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 |