Title |
Defining the adequate arterial pressure target during septic shock: not a 'micro' issue but the microcirculation can help
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Published in |
Critical Care, November 2011
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DOI | 10.1186/cc10486 |
Pubmed ID | |
Authors |
Serena Silva, Jean-Louis Teboul |
Abstract |
The Surviving Sepsis Campaign guidelines suggest targeting a mean arterial pressure of at least 65 mm Hg to maintain organ perfusion pressure during septic shock. However, the optimal mean arterial pressure can be higher in patients with a history of hypertension or other vascular comorbidities or in those with increased abdominal pressure. In a given individual, the adequate mean arterial pressure target can be difficult to define with the routine hemodynamic parameters (for example, cardiac output, central or mixed venous blood oxygen saturation, and urine output). Near-infrared spectroscopy and sidestream dark field imaging have emerged as promising technologies for monitoring the microcirculation at the bedside. These new methods could provide additional clues to help define the adequate blood pressure to target during the resuscitation phase of septic shock. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 2 | 4% |
Unknown | 48 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 9 | 18% |
Student > Postgraduate | 8 | 16% |
Researcher | 6 | 12% |
Student > Doctoral Student | 4 | 8% |
Student > Ph. D. Student | 4 | 8% |
Other | 11 | 22% |
Unknown | 8 | 16% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 39 | 78% |
Nursing and Health Professions | 2 | 4% |
Neuroscience | 1 | 2% |
Engineering | 1 | 2% |
Unknown | 7 | 14% |