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Could resuscitation be based on microcirculation data? Yes

Matthieu Legrand| Hafid Ait-Oufella| Can Ince
Editorial
Volume 44, Issue 6 / June , 2018

Pages 944 - 946

No abstract available.

References

  1. Cecconi M, De Backer D, Antonelli M et al (2014) Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med 40:1795–1815. https://doi.org/10.1007/s00134-014-3525-z
  2. Weil MH, Henning RJ (1979) New concepts in the diagnosis and fluid treatment of circulatory shock. Thirteenth annual Becton, Dickinson and Company Oscar Schwidetsky Memorial Lecture. Anesth Analg 58:124–132
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  3. Abraham E, Singer M (2007) Mechanisms of sepsis-induced organ dysfunction. Crit Care Med 35:2408–2416
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  4. Ince C, Mik EG (2016) Microcirculatory and mitochondrial hypoxia in sepsis, shock, and resuscitation. J Appl Physiol (1985) 120:226–235. https://doi.org/10.1152/japplphysiol.00298.2015
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  5. Ince C (2015) Hemodynamic coherence and the rationale for monitoring the microcirculation. Crit Care 19(Suppl 3):S8. https://doi.org/10.1186/cc14726
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  6. De Backer D, Donadello K, Sakr Y et al (2013) Microcirculatory alterations in patients with severe sepsis: impact of time of assessment and relationship with outcome. Crit Care Med 41:791–799. https://doi.org/10.1097/CCM.0b013e3182742e8b
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  7. Ait-Oufella H, Lemoinne S, Boelle PY et al (2011) Mottling score predicts survival in septic shock. Intensive Care Med 37:801–807. https://doi.org/10.1007/s00134-011-2163-y
  8. Edul VSK, Ince C, Navarro N et al (2014) Dissociation between sublingual and gut microcirculation in the response to a fluid challenge in postoperative patients with abdominal sepsis. Ann Intensive Care 4:39. https://doi.org/10.1186/s13613-014-0039-3
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  9. Dubin A, Pozo MO, Casabella CA et al (2009) Increasing arterial blood pressure with norepinephrine does not improve microcirculatory blood flow: a prospective study. Crit Care 13:R92. https://doi.org/10.1186/cc7922
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  10. Dubin A, Pozo MO, Ferrara G et al (2009) Systemic and microcirculatory responses to progressive hemorrhage. Intensive Care Med 35:556–564. https://doi.org/10.1007/s00134-008-1385-0
  11. Ait-Oufella H, Bakker J (2016) Understanding clinical signs of poor tissue perfusion during septic shock. Intensive Care Med 42:2070–2072. https://doi.org/10.1007/s00134-016-4250-6
  12. Legrand M, Mik EG, Balestra GM et al (2010) Fluid resuscitation does not improve renal oxygenation during hemorrhagic shock in rats. Anesthesiology 112:119–127. https://doi.org/10.1097/ALN.0b013e3181c4a5e2
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  13. Nugent WH, Cestero RF, Ward K et al (2017) Effects of Sanguinate® on systemic and microcirculatory variables in a model of prolonged hemorrhagic shock. Shock Augusta Ga. https://doi.org/10.1097/SHK.0000000000001082
  14. Dépret F, Sitbon A, Soussi S et al (2018) Intravenous iloprost to recruit the microcirculation in septic shock patients? Intensive Care Med 44:121–122. https://doi.org/10.1007/s00134-017-4935-5
  15. Legrand M, Almac E, Mik EG et al (2009) L-NIL prevents renal microvascular hypoxia and increase of renal oxygen consumption after ischemia-reperfusion in rats. Am J Physiol Renal Physiol 296:F1109–F1117. https://doi.org/10.1152/ajprenal.90371.2008
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