Microcirculation Monitoring in Critical
illness
Dr.Tarek Sabri
INTENSIVIST
Fujairah Hospital
UAE
Nov 22- 2016
,Agenda
• 1- Introduction.
• 2-Microcirulation.
• 3- Microcirculation in SEPSIS.
• 4- Microcirculation in SURGICAL Patient.
• 5- Microcirculation in various Critically ill
patients .
• 6-Resuscitation effects on Microcirculation .
• 7-Sammary.
• 8-Conclusion. 2
,1- INTRODUCTION
• Critical illness includes a wide range of disease
states such as sepsis, high-risk surgery, cardiac
arrest, and respiratory failure, and is associated
with reduced tissue oxygenation related to a
compromise in the cardiovascular system (CVS).
• Microcirculation involves the smallest branches of
the CVS and plays an essential role in the
transport of oxygen to the parenchymal cells
needed to sustain organ function [1]
3
, Introduction cont
• It is generally accepted that resuscitation procedures
should aim to correct macro hemodynamic variables
during critical illness, with the goal of improving tissue
perfusion.
• However, although macrohemodynamic targets may be
reached, it is often uncertain whether these procedures
lead to a parallel improvement in the microcirculation[2]
• In this presentation, we will discuss the microcirculatory
alterations in critical illness and the importance of
hemodynamic coherence between the macrocirculation
and microcirculation that occurs in response to
resuscitation.
4
illness
Dr.Tarek Sabri
INTENSIVIST
Fujairah Hospital
UAE
Nov 22- 2016
,Agenda
• 1- Introduction.
• 2-Microcirulation.
• 3- Microcirculation in SEPSIS.
• 4- Microcirculation in SURGICAL Patient.
• 5- Microcirculation in various Critically ill
patients .
• 6-Resuscitation effects on Microcirculation .
• 7-Sammary.
• 8-Conclusion. 2
,1- INTRODUCTION
• Critical illness includes a wide range of disease
states such as sepsis, high-risk surgery, cardiac
arrest, and respiratory failure, and is associated
with reduced tissue oxygenation related to a
compromise in the cardiovascular system (CVS).
• Microcirculation involves the smallest branches of
the CVS and plays an essential role in the
transport of oxygen to the parenchymal cells
needed to sustain organ function [1]
3
, Introduction cont
• It is generally accepted that resuscitation procedures
should aim to correct macro hemodynamic variables
during critical illness, with the goal of improving tissue
perfusion.
• However, although macrohemodynamic targets may be
reached, it is often uncertain whether these procedures
lead to a parallel improvement in the microcirculation[2]
• In this presentation, we will discuss the microcirculatory
alterations in critical illness and the importance of
hemodynamic coherence between the macrocirculation
and microcirculation that occurs in response to
resuscitation.
4
