxygenation following …

Regulation of blood flow and volume exchange across the microcirculation

M Jacob, D Chappell, BF Becker - Critical care, 2016 - Springer
Oxygen delivery to cells is the basic prerequisite of life. Within the human body, an
ingenious oxygen delivery system, comprising steps of convection and diffusion from the …

Identification of novel sublingual parameters to analyze and diagnose microvascular dysfunction in sepsis: the NOSTRADAMUS study

A Rovas, J Sackarnd, J Rossaint, S Kampmeier… - Critical Care, 2021 - Springer
Background The availability of handheld, noninvasive sublingual video-microscopes allows
for visualization of the microcirculation in critically ill patients. Recent studies demonstrate …

The microcirculation as a functional system

CG Ellis, J Jagger, M Sharpe - Critical care, 2005 - Springer
This review examines experimental evidence that the microvascular dysfunction that occurs
early in sepsis is the critical first stage in tissue hypoxia and organ failure. A functional …

Quantifying bedside-derived imaging of microcirculatory abnormalities in septic patients: a prospective validation study

EC Boerma, KR Mathura, PHJ van der Voort… - Critical care, 2005 - Springer
Introduction The introduction of orthogonal polarization spectral (OPS) imaging in clinical
research has elucidated new perspectives on the role of microcirculatory flow abnormalities …

The future of intensive care: the study of the microcirculation will help to guide our therapies

J Duranteau, D De Backer, K Donadello, NI Shapiro… - Critical Care, 2023 - Springer
The goal of hemodynamic resuscitation is to optimize the microcirculation of organs to meet
their oxygen and metabolic needs. Clinicians are currently blind to what is happening in the …

Microcirculatory perfusion disturbances in septic shock: results from the ProCESS trial

MJ Massey, PC Hou, M Filbin, H Wang, L Ngo… - Critical Care, 2018 - Springer
Background We sought to determine the effects of alternative resuscitation strategies on
microcirculatory perfusion and examine any association between microcirculatory perfusion …

Clinical manifestations of disordered microcirculatory perfusion in severe sepsis

S Trzeciak, EP Rivers - Critical Care, 2005 - Springer
Microcirculatory dysfunction plays a pivotal role in the development of the clinical
manifestations of severe sepsis. Prior to the advent of new imaging technologies, clinicians …

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 …

Pathophysiology of fluid imbalance

U Kreimeier - Critical Care, 2000 - Springer
Fluid imbalance can arise due to hypovolemia, normovolemia with maldistribution of fluid,
and hypervolemia. Trauma is among the most frequent causes of hypovolemia, with its often …