The endothelium in sepsis

C Ince, PR Mayeux, T Nguyen, H Gomez, JA Kellum… - Shock, 2016 - journals.lww.com
Sepsis affects practically all aspects of endothelial cell (EC) function and is thought to be the
key factor in the progression from sepsis to organ failure. Endothelial functions affected by …

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 …

Pathophysiology of microcirculatory dysfunction and the pathogenesis of septic shock

D De Backer, D Orbegozo Cortes, K Donadello… - Virulence, 2014 - Taylor & Francis
Multiple experimental and human trials have shown that microcirculatory alterations are
frequent in sepsis. In this review, we discuss the various mechanisms that are potentially …

Monitoring the microcirculation in the critically ill patient: current methods and future approaches

D De Backer, G Ospina-Tascon, D Salgado… - Intensive care …, 2010 - Springer
Purpose To discuss the techniques currently available to evaluate the microcirculation in
critically ill patients. In addition, the most clinically relevant microcirculatory alterations will …

Sidestream Dark Field (SDF) imaging: a novel stroboscopic LED ring-based imaging modality for clinical assessment of the microcirculation.

PT Goedhart, M Khalilzada, R Bezemer, J Merza… - Optics express, 2007 - opg.optica.org
Sidestream Dark Field (SDF) imaging, a stroboscopic LED ring-based imaging modality, is
introduced for clinical observation of the microcirculation. SDF imaging is validated by …

Mottling score predicts survival in septic shock

H Ait-Oufella, S Lemoinne, PY Boelle, A Galbois… - Intensive care …, 2011 - Springer
Background Experimental and clinical studies have identified a crucial role of
microcirculation impairment in severe infections. We hypothesized that mottling, a sign of …

Increasing arterial blood pressure with norepinephrine does not improve microcirculatory blood flow: a prospective study

A Dubin, MO Pozo, CA Casabella, F Pálizas, G Murias… - Critical Care, 2009 - Springer
Introduction Our goal was to assess the effects of titration of a norepinephrine infusion to
increasing levels of mean arterial pressure (MAP) on sublingual microcirculation. Methods …

Effects of fluids on microvascular perfusion in patients with severe sepsis

G Ospina-Tascon, AP Neves, G Occhipinti… - Intensive care …, 2010 - Springer
Purpose To evaluate the effects of fluid administration on microcirculatory alterations in
sepsis. Methods With a Sidestream Dark Field device, we evaluated the effects of fluids on …

Can venous-to-arterial carbon dioxide differences reflect microcirculatory alterations in patients with septic shock?

GA Ospina-Tascon, M Umaña, WF Bermúdez… - Intensive care …, 2016 - Springer
Purpose Septic shock has been associated with microvascular alterations and these in turn
with the development of organ dysfunction. Despite advances in video microscopic …

Evaluation of sublingual and gut mucosal microcirculation in sepsis: a quantitative analysis

CL Verdant, D De Backer, A Bruhn… - Critical care …, 2009 - journals.lww.com
Objective: To determine the relationship between sublingual and intestinal mucosal
microcirculatory perfusion. Design: Observational, experimental study. Setting: University …