24.01.2019 | Editorial
Clinical examination: a trigger but not a substitute for hemodynamic evaluation
verfasst von:
Daniel De Backer, Antoine Vieillard-Baron
Erschienen in:
Intensive Care Medicine
|
Ausgabe 2/2019
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Excerpt
Clinical examination is an essential part of the assessment of the critically ill patient. Among the different signs to look at, signs of tissue hypoperfusion and hemodynamic instability are particularly relevant. Several clinical signs can be used to detect tissue hypoperfusion. As an example, cerebral impairment, oliguria, capillary refill time, and mottling score are used in shock assessment [
1]. Biological signs such as lactate have gained popularity, helping the clinician to suspect anaerobic metabolism, a potential consequence of severe hypoperfusion. Many of these signs are associated with outcome [
2] and some may even be used to trigger resuscitation procedures [
3]. …