title: Microcirculatory monitoring in septic patients: Where do we stand?
abstract: Microcirculatory alterations play a pivotal role in sepsis-related morbidity and mortality. However, since the microcirculation has been a "black box", current hemodynamic management of septic patients is still guided by macrocirculatory parameters. In the last decades, the development of several technologies has shed some light on microcirculatory evaluation and monitoring, and the possibility of incorporating microcirculatory variables to clinical practice no longer seems to be beyond reach. The present review provides a brief summary of the current technologies for microcirculatory evaluation, and attempts to explore the potential role and benefits of their integration to the resuscitation process in critically ill septic patients.
authors.affiliation: Critical Care Department, Hospital de Sabadell, Corporació Sanitària Universitària Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Spain. Electronic address: ggruartmoner@tauli.cat.
authors.forename: G
authors.initials: G
authors.lastname: Gruartmoner
authors.affiliation: Critical Care Department, Hospital de Sabadell, Corporació Sanitària Universitària Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Mesquida
authors.affiliation: Department of Intensive Care, Erasmus MC University Hospital Rotterdam, Rotterdam, The Netherlands.
authors.forename: C
authors.initials: C
authors.lastname: Ince
mesh_terms: D001160:Arterioles / Q000503:physiopathology; D001784:Blood Gas Analysis / Q000295:instrumentation / Q000379:methods*; D002196:Capillaries / Q000503:physiopathology; D002245:Carbon Dioxide / Q000097:blood; D006439:Hemodynamics; D006801:Humans; D000860:Hypoxia / Q000503:physiopathology; D008833:Microcirculation; D018715:Microscopy, Video; D008991:Monitoring, Physiologic; D010092:Oximetry / Q000295:instrumentation / Q000379:methods; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D019095:Point-of-Care Systems; D012151:Resuscitation; D018805:Sepsis / Q000097:blood / Q000503:physiopathology*; D019265:Spectroscopy, Near-Infrared / Q000295:instrumentation / Q000379:methods
chemical_list: D002245:Carbon Dioxide; D010100:Oxygen
keywords: Espectroscopia de luz en el espectro cercano al infrarrojo; Microcirculación; Microcirculation; Near-infrared spectroscopy; Shock; Videomicroscopia; Videomicroscopy