Inspiration from the research advances in microcirculatory dysfunction to the treatment of burn shock and burn septic shock.
10.3760/cma.j.cn501225-20220323-00082
- VernacularTitle:微循环障碍研究进展对烧伤休克和烧伤脓毒症休克治疗的启发
- Author:
Jing Ning HUAN
1
;
Li Jun ZHANG
1
Author Information
1. Department of Burn and Plastic Surgery, Shenzhen Second People's Hospital, the First Affiliated Hospital of Shenzhen University, Shenzhen 518035, China.
- Publication Type:Journal Article
- MeSH:
Burns/therapy*;
Endothelial Cells;
Hemodynamics/physiology*;
Humans;
Microcirculation/physiology*;
Resuscitation;
Shock;
Shock, Septic/therapy*
- From:
Chinese Journal of Burns
2022;38(5):401-407
- CountryChina
- Language:Chinese
-
Abstract:
Microcirculatory dysfunction is an important pathophysiological change of shock. In the last decade, many researches on the mechanism of microcirculatory dysfunction have been involved in areas such as the glycocalyx damage of vascular endothelial cells, macrocirculation- microcirculation discoupling, vascular hyporeactivity, and microcirculation monitoring. Accordingly, this paper discussed how these research findings can be applied to burn patients, with the aim of alerting the clinicians to improving microcirculation, and maintaining hemodynamic coordination during the treatment of burn shock and burn septic shock. In addition, with the development of accurate and reliable microcirculation monitoring techniques, it is necessary to carry out multi-center clinical trials to reveal the clinical significance of target-oriented shock resuscitation protocol combining macrocirculatory and microcirculatory parameters.
