Monitoring peripheral perfusion in critically ill patients at the bedside

Abstract

Subjective assessments and optical techniques provide important information regarding peripheral circulation. Moreover, these techniques are relatively easy to implement and interpret at the bedside and can be applied during acute conditions. Further research is warranted to investigate the effects of therapeutic interventions on peripheral perfusion parameters and patient outcome.

Microvascular Perfusion as a Target for Fluid Resuscitation in Experimental Circulatory Shock*

“…Central temperature was observed by inserting the tip of the thermistor into the rectum. Temperature gradients can better reflect changes in cutaneous blood flow than the absolute skin temperature itself, and they increase during vasoconstriction (19).…”

Research in Review: Driving Critical Care Practice Change

“…No significant difference between groups was found for lactate over time or ICU length of stay, but the peripheral perfusion group received significantly less volume, had a lower score on the Sequential Organ Failure Assessment, and had a shorter hospital stay. Two important aspects of this study were the specification of threshold values for each parameter 59 and the demonstration of how to potentially integrate these noninvasive parameters into a resuscitation algorithm.…”

Actualización del bundle de reanimación inicial y monitorización integral de la perfusión tisular en la sepsis severa

“…Afortunadamente, en los últimos años ha resurgido el interés por este tipo de monitoreo clínico en pacientes con sepsis severa o shock sép-tico 57 . Lima y cols.…”