The guiding role of microcirculation monitoring in the treatment of septic shock
10.3760/cma.j.issn.1673-4912.2023.05.011
- VernacularTitle:微循环监测对脓毒性休克治疗的指导作用
- Author:
Hongyu XIE
1
;
Lijie WANG
Author Information
1. 中国医科大学附属盛京医院小儿急诊急救内科,沈阳 110004
- Keywords:
Septic shock;
Peripheral hypoperfusion;
Microcirculation monitoring;
Individualized therapy
- From:
Chinese Pediatric Emergency Medicine
2023;30(5):380-383
- CountryChina
- Language:Chinese
-
Abstract:
Septic shock is the most critical stage of sepsis, and the core of the treatment is improving tissue hypoperfusion.In addition to the improvement of large circulation by fluid resuscitation, the microcirculation also need to be improved, then proper vasoactive drugs should be applied to different types of shock to meet the needs of the body for perfusion.The condition of septic shock progresses rapidly, and the microcirculation in different pathophysiological stages is different, which increases the difficulty of rational use of vasoactive drugs.Monitoring and accurate evaluation of peripheral microcirculation may provide guidance for individualized treatment of septic shock.