Sublingual microcirculation reveals fluid overload and leukocytosis in a post-cardiac surgery patient

Description

Positive cumulative fluid balance caused by excessive fluid administration during the perioperative phase is known as one of the most common clinical complications in post-intensive care unit cardiac surgery patients.1 Mostly, administration of diuretics is initiated to correct the fluid overload. However, there is no clinical parameter showing the changes in the fluid balance, while daily measurements of weight and fluid balance are initiated to help to manage diuretic therapy. Herein, we present a case report, in which we show that sublingual microcirculation monitoring (SMiMo) may provide an additional check on optimal filling status in these patients apart from recording fluid balance and weight control.

A 75-year-old woman with a history of B cell chronic lymphocytic leukaemia diagnosed with aortic valve stenosis was admitted for transcatheter aortic valve replacement (TAVR). Patient was discharged from the intensive care unit with a cumulative positive fluid balance of 1800 cm³...

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