Microcirculation: physiology, pathophysiology, and clinical application

G Guven, MP Hilty, C Ince - Blood purification, 2020 - karger.com
This paper briefly reviews the physiological components of the microcirculation, focusing on
its function in homeostasis and its central function in the realization of oxygen transport to …

Current practice and evolving concepts in septic shock resuscitation

J Bakker, E Kattan, D Annane, R Castro… - Intensive care …, 2022 - Springer
Clinical and pathophysiological understanding of septic shock has progressed exponentially
in the previous decades, translating into a steady decrease in septic shock-related morbidity …

Second consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care …

C Ince, EC Boerma, M Cecconi, D De Backer… - Intensive care …, 2018 - Springer
Purpose Hand-held vital microscopes (HVMs) were introduced to observe sublingual
microcirculatory alterations at the bedside in different shock states in critically ill patients …

[HTML][HTML] Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine

M Cecconi, D De Backer, M Antonelli, R Beale… - Intensive care …, 2014 - Springer
Objective Circulatory shock is a life-threatening syndrome resulting in multiorgan failure and
a high mortality rate. The aim of this consensus is to provide support to the bedside clinician …

[HTML][HTML] 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 …

Microcirculatory alterations in patients with severe sepsis: impact of time of assessment and relationship with outcome

D De Backer, K Donadello, Y Sakr… - Critical care …, 2013 - journals.lww.com
Objectives: Sepsis induces microvascular alterations that may play an important role in the
development of organ dysfunction. However, the relationship of these alterations to systemic …

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 …

[HTML][HTML] Effects of very early start of norepinephrine in patients with septic shock: a propensity score-based analysis

GA Ospina-Tascón, G Hernandez, I Alvarez… - Critical Care, 2020 - Springer
Background Optimal timing for the start of vasopressors (VP) in septic shock has not been
widely studied since it is assumed that fluids must be administered in advance. We sought to …

[HTML][HTML] Direct assessment of microcirculation in shock: a randomized-controlled multicenter study

RR Bruno, J Wollborn, K Fengler, M Flick… - Intensive Care …, 2023 - Springer
Purpose Shock is a life-threatening condition characterized by substantial alterations in the
microcirculation. This study tests the hypothesis that considering sublingual microcirculatory …

[HTML][HTML] Heterogeneous impact of hypotension on organ perfusion and outcomes: a narrative review

L Meng - British journal of anaesthesia, 2021 - Elsevier
Arterial blood pressure is the driving force for organ perfusion. Although hypotension is
common in acute care, there is a lack of accepted criteria for its definition. Most practitioners …