Multimodal Perfusion Assessment in Hemodynamically Unstable Patients: A Concise Definitive Review - PubMed
4 hours ago
- #tissue perfusion
- #critical care
- #hemodynamic monitoring
- Multimodal perfusion assessment is crucial for hemodynamically unstable patients because normal macrocirculatory variables don't guarantee effective organ perfusion.
- The review analyzes tools like capillary refill time, peripheral perfusion indices, lactate, venous oxygenation, tissue oxygenation, spectral imaging, and advanced hemodynamic assessments.
- A stepwise, physiology-driven framework is recommended, emphasizing dynamic interpretation and proportional monitoring escalation over normalizing isolated variables.
- Capillary refill time serves as a practical clinical anchor, with complementary tools used when physiological coherence is uncertain.
- Monitoring escalation should be guided by patient risk and unresolved uncertainty to support individualized resuscitation and minimize unnecessary interventions.