Kardiologie up2date, Table of Contents Kardiologie up2date 2013; 09(02): 97-100DOI: 10.1055/s-0033-1344183 Hotline – Kardiovaskuläre Notfälle © Georg Thieme Verlag KG Stuttgart · New York Mikrozirkulationsmessungen bei Intensivpatienten Christian Jung Recommend Article Abstract Buy Article All articles of this category Abstract The evaluation of the macrocirculation is done by recording of blood pressure and heart rate or, in addition, the use of invasive monitoring systems. In order to assess the microcirculation in daily practice blood lactate measurements are often performed. Since recently, newer systems are used that allow a direct visualization of the perfusion of the smallest vessels. For these, the diagnostic and prognostic validity has been approved. In this review the different modalities to assess the microcirculation in critically ill patients will be presented. Full Text References Literatur 1 Ferrari M, Jung C, Lauten A et al. Evaluation of microcirculatory disorders in shock patients. Dtsch Med Wochenschr 2011; 136: 1009-1013 2 Sakr Y, Dubois MJ, De Backer D et al. Persistent microcirculatory alterations are associated with organ failure and death in patients with septic shock. Crit Care Med 2004; 32: 1825-1831 3 Frey L, Pacheco AM. Monitoring by measurement of gastrointestinal mucosal pH value (pHi). Infusionsther Transfusionsmed 1993; 20: 248-252 4 Knotzer H, Hasibeder WR. Microcirculatory function monitoring at the bedside – a view from the intensive care. Physiol Meas 2007; 28: R65-86 5 Jung C, Ferrari M, Roediger C et al. Evaluation of the sublingual microcirculation in cardiogenic shock. Clin Hemorheol Microcirc 2009; 42: 141-148 6 Jung C, Rodiger C, Fritzenwanger M et al. Acute microflow changes after stop and restart of intra-aortic balloon pump in cardiogenic shock. Clin Res Cardiol 2009; 98: 469-475 7 Fries M, Weil MH, Chang YT et al. Microcirculation during cardiac arrest and resuscitation. Crit Care Med 2006; 34: 454-457 8 Wimmer R, Janusch M, Lemm H et al. Effekte von Levosimendan auf die Mikrozirkulation bei kardiogenem Schock. Intensivmed 2007; 44: 227-261 9 den Uil CA, Lagrand WK, Spronk PE et al. Low-dose nitroglycerin improves microcirculation in hospitalized patients with acute heart failure. Eur J Heart Fail 2009; 11: 386-390 10 Spronk PE, Zandstra DF, Ince C. Bench-to-bedside review: sepsis is a disease of the microcirculation. Crit Care 2004; 8: 462-468 11 Jung C, Lauten A, Ferrari M. Microcirculation in cardiogenic shock: from scientific bystander to therapy target. Crit Care 2010; 14: 193
