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The Circulation

  • Martin W. Dünser
  • Daniel Dankl
  • Sirak Petros
  • Mervyn Mer
Chapter

Abstract

Adequate systemic perfusion is the endpoint of shock resuscitation and the therapeutic goal in all critically ill patients. In view of this, it is important to remember that it is not the numbers on a monitor (e.g. arterial blood pressure, cardiac output) but mostly clinical signs which determine whether systemic blood flow is adequate or not. The skin, mental state, kidneys and the general appearance are readily available bedside indicators to assess the adequacy of systemic perfusion.

Supplementary material

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Martin W. Dünser
    • 1
  • Daniel Dankl
    • 2
  • Sirak Petros
    • 3
  • Mervyn Mer
    • 4
  1. 1.Department of Anesthesiology and Intensive Care MedicineKepler University Hospital, Johannes Kepler University LinzLinzAustria
  2. 2.Department of Anesthesiology, Perioperative Medicine and General Intensive CareSalzburg University Hospital and Paracelsus Private Medical UniversitySalzburgAustria
  3. 3.Medical Intensive Care Unit and Centre of Haemostaseology, University Hospital LeipzigLeipzigGermany
  4. 4.Divisions of Critical Care and Pulmonology, Department of MedicineCharlotte Maxeke Johannesburg Academic Hospital and Faculty of Health Sciences University of the WitwatersrandJohannesburgSouth Africa

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