Microcirculation: physiology, pathophysiology, and clinical application

G Guven, MP Hilty, C Ince - Blood purification, 2020 - karger.com
This paper briefly reviews the physiological components of the microcirculation, focusing on
its function in homeostasis and its central function in the realization of oxygen transport to …

The role of endothelial shear stress on haemodynamics, inflammation, coagulation and glycocalyx during sepsis

F Lupu, G Kinasewitz, K Dormer - Journal of cellular and …, 2020 - Wiley Online Library
Sepsis is a multifactorial syndrome primarily determined by the host response to an invading
pathogen. It is common, with over 48 million cases worldwide in 2017, and often lethal. The …

Direct assessment of microcirculation in shock: a randomized-controlled multicenter study

RR Bruno, J Wollborn, K Fengler, M Flick… - Intensive Care …, 2023 - Springer
Purpose Shock is a life-threatening condition characterized by substantial alterations in the
microcirculation. This study tests the hypothesis that considering sublingual microcirculatory …

Intravenous fluid resuscitation is associated with septic endothelial glycocalyx degradation

JA Hippensteel, R Uchimido, PD Tyler, RC Burke… - Critical care, 2019 - Springer
Background Intravenous fluids, an essential component of sepsis resuscitation, may
paradoxically worsen outcomes by exacerbating endothelial injury. Preclinical models …

Association of sublingual microcirculation parameters and endothelial glycocalyx dimensions in resuscitated sepsis

A Rovas, LM Seidel, H Vink, T Pohlkötter, H Pavenstädt… - Critical care, 2019 - Springer
Background The endothelial glycocalyx (eGC) covers the luminal surface of the vascular
endothelium and plays an important protective role in systemic inflammatory states and …

Identification of novel sublingual parameters to analyze and diagnose microvascular dysfunction in sepsis: the NOSTRADAMUS study

A Rovas, J Sackarnd, J Rossaint, S Kampmeier… - Critical Care, 2021 - Springer
Background The availability of handheld, noninvasive sublingual video-microscopes allows
for visualization of the microcirculation in critically ill patients. Recent studies demonstrate …

Capillary leukocytes, microaggregates, and the response to hypoxemia in the microcirculation of coronavirus disease 2019 patients

E Favaron, C Ince, MP Hilty, B Ergin… - Critical Care …, 2021 - journals.lww.com
OBJECTIVES: In this study, we hypothesized that coronavirus disease 2019 patients exhibit
sublingual microcirculatory alterations caused by inflammation, coagulopathy, and …

The compelling arguments for the need of microvascular investigation in COVID-19 critical patients

R Martini - Clinical hemorheology and microcirculation, 2020 - content.iospress.com
The burden of pandemic COVID-19 is growing worldwide, as the continuous increases of
contagion. Only 10–15% of the entire infected population has the necessity of intensive care …

Association of sublingual microcirculation parameters and capillary refill time in the early phase of ICU admission

W Huang, H Xiang, C Hu, T Wu, D Zhang… - Critical care …, 2023 - journals.lww.com
Objectives: This observational study was conducted to investigate capillary refill time (CRT)
during the early phase of ICU admission in relationship with microvascular flow alteration …

Automated algorithm analysis of sublingual microcirculation in an international multicentral database identifies alterations associated with disease and mechanism of …

MP Hilty, S Akin, C Boerma, A Donati… - Critical care …, 2020 - journals.lww.com
Objectives: Reliable automated handheld vital microscopy image sequence analysis and
the identification of disease states and effects of therapy are prerequisites for the routine use …