TY  - JOUR 
TI  - Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?
PB  - Associação de Medicina Intensiva Brasileira - AMIB
PY  - 2015
issn 0103-507X
AB  - Tissue  hypoperfusion  and  subsequent  limited  oxygen  transport  are  
critical features conducting to organ failure during shock states. Therefore, 
early  identification  of  tissue  hypoperfusion  and  adequate  resuscitation  are  
key for improving the probability of survival after septic shock.
(1,2)
 However, 
how  to  identify  organ  perfusion  abnormalities  at  the  bedside  and  select  
the  type  and  amount  of  fluids  required  to  improve  tissue  hypoxia  remain  
highly  controversial.  Traditionally,  clinical  signs,  such  as  reduced  blood  
pressure  and  urinary  output,  altered  consciousness,  and  mottled  skin,  
have  been  used  to  identify  tissue  perfusion  abnormalities.
KW  - Ciencias  socio biomédicas
KW  - Medical sciences
KW  - Microcirculación
KW  - Shock séptico
KW  - Sepsis bacteriana
KW  - Monitorización
UR  - http://hdl.handle.net/10906/81412
ER  -