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Understanding clinical signs of poor tissue perfusion during septic shock

Hafid Ait-Oufella| Jan Bakker
Understanding the Disease
Volume 42, Issue 12 / December , 2016

Pages 2070 - 2072

No abstract available.


  1. Ait-Oufella H, Maury E, Lehoux S, Guidet B, Offenstadt G (2010) The endothelium: physiological functions and role in microcirculatory failure during severe sepsis. Intensive Care Med 36(8):1286–1298. doi:10.1007/s00134-010-1893-6
  2. Bezemer R, Bartels SA, Bakker J, Ince C (2012) Clinical review: clinical imaging of the sublingual microcirculation in the critically ill–where do we stand? Crit Care 16(3):224. doi:10.1186/cc11236
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  3. Ait-Oufella H, Bourcier S, Lehoux S, Guidet B (2015) Microcirculatory disorders during septic shock. Curr Opin Crit Care 21(4):271–275. doi:10.1097/MCC.0000000000000217
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  4. Lima A, Bakker J (2005) Noninvasive monitoring of peripheral perfusion. Intensive Care Med 31(10):1316–1326. doi:10.1007/s00134-005-2790-2
  5. Ait-Oufella H, Bourcier S, Alves M, Galbois A, Baudel JL, Margetis D et al (2013) Alteration of skin perfusion in mottling area during septic shock. Ann Intensive Care 3(1):31. doi:10.1186/2110-5820-3-31
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  6. Ait-Oufella H, Lemoinne S, Boelle PY, Galbois A, Baudel JL, Lemant J et al (2011) Mottling score predicts survival in septic shock. Intensive Care Med 37(5):801–807. doi:10.1007/s00134-011-2163-y
  7. Coudroy R, Jamet A, Frat JP, Veinstein A, Chatellier D, Goudet V et al (2014) Incidence and impact of skin mottling over the knee and its duration on outcome in critically ill patients. Intensive Care Med. doi:10.1007/s00134-014-3600-5
  8. de Moura EB, Amorim FF, da Cruz Santana AN, Kanhouche G, de Souza Godoy LG, de Jesus Almeida L et al (2015) Skin mottling score as a predictor of 28-day mortality in patients with septic shock. Intensive Care Med. doi:10.1007/s00134-015-4184-4
  9. Galbois A, Bige N, Pichereau C, Boelle PY, Baudel JL, Bourcier S et al (2015) Exploration of skin perfusion in cirrhotic patients with septic shock. J Hepatol 62(3):549–555. doi:10.1016/j.jhep.2014.10.012
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  10. Tibby SM, Hatherill M, Murdoch IA (1999) Capillary refill and core-peripheral temperature gap as indicators of haemodynamic status in paediatric intensive care patients. Arch Dis Child 80(2):163–166
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  11. Lima A, Jansen TC, van Bommel J, Ince C, Bakker J (2009) The prognostic value of the subjective assessment of peripheral perfusion in critically ill patients. Crit Care Med 37(3):934–938. doi:10.1097/CCM.0b013e31819869db
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  12. van Genderen ME, Paauwe J, de Jonge J, van der Valk RJ, Lima A, Bakker J et al (2014) Clinical assessment of peripheral perfusion to predict postoperative complications after major abdominal surgery early: a prospective observational study in adults. Crit Care 18(3):R114. doi:10.1186/cc13905
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  13. Ait-Oufella H, Bige N, Boelle PY, Pichereau C, Alves M, Bertinchamp R et al (2014) Capillary refill time exploration during septic shock. Intensive Care Med 40(7):958–964. doi:10.1007/s00134-014-3326-4
  14. Hernandez G, Luengo C, Bruhn A, Kattan E, Friedman G, Ospina-Tascon GA et al (2014) When to stop septic shock resuscitation: clues from a dynamic perfusion monitoring. Ann Intensive Care 4:30. doi:10.1186/s13613-014-0030-z
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  15. Lima A, van Genderen ME, van Bommel J, Klijn E, Jansem T, Bakker J (2014) Nitroglycerin reverts clinical manifestations of poor peripheral perfusion in patients with circulatory shock. Crit Care 18(3):R126. doi:10.1186/cc13932
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  16. van Genderen ME, Engels N, van der Valk RJ, Lima A, Klijn E, Bakker J et al (2015) Early peripheral perfusion-guided fluid therapy in patients with septic shock. Am J Respir Crit Care Med 191(4):477–480. doi:10.1164/rccm.201408-1575LE
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