Intensive Care Medicine

, Volume 33, Issue 3, pp 414–422 | Cite as

Year in Review in Intensive Care Medicine, 2006. III. Circulation, ethics, cancer, outcome, education, nutrition, and pediatric and neonatal critical care

  • Peter Andrews
  • Elie Azoulay
  • Massimo Antonelli
  • Laurent BrochardEmail author
  • Christian Brun-Buisson
  • Daniel De Backer
  • Geoffrey Dobb
  • Jean-Yves Fagon
  • Herwig Gerlach
  • Johan Groeneveld
  • Duncan Macrae
  • Jordi Mancebo
  • Philipp Metnitz
  • Stefano Nava
  • Jerôme Pugin
  • Michael Pinsky
  • Peter Radermacher
  • Christian Richard
Year in Review 2006


Evaluation of the microcirculation

Microcirculation has become a major topic of interest. Several studies have shown that microcirculatory alterations frequently occur in patients with septic shock, and that these alterations are correlated with the development of organ failure and death. Although direct visualization is now feasible, indirect measurements are more commonly used at the bedside. Among the indirect measurements, measurements of tissue carbon dioxide pressure can be used. These measurements can be obtained non-invasively either in the stomach (gastric tonometry) or in the sublingual area. Creteur et al. [1] investigated in 18 patients with septic shock the relationship between sublingual microvascular perfusion, assessed using an orthogonal polarization spectral imaging device, and sublingual and gastric carbon dioxide pressure. They observed an inverse relationship between microvascular perfusion and sublingual to arterial carbon dioxide pressure gap....


Septic Shock Severe Sepsis Spinal Muscular Atrophy Electrical Impedance Tomography Intensive Care Medicine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Peter Andrews
    • 1
  • Elie Azoulay
    • 2
  • Massimo Antonelli
    • 3
  • Laurent Brochard
    • 4
    Email author
  • Christian Brun-Buisson
    • 5
  • Daniel De Backer
    • 6
  • Geoffrey Dobb
    • 7
  • Jean-Yves Fagon
    • 8
  • Herwig Gerlach
    • 9
  • Johan Groeneveld
    • 10
  • Duncan Macrae
    • 11
  • Jordi Mancebo
    • 12
  • Philipp Metnitz
    • 13
  • Stefano Nava
    • 14
  • Jerôme Pugin
    • 15
  • Michael Pinsky
    • 16
  • Peter Radermacher
    • 17
  • Christian Richard
    • 18
  1. 1.Intensive Care Medicine UnitWestern General HospitalEdinburghUK
  2. 2.Intensive Care Medicine UnitSaint Louis HospitalParisFrance
  3. 3.Department of Intensive Care and AnesthesiologyUniversita Cattolica del Sacre CuoreRomeItaly
  4. 4.Réanimation Médicale, INSERM U 651AP-HP, Hôpital Henri Mondor, Université Paris 12CréteilFrance
  5. 5.Réanimation MédicaleAP-HP, Hôpital Henri Mondor, Université Paris 12CréteilFrance
  6. 6.Service des Soins IntensifsErasme HospitalBrusselsBelgium
  7. 7.Intensive Care Medicine UnitRoyal Perth HospitalPerthAustralia
  8. 8.Intensive Care Medicine UnitEuropean Georges Pompidou HospitalParisFrance
  9. 9.Department of AnesthesiologyVivantes-Klinikum NeukoellnBerlinGermany
  10. 10.Intensive Care Medicine UnitVUMCAmsterdamThe Netherlands
  11. 11.Pediatric Intensive Care UnitRoyal Brompton HospitalLondonUK
  12. 12.Intensive Care Medicine UnitHospital Sant PauBarcelonaSpain
  13. 13.Department of Anesthesia and General Intensive Care MedicineUniversity Hospital of ViennaViennaAustria
  14. 14.Intensive Care Medicine UnitFondazione S. MaugeriPaviaItaly
  15. 15.Intensive Care Medicine UnitUniversity Hospital of GenevaGenevaSwitzerland
  16. 16.Intensive Care Medicine UnitUniversity of Pittsburgh Medical CenterPittsburghUSA
  17. 17.Department of AnesthesiaUniversity Medical School of UlmUlmGermany
  18. 18.Intensive Care UnitUniversity Hospital of Le Kremlin-BicetreLe Kremlin-BicetreFrance

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