Is measurement of capillary refill time useful as part of the initial assessment of children?

Leonard, Paul; Beattie, T F

doi:10.1097/01.mej.0000127643.38834.86

Cited by 32 publications

(21 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Evans et al [17] showed that in children infected with severe and complicated malaria a prolonged CRT resulted in increased mortality. However, Leonard and Beattie [18] found that CRT in children attending a pediatric emergency department was a poor predictor of the need for intravenous fluid.…”

Section: Discussionmentioning

confidence: 99%

Capillary refill time

Brabrand

Hosbond²,

Folkestad³

2011

European Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Capillary refill time

Brabrand

Hosbond²,

Folkestad³

2011

European Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Leonard and Beattie measured CRT in all pediatric patients presenting to the ER over a 7-month period and then followed them up for outcomes. The authors concluded that CRT was a poor predictor in pediatric patients [6].…”

Section: /S)mentioning

confidence: 98%

“…However, CRT has been found to be of value in measuring the degree of dehydration in children with diarrhea [3], malaria [4], and assessing the adequacy of rehydration in pediatric blunt trauma [5]. On the other hand, CRT has been found to not be useful in the indication for IV bolus and the need for hospital admissions in the pediatric emergency room (ER) [6].…”

Section: Introductionmentioning

confidence: 99%

The association between capillary refill time and arterial flow in the pediatric upper extremity

Gray

Briseño

Otsuka

2008

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

Measurement of capillary refill time (CRT) is thought of as a fast and inexpensive tool for assessing perfusion to an extremity or digit. CRT is frequently relied upon by orthopedic surgeons, especially in the postoperative period when pulses may be inaccessible owing to casts or dressings. Yet to our knowledge, no study has attempted to correlate CRT with other indices of perfusion to the extremity. We evaluated the association between CRT and arterial flow in pediatric upper extremities. Our hypothesis was that arterial flow would be inversely proportional to CRT--that decreased perfusion would be associated with prolonged CRT. Ten children between the ages of 8 and 17 years with no systemic or upper extremity abnormalities were studied. Radial and ulnar artery flows were evaluated with Doppler ultrasound. Measurements of the radial and ulnar flow volumes were summed, to approximate total flow to the extremity. CRT was measured to the tenth of a second with the use of digital video. Three sets of the above measurements were taken for each participant--at baseline and at two levels of decreased perfusion (produced by inflating a blood pressure cuff to 25 and 75 mmHg). Linear regression was used to analyze the data. A lack of correlation was found between arterial flow and CRT (r=0.02, P=0.93). Though the study has its weaknesses, the results caution the use of CRT as a solitary measure of perfusion in children. This was a level 1 diagnostic study.

show abstract

“…Notably, a normal capillary refill time may be observed following cardiac arrest. [107][108][109][110] …”

Section: Monitoringmentioning

confidence: 99%

The Association of Shelter Veterinarians’ 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs

Griffin¹,

Bushby²,

McCobb³

et al. 2016

javma

View full text Add to dashboard Cite

As community efforts to reduce the overpopulation and euthanasia of unwanted and unowned cats and dogs have increased, many veterinarians have increasingly focused their clinical efforts on the provision of spay-neuter services. Because of the wide range of geographic and demographic needs, a wide variety of spay-neuter programs have been developed to increase delivery of services to targeted populations of animals, including stationary and mobile clinics, MASHstyle operations, shelter services, community cat programs, and services provided through private practitioners. In an effort to promote consistent, high-quality care across the broad range of these programs, the Association of Shelter Veterinarians convened a task force of veterinarians to develop veterinary medical care guidelines for spay-neuter programs. These guidelines consist of recommendations for general patient care and clinical procedures, preoperative care, anesthetic management, surgical procedures, postoperative care, and operations management. They were based on current principles of anesthesiology, critical care medicine, infection control, and surgical practice, as determined from published evidence and expert opinion. They represent acceptable practices that are attainable in spay-neuter programs regardless of location, facility, or type of program. The Association of Shelter Veterinarians envisions that these guidelines will be used by the profession to maintain consistent veterinary medical care in all settings where spay-neuter services are provided and to promote these services as a means of reducing sheltering and euthanasia of cats and dogs.

show abstract

Is measurement of capillary refill time useful as part of the initial assessment of children?

Abstract: The prolongation of capillary refill time is a poor predictor of the need for intravenous fluid bolus or hospital admission.

Cited by 32 publications

References 25 publications

Capillary refill time

Capillary refill time

The association between capillary refill time and arterial flow in the pediatric upper extremity

The Association of Shelter Veterinarians’ 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs

Contact Info

Product

Resources

About