Incoherence between systemic and skin tissue response to transfusion in volume-resuscitated patients withoutacute bleeding.

Elaine Cavalcante Dos Santos, Jacques Creteur, Fabio Silvio Taccone
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Abstract

Alterations in skin blood flow (SBF) may help to detect occult hypoperfusion in critically ill patients after fluid resuscitation. In this study, SBF is globally unaltered by red blood cell transfusion (RBCT) in non-bleeding critically ill patients after initial resuscitation; however, 37.5% of patients showed a significant increase in SBF. No correlation between relative changes in SBF and systemic variables after RBCT was observed.

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无急性出血的容量复苏患者全身和皮肤组织对输血的反应不一致。
皮肤血流(SBF)的变化有助于检测液体复苏后重症患者的隐性低灌注。在这项研究中,非出血重症患者在初步复苏后输注红细胞(RBCT),SBF 总体上不会发生变化;但是,37.5% 的患者的 SBF 显著增加。在 RBCT 后,未观察到 SBF 相对变化与全身变量之间的相关性。
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