毛细管再灌注
感染性休克
医学
复苏
灌注
败血症
血流动力学
麻醉学
休克(循环)
重症监护
外围设备
拯救脓毒症运动
中心静脉压
重症监护医学
心脏病学
血压
麻醉
外科
内科学
心率
严重败血症
作者
Geoffroy Hariri,Jérémie Joffre,Guillaume Leblanc,Michael Bonsey,Jean‐Rémi Lavillegrand,Tomas Urbina,Bertrand Guidet,Éric Maury,Jan Bakker,Hafid Aït-Oufella
标识
DOI:10.1186/s13613-019-0511-1
摘要
Sepsis is one of the main reasons for intensive care unit admission and is responsible for high morbidity and mortality. The usual hemodynamic targets for resuscitation of patients with septic shock use macro-hemodynamic parameters (hearth rate, mean arterial pressure, central venous pressure). However, persistent alterations of microcirculatory blood flow despite restoration of macro-hemodynamic parameters can lead to organ failure. This dissociation between macro- and microcirculatory compartments brings a need to assess end organs tissue perfusion in patients with septic shock. Traditional markers of tissue perfusion may not be readily available (lactate) or may take time to assess (urine output). The skin, an easily accessible organ, allows clinicians to quickly evaluate the peripheral tissue perfusion with noninvasive bedside parameters such as the skin temperatures gradient, the capillary refill time, the extent of mottling and the peripheral perfusion index.
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