From: Hemodynamic optimization of sepsis-induced tissue hypoperfusion
Measure | Details |
---|---|
Indices of global hypoperfusion | Hypotension |
Tachycarda | |
Oliguria | |
Delayed capillary refill | |
Clouded sensorium | |
Elevated blood lactate | |
Low mixed venous O2 saturation | |
Indices of regional hypoperfusion | Markers of organ function |
Cardiac: myocardial ischemia | |
Renal: decreased urine output, increased blood urea nitrogen and creatinine | |
Hepatic: increased transaminases, increased lactate dehydrogenase, increased bilirubin | |
Splanchnic: stress ulceration, ileus, malabsorbtion | |
Direct assessment | |
Tonometry: increased gastric mucosal CO2 tension | |
Sublingual capnometry: increased sublingual CO2 tension | |
Near infrared spectroscopy: decreased tissue O2 saturation | |
Orthogonal polarization spectral imaging: low flow velocity score |