Published in:
01-03-2009 | Editorial
Shedding light on microcirculation?
Authors:
Jukka Takala, Stephan M. Jakob
Published in:
Intensive Care Medicine
|
Issue 3/2009
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Excerpt
Hypovolemia due to hemorrhage is a common problem in emergency and intensive care medicine. The clinical signs of severe acute hypovolemia are hardly controversial, and include tachycardia, hypotension, reduced central and peripheral venous filling, cold periphery, oliguria, and as a preterminal symptom, decreased level of consciousness [
1]. Impaired microcirculation, observed as reduced skin temperature and decreased capillary perfusion (slow recapillarization), is a well-recognized component of this clinical entity, and tends to recover last during resuscitation. As is the case with many clinical entities, severe hypovolemia is relatively easy to recognize but difficult to define with numbers. …