Capillary refill time variation induced by passive leg raising predicts capillary refill time response to volume expansion.

ABSTRACT:

Background

A peripheral perfusion-targeted resuscitation during early septic shock has shown encouraging results. Capillary refill time, which has a prognostic value, was used. Adding accuracy and predictability on capillary refill time (CRT) measurement, if feasible, would benefit to peripheral perfusion-targeted resuscitation. We assessed whether a reduction of capillary refill time during passive leg raising (ΔCRT-PLR) predicted volume-induced peripheral perfusion improvement defined as a significant decrease of capillary refill time following volume expansion.

Methods

Thirty-four patients with acute circulatory failure were selected. Haemodynamic variables, metabolic variables (PCO₂gap), and four capillary refill time measurements were recorded before and duri

SUBMITTER: Jacquet-Lagreze M 

PROVIDER: S-EPMC6697974 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature