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Microcirculation during surgery
Throughout the long history of surgery, there has been great advancement in the hemodynamic management of surgical patients. Traditionally, hemodynamic management has focused on macrocirculatory monitoring and intervention to maintain appropriate oxygen delivery. However, even after optimization of...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Anesthesiologists
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8841265/ https://www.ncbi.nlm.nih.gov/pubmed/35139609 http://dx.doi.org/10.17085/apm.22127 |
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author | Nam, Karam Jeon, Yunseok |
author_facet | Nam, Karam Jeon, Yunseok |
author_sort | Nam, Karam |
collection | PubMed |
description | Throughout the long history of surgery, there has been great advancement in the hemodynamic management of surgical patients. Traditionally, hemodynamic management has focused on macrocirculatory monitoring and intervention to maintain appropriate oxygen delivery. However, even after optimization of macro-hemodynamic parameters, microcirculatory dysfunction, which is related to higher postoperative complications, occurs in some patients. Although the clinical significance of microcirculatory dysfunction has been well reported, little is known about interventions to recover microcirculation and prevent microcirculatory dysfunction. This may be at least partly caused by the fact that the feasibility of monitoring tools to evaluate microcirculation is still insufficient for use in routine clinical practice. However, considering recent advancements in these research fields, with more popular use of microcirculation monitoring and more clinical trials, clinicians may better understand and manage microcirculation in surgical patients in the future. In this review, we describe currently available methods for microcirculatory evaluation. The current knowledge on the clinical relevance of microcirculatory alterations has been summarized based on previous studies in various clinical settings. In the latter part, pharmacological and clinical interventions to improve or restore microcirculation are also presented. |
format | Online Article Text |
id | pubmed-8841265 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Korean Society of Anesthesiologists |
record_format | MEDLINE/PubMed |
spelling | pubmed-88412652022-02-23 Microcirculation during surgery Nam, Karam Jeon, Yunseok Anesth Pain Med (Seoul) Review Throughout the long history of surgery, there has been great advancement in the hemodynamic management of surgical patients. Traditionally, hemodynamic management has focused on macrocirculatory monitoring and intervention to maintain appropriate oxygen delivery. However, even after optimization of macro-hemodynamic parameters, microcirculatory dysfunction, which is related to higher postoperative complications, occurs in some patients. Although the clinical significance of microcirculatory dysfunction has been well reported, little is known about interventions to recover microcirculation and prevent microcirculatory dysfunction. This may be at least partly caused by the fact that the feasibility of monitoring tools to evaluate microcirculation is still insufficient for use in routine clinical practice. However, considering recent advancements in these research fields, with more popular use of microcirculation monitoring and more clinical trials, clinicians may better understand and manage microcirculation in surgical patients in the future. In this review, we describe currently available methods for microcirculatory evaluation. The current knowledge on the clinical relevance of microcirculatory alterations has been summarized based on previous studies in various clinical settings. In the latter part, pharmacological and clinical interventions to improve or restore microcirculation are also presented. Korean Society of Anesthesiologists 2022-01-31 2022-01-21 /pmc/articles/PMC8841265/ /pubmed/35139609 http://dx.doi.org/10.17085/apm.22127 Text en Copyright © the Korean Society of Anesthesiologists, 2022 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Nam, Karam Jeon, Yunseok Microcirculation during surgery |
title | Microcirculation during surgery |
title_full | Microcirculation during surgery |
title_fullStr | Microcirculation during surgery |
title_full_unstemmed | Microcirculation during surgery |
title_short | Microcirculation during surgery |
title_sort | microcirculation during surgery |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8841265/ https://www.ncbi.nlm.nih.gov/pubmed/35139609 http://dx.doi.org/10.17085/apm.22127 |
work_keys_str_mv | AT namkaram microcirculationduringsurgery AT jeonyunseok microcirculationduringsurgery |