Is handheld video microscopy really the future of microcirculation monitoring?

• Published in: Critical Care Vol. 27; no. 1; pp. 1 - 3
• Main Authors: Jacquet-Lagrèze, Matthias, Magnin, Mathieu, Allaouchiche, Bernard, Abrard, Stanislas
• Format: Journal Article Publication
• Language: English
• Published: London BioMed Central Ltd 12-09-2023; BioMed Central; BMC
• Subjects: Analysis; Cooperation; Critical care; Critical care medicine; Diagnostic imaging; Hemodynamics; Intensive care; Life Sciences; Matters Arising; Medical care, Cost of; Methods; Microscope and microscopy; Microscopy; Patient compliance; Patients; Pilot projects; Reimbursement; Software; Technology adoption; Technology application; France
• ISSN: 1364-8535; 1466-609X; 1364-8535; 1366-609X; 1466-609X
• DOI: 10.1186/s13054-023-04642-z

[...]we have observed a direct correlation between acceptable pressure artifacts and microcirculation analysis, as well as a strong association between pressure artifacts and mean arterial pressure [4]. [...]HVM has significant scientific value as a tool in clinical research. [...]alternative tools have emerged with interesting capabilities that are easier to use and already accessible in most centers. [...]while advancing HVM, it is crucial to ensure that its development does not overshadow the importance of these existing technologies and their clinical evaluation. [...]consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care Medicine.