Mikrosirkulasi Pada Resusitasi Cairan

The aim of fluid therapy during hemodynamic resuscitation is to increase global blood flow and increase flow to themicrocirculation and therby, and thus oxygen availability for cellular respiration. Effect of volume expansion onmicrovascular perfusion might not always be in coherence with its macrocirculatory. It should be stressed that the totalamount of volume administered during fluid resuscitation is believed to be a major determinant of outcome in criticallyill shock patients. The purpose of this review is to evaluate the boundaries of macrohemodynamic approach to fluidadministration and the integrated with microcirculatory.