Skip to main content
SpringerLink
Log in

Understanding clinical signs of poor tissue perfusion during septic shock

  • Understanding the Disease
  • Published:
Intensive Care Medicine Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Ait-Oufella H, Maury E, Lehoux S, Guidet B, Offenstadt G (2010) The endothelium: physiological functions and role in microcirculatory failure during severe sepsis. Intensive Care Med 36(8):1286–1298. doi:10.1007/s00134-010-1893-6

    Article  CAS  PubMed  Google Scholar 

  2. Bezemer R, Bartels SA, Bakker J, Ince C (2012) Clinical review: clinical imaging of the sublingual microcirculation in the critically ill–where do we stand? Crit Care 16(3):224. doi:10.1186/cc11236

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ait-Oufella H, Bourcier S, Lehoux S, Guidet B (2015) Microcirculatory disorders during septic shock. Curr Opin Crit Care 21(4):271–275. doi:10.1097/MCC.0000000000000217

    Article  PubMed  Google Scholar 

  4. Lima A, Bakker J (2005) Noninvasive monitoring of peripheral perfusion. Intensive Care Med 31(10):1316–1326. doi:10.1007/s00134-005-2790-2

    Article  PubMed  Google Scholar 

  5. Ait-Oufella H, Bourcier S, Alves M, Galbois A, Baudel JL, Margetis D et al (2013) Alteration of skin perfusion in mottling area during septic shock. Ann Intensive Care 3(1):31. doi:10.1186/2110-5820-3-31

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ait-Oufella H, Lemoinne S, Boelle PY, Galbois A, Baudel JL, Lemant J et al (2011) Mottling score predicts survival in septic shock. Intensive Care Med 37(5):801–807. doi:10.1007/s00134-011-2163-y

    Article  CAS  PubMed  Google Scholar 

  7. Coudroy R, Jamet A, Frat JP, Veinstein A, Chatellier D, Goudet V et al (2014) Incidence and impact of skin mottling over the knee and its duration on outcome in critically ill patients. Intensive Care Med. doi:10.1007/s00134-014-3600-5

    PubMed  Google Scholar 

  8. de Moura EB, Amorim FF, da Cruz Santana AN, Kanhouche G, de Souza Godoy LG, de Jesus Almeida L et al (2015) Skin mottling score as a predictor of 28-day mortality in patients with septic shock. Intensive Care Med. doi:10.1007/s00134-015-4184-4

    PubMed  Google Scholar 

  9. Galbois A, Bige N, Pichereau C, Boelle PY, Baudel JL, Bourcier S et al (2015) Exploration of skin perfusion in cirrhotic patients with septic shock. J Hepatol 62(3):549–555. doi:10.1016/j.jhep.2014.10.012

    Article  PubMed  Google Scholar 

  10. Tibby SM, Hatherill M, Murdoch IA (1999) Capillary refill and core-peripheral temperature gap as indicators of haemodynamic status in paediatric intensive care patients. Arch Dis Child 80(2):163–166

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Lima A, Jansen TC, van Bommel J, Ince C, Bakker J (2009) The prognostic value of the subjective assessment of peripheral perfusion in critically ill patients. Crit Care Med 37(3):934–938. doi:10.1097/CCM.0b013e31819869db

    Article  PubMed  Google Scholar 

  12. van Genderen ME, Paauwe J, de Jonge J, van der Valk RJ, Lima A, Bakker J et al (2014) Clinical assessment of peripheral perfusion to predict postoperative complications after major abdominal surgery early: a prospective observational study in adults. Crit Care 18(3):R114. doi:10.1186/cc13905

    Article  PubMed  PubMed Central  Google Scholar 

  13. Ait-Oufella H, Bige N, Boelle PY, Pichereau C, Alves M, Bertinchamp R et al (2014) Capillary refill time exploration during septic shock. Intensive Care Med 40(7):958–964. doi:10.1007/s00134-014-3326-4

    Article  CAS  PubMed  Google Scholar 

  14. Hernandez G, Luengo C, Bruhn A, Kattan E, Friedman G, Ospina-Tascon GA et al (2014) When to stop septic shock resuscitation: clues from a dynamic perfusion monitoring. Ann Intensive Care 4:30. doi:10.1186/s13613-014-0030-z

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lima A, van Genderen ME, van Bommel J, Klijn E, Jansem T, Bakker J (2014) Nitroglycerin reverts clinical manifestations of poor peripheral perfusion in patients with circulatory shock. Crit Care 18(3):R126. doi:10.1186/cc13932

    Article  PubMed  PubMed Central  Google Scholar 

  16. van Genderen ME, Engels N, van der Valk RJ, Lima A, Klijn E, Bakker J et al (2015) Early peripheral perfusion-guided fluid therapy in patients with septic shock. Am J Respir Crit Care Med 191(4):477–480. doi:10.1164/rccm.201408-1575LE

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Assistance Publique-Hôpitauxde Paris, Hôpital Saint-Antoine, Servicede Réanimation Médicale, 75012, Paris, France

    Hafid Ait-Oufella

  2. Sorbonne Universités, UPMC Univ Paris 06, Paris, France

    Hafid Ait-Oufella

  3. Department of Intensive Care, Erasmus MC University Medical Center, Rotterdam, Netherlands

    Jan Bakker

  4. Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile

    Jan Bakker

  5. Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Columbia University Medical Center, New York, NY, USA

    Jan Bakker

Authors
  1. Hafid Ait-Oufella
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jan Bakker
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hafid Ait-Oufella.

Ethics declarations

Conflicts of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ait-Oufella, H., Bakker, J. Understanding clinical signs of poor tissue perfusion during septic shock. Intensive Care Med 42, 2070–2072 (2016). https://doi.org/10.1007/s00134-016-4250-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00134-016-4250-6

Keywords

Search

Navigation