Microcirculatory dysfunction in sepsis
Journal Title: Journal Of Pediatric Critical Care - Year 2019, Vol 6, Issue 2
Abstract
Microcirculation is a network of small blood vessels of <100 μm diameter. It includes arterioles, capillaries and venules.Its main function is to regulate the blood fl ow and distribution of fl ow to various organ systems. Dysfunction of microcirculatory systemis one of the important pathophysiologic process in sepsis evolution. In septic shock, microcirculatory dysfunction is due to endothelial dysfunction, coagulation abnormalities, tissue infl ammation, hemorheologic abnormalities, functional shunting and leukocyte-endothelium interactions. Various biomarkers are surrogate markers of measuring microcirculatory dysfunction, however, direct visualization of capillaries using video microscopic techniques is the gold standard. Therapeutic intervention for managing septic shock are mainly titrated on microcirculatory parameters and do not corelate directly with improvement at microcirculatory levels. More data is needed on practical bedside monitoring of microcirculation and titrating the therapy based on that
Authors and Affiliations
Gopala Krishnan, Arun Bansal
Normal trans-bulbar Optic Nerve Sheath Diameter in Indian children and its determinants
.
A Rare complication of Mumps Meningoencephalitis : Hydrocephalus secondary to aqueductal stenosis presenting as respiratory failure treated with External Ventricular Drainage & Ventriculo-Peritoneal shunt
.
Study Of Serum Ferritin In Septic Shock Children From Community With High Prevalence Of Iron Deficiency
.
Pneumopericardium Post Pericardiocentesis
.
Adrenal Dysfunction in Critical Care Settings
AAdrenal insuffi ciency (AI) is a frequently discussed but inadequately understood condition among critically ill patients. Increased glucocorticoid action is an essential component of the stress response. Dysfunction of...