Dissociation between sublingual and gut microcirculation in the response to a fluid challenge in postoperative patients with abdominal sepsis

Background This study was performed to compare intestinal and sublingual microcirculation and their response to a fluid challenge. Methods Twenty-two septic patients in the first postoperative day of an intestinal surgery, in which an ostomy had been constructed, were evaluated both before and 20 mi...

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Bibliographic Details
Published in:Annals of intensive care 2014-12, Vol.4 (1), p.39-39, Article 39
Main Authors: Edul, Vanina Siham Kanoore, Ince, Can, Navarro, Noelia, Previgliano, Luciana, Risso-Vazquez, Alejandro, Rubatto, Paolo Nahuel, Dubin, Arnaldo
Format: Article
Language:English
Subjects:
Anesthesiology
Critical Care Medicine
Emergency Medicine
Intensive
Intensive care
Medicine
Medicine & Public Health
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Summary:Background This study was performed to compare intestinal and sublingual microcirculation and their response to a fluid challenge. Methods Twenty-two septic patients in the first postoperative day of an intestinal surgery, in which an ostomy had been constructed, were evaluated both before and 20 min after a challenge of 10 mL/kg of 6% hydroxyethylstarch 130/0.4. We measured systemic hemodynamics and sublingual and intestinal microcirculation. Correlations between variables were determined through the Pearson test. Results Fluid administration increased the cardiac index (2.6 ± 0.5 vs. 3.3 ± 1.0 L/min/m 2 , P  
ISSN:2110-5820
2110-5820
DOI:10.1186/s13613-014-0039-3