Recruitment of sublingual microcirculation using handheld incident dark field imaging as a routine measurement tool during the postoperative de-escalation phase-a pilot study in post ICU cardiac surgery patients

Uz, Zühre; Ince, Can; Guerci, Philippe; Ince, Yasin; P Araujo, Renata; Ergin, Bülent; Hilty, Matthias P; van Gulik, Thomas M; de Mol, Bas A

doi:10.1186/s13741-018-0091-x

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Uz, Z., Ince, C., Guerci, P., Ince, Y., P Araujo, R., Ergin, B., Hilty, M. P., van Gulik, T. M., & de Mol, B. A. (2018). Recruitment of sublingual microcirculation using handheld incident dark field imaging as a routine measurement tool during the postoperative de-escalation phase-a pilot study in post ICU cardiac surgery patients. Perioperative Medicine, 7, 18. https://doi.org/10.1186/s13741-018-0091-x

Abstract

BACKGROUND

Management of tissue perfusion following cardiac surgery is a challenging task where common clinical parameters do not reflect microcirculatory dysfunction. Heterogeneity in blood flow perfusion and abnormalities in capillary density characterize microcirculatory dysfunction. The restoration of a normal microcirculation may become a novel target for therapy in the future in addition to macrocirculatory parameters. The aim of this study is to determine how the sublingual microcirculatory parameters vary at the bedside in po