Effects of fluids on microvascular perfusion in patients with severe sepsis

Purpose To evaluate the effects of fluid administration on microcirculatory alterations in sepsis. Methods With a Sidestream Dark Field device, we evaluated the effects of fluids on the sublingual microcirculation in 60 patients with severe sepsis. These patients were investigated either within 24 h...

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Autores:
Ospina Tascón, Gustavo Adolfo
Backer, Daniel De
Vincent, Jean Louis
Fonseca, Adriana
Oliveira Silva, Tatiana
Chierego, Maria Luisa
Simion, Davide
Büchele, Gustavo
Donadello, Katia
Occhipinti, Giovanna
Neves, Ana Paula
Tipo de recurso:
Article of investigation
Fecha de publicación:
2010
Institución:
Universidad ICESI
Repositorio:
Repositorio ICESI
Idioma:
eng
OAI Identifier:
oai:repository.icesi.edu.co:10906/81205
Acceso en línea:
http://hdl.handle.net/10906/81205
http://dx.doi.org/10.1007/s00134-010-1843-3
Palabra clave:
Microcirculación
Coloides
Cristaloides y coloides
Sepsis
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
Description
Summary:Purpose To evaluate the effects of fluid administration on microcirculatory alterations in sepsis. Methods With a Sidestream Dark Field device, we evaluated the effects of fluids on the sublingual microcirculation in 60 patients with severe sepsis. These patients were investigated either within 24 h (early, n = 37) or more than 48 h (late, n = 23) after a diagnosis of severe sepsis. Hemodynamic and microcirculatory measurements were obtained before and 30 min after administration of 1,000 ml Ringer’s lactate (n = 29) or 400 ml 4% albumin (n = 31) solutions.