| Title |
Second consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care Medicine
|
|---|---|
| Published in |
Intensive Care Medicine, February 2018
|
| DOI | 10.1007/s00134-018-5070-7 |
| Pubmed ID | |
| Authors |
Can Ince, E. Christiaan Boerma, Maurizio Cecconi, Daniel De Backer, Nathan I. Shapiro, Jacques Duranteau, Michael R. Pinsky, Antonio Artigas, Jean-Louis Teboul, Irwin K. M. Reiss, Cesar Aldecoa, Sam D. Hutchings, Abele Donati, Marco Maggiorini, Fabio S. Taccone, Glenn Hernandez, Didier Payen, Dick Tibboel, Daniel S. Martin, Alexander Zarbock, Xavier Monnet, Arnaldo Dubin, Jan Bakker, Jean-Louis Vincent, Thomas W. L. Scheeren, On behalf of the Cardiovascular Dynamics Section of the ESICM |
| Abstract |
Hand-held vital microscopes (HVMs) were introduced to observe sublingual microcirculatory alterations at the bedside in different shock states in critically ill patients. This consensus aims to provide clinicians with guidelines for practical use and interpretation of the sublingual microcirculation. Furthermore, it aims to promote the integration of routine application of HVM microcirculatory monitoring in conventional hemodynamic monitoring of systemic hemodynamic variables. In accordance with the Delphi method we organized three international expert meetings to discuss the various aspects of the technology, physiology, measurements, and clinical utility of HVM sublingual microcirculatory monitoring to formulate this consensus document. A task force from the Cardiovascular Dynamics Section of the European Society of Intensive Care Medicine (with endorsement of its Executive Committee) created this consensus as an update of a previous consensus in 2007. We classified consensus statements as definitions, requirements, and/or recommendations, with a minimum requirement of 80% agreement of all participants. In this consensus the nature of microcirculatory alterations is described. The nature of variables, which can be extracted from analysis of microcirculatory images, is presented and the needed dataset of variables to identify microcirculatory alterations is defined. Practical aspects of sublingual HVM measurements and the nature of artifacts are described. Eleven statements were formulated that pertained to image acquisitions and quality statements. Fourteen statements addressed the analysis of the images, and 13 statements are related to future developments. This consensus describes 25 statements regarding the acquisition and interpretation of microcirculatory images needed to guide the assessment of the microcirculation in critically ill patients. |
X Demographics
The data shown below were collected from the profiles of 131 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 14 | 11% |
| United States | 9 | 7% |
| Italy | 7 | 5% |
| United Kingdom | 7 | 5% |
| Colombia | 5 | 4% |
| Mexico | 3 | 2% |
| Argentina | 3 | 2% |
| France | 3 | 2% |
| Brazil | 3 | 2% |
| Other | 27 | 21% |
| Unknown | 50 | 38% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 91 | 69% |
| Practitioners (doctors, other healthcare professionals) | 23 | 18% |
| Scientists | 15 | 11% |
| Science communicators (journalists, bloggers, editors) | 2 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 240 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 240 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 30 | 13% |
| Researcher | 28 | 12% |
| Student > Ph. D. Student | 26 | 11% |
| Student > Bachelor | 18 | 8% |
| Student > Doctoral Student | 17 | 7% |
| Other | 64 | 27% |
| Unknown | 57 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 125 | 52% |
| Engineering | 10 | 4% |
| Nursing and Health Professions | 7 | 3% |
| Agricultural and Biological Sciences | 6 | 3% |
| Biochemistry, Genetics and Molecular Biology | 6 | 3% |
| Other | 16 | 7% |
| Unknown | 70 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 89. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 December 2023.
All research outputs
#478,005
of 25,470,300 outputs
Outputs from Intensive Care Medicine
#419
of 5,424 outputs
Outputs of similar age
#11,402
of 446,647 outputs
Outputs of similar age from Intensive Care Medicine
#9
of 99 outputs
Altmetric has tracked 25,470,300 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,424 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 29.6. This one has done particularly well, scoring higher than 92% of its peers.
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We're also able to compare this research output to 99 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 91% of its contemporaries.