Skin temperature as a noninvasive marker of haemodynamic and perfusion status in adult cardiac surgical patients: An observational study

Intensive and Critical Care Nursing

Volumn 25, Issue 1, 2009, Pages 31-37

  Schey, Bernadette M ^a   Williams, David Y ^a,b   Bucknall, Tracey ^c  

^a St Vincents & Mercy Private Hospital   (Australia)

^b ST VINCENT S HOSPITAL   (Australia)

^c DEAKIN UNIVERSITY   (Australia)

Author keywords

Cardiac output; Cardiac surgery; Core peripheral temperature gradient; Haemodynamic subjective assessment; Perfusion; Skin temperature; Systemic vascular resistance; Toe temperature

Indexed keywords

ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; FEMALE; FOOT; HEART SURGERY; HEMODYNAMICS; HUMAN; INTENSIVE CARE; MALE; METHODOLOGY; MIDDLE AGED; MONITORING; NURSING; NURSING ASSESSMENT; NURSING EVALUATION RESEARCH; PILOT STUDY; POSTOPERATIVE CARE; PREDICTION AND FORECASTING; PROSPECTIVE STUDY; SKIN TEMPERATURE; STATISTICAL MODEL; THERMODILUTION; VALIDATION STUDY; VASCULARIZATION;

ADULT; AGED; AGED, 80 AND OVER; ANALYSIS OF VARIANCE; CARDIAC SURGICAL PROCEDURES; CRITICAL CARE; FEMALE; FOOT; HEMODYNAMICS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; NURSING ASSESSMENT; NURSING EVALUATION RESEARCH; PILOT PROJECTS; POSTOPERATIVE CARE; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; SKIN TEMPERATURE; THERMODILUTION;

EID: 57749204760     PISSN: 09643397     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.iccn.2008.05.003     Document Type: Article

References (58)

1. Alexi-Meskhishvili V., Popov S.A., and Nikoljuk A.P. Evaluation of hemodynamics in infants and small babies after open heart surgery. Thorac Cardiovasc Surg 32 (1984) 4-9
2. Astiz M.E., and Rackow E.C. Assessing perfusion failure during circulatory shock. Crit Care Clin 9 2 (1993) 299-312
3. Aynsley-Green A., and Pickering D. Use of central and peripheral temperature measurements in care of the critically ill child. Arch Dis Child 49 6 (1974) 477-481
4. Bailey J.M., Levy J.H., Kopel M.A., Tobia V., and Grabenkort W.R. Relationship between clinical evaluation of peripheral perfusion and global hemodynamics in adults after cardiac surgery. Crit Care Med 18 12 (1990) 1353-1356
5. In: Bersten A.D., and Soni N. (Eds). Oh's Intensive care manual. 5th ed. (2003), Butterworth-Heinemann, Sydney
6. Butt W., and Shann F. Core-peripheral temperature gradient does not predict cardiac output or systemic vascular resistance in children. Anaesth Intens Care 19 1 (1991) 84-87
7. Chulay M., and Burns S. AACN essentials of critical care nursing (2006), McGraw-Hill, New York
8. Connors A.F., Speroff T., Dawson N., Thomas C., Harrell F.E., Wagner D., et al. The effectiveness of right heart catheterisation in the initial care of critically ill patients. JAMA 276 11 (1996) 889-897
9. Creswell L.L. Complications of cardiopulmonary bypass and cardioplegia. In: Little A.G. (Ed). Complications in cardiothoracic surgery: avoidance and treatment (2004), Blackwell Futura, New York
10. Curley F., and Smyrnios N. Routine monitoring of critically ill patients. In: Irwin R., Cerra F., and Rippe J. (Eds). Intensive care medicine (2003), Williams & Wilkins, New York 250-270
11. Dietzman R., Ersek R., Lillehei C., Castaneda A., and Lillehei R. Low output syndrome: recognition and treatment. J Thorac Cardiovasc Surg 57 1 (1969) 138-149
12. Dietzman R., Feemster J., Idezuki Y., Bloch J., and Lillehei R. Peripheral resistance changes during shock in man. Angiology 19 5 (1968) 268-276
13. Elliott D., Aitken L.M., and Chaboyer W. ACCCN's critical care nursing (2007), Mosby-Elselvier, Sydney
14. ESCAPE Trial Investigators and ESCAPE Study Coordinators. Evaluation of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. JAMA 294 13 (2005) 1625-1633
15. Fagan M.J. Relationship between nurses' assessments of perfusion and toe temperature in pediatric patients with cardiovascular disease. Heart Lung 17 2 (1988) 157-165
16. Finkelmeier B.A. Cardiothoracic surgical nursing (1995), J.B. Lippincott Company, Philadelphia
17. Guyton A.C., and Hall J.E. Textbook of medical physiology. 10th ed. (2000), W.B. Saunders, Philadelphia
18. Harvey S, Young D, Brampton W, Cooper A, Doig G, Sibbald W, et al. Pulmonary artery catheters for adult patients in intensive care. Cochrane Database of Systematic Reviews 2006; (3): Art. no. CD003408. doi:10.1002/14651858. CD003408.pub2.
19. Henning R.J., Weiner F., Valdes M.D., and Weil M.H. Measurement of toe temperature for assessing the severity of acute circulatory failure. Surg Gynecol Obstet 149 1 (1979) 1-7
20. Hillman K., Bishop G., and Flabouris A. Patient examination in the intensive care unit. In: Vincent J.L. (Ed). Intensive care medicine: annual update 2002 (2002), Springer-Verlag, Berlin
21. Hippocrates IX, n.d. London: William Heineman Ltd., Translated by WHS Jones (1923).
22. Ibsen B. Treatment of shock with vasodilators measuring skin temperature on the big toe. Dis Chest 52 4 (1967) 425-428
23. Joly H.R., and Weil M.H. Temperature of the great toe as an indication of the severity of shock. Circulation 39 (1969) 131-138
24. Jones R. Longitudinal data with serial correlation: a state-space approach (1993), Chapman and Hall, London
25. Kaplan L.J., McPartland K., Santora T.A., and Trooskin S.Z. Start with a subjective assessment of skin temperature to identify hypoperfusion in intensive care unit patients. J Trauma 50 4 (2001) 620-628
26. Kassum D.A., and Thomson I.R. Hemodynamic and temperature changes after aortocoronary bypass grafting. Can J Surg 35 1 (1992) 85-90
27. Kholoussy A.M., Sufian S., Pavlides C., and Matsumoto T. Central peripheral temperature gradient: its value and limitations in the management of critically ill surgical patients. Am J Surg 140 5 (1980) 609-612
28. Kirklin J.K., Blackstone E.H., Kirklin J.W., McKay R., Pacifico A.D., and Bargeron L.M. Intracardiac surgery in infants under age 3 months: predictors of post-operative in-hospital death. Am J Cardiol 48 (1981) 507-512
29. Knight R.W., and Opie J.C. The big toe in the recovery room: peripheral warm up patterns in children after open-heart surgery. Can J Surg 24 3 (1981) 239-242
30. Kristof A., and Magder S. Low systemic vascular resistance state in patients undergoing cardiopulmonary bypass. Crit Care Med 27 6 (1999) 1121-1127
31. Kuttila K., and Niinikoski J. Peripheral perfusion after cardiac surgery. Crit Care Med 17 3 (1989) 217-220
32. Lambert H.J., Baylis P.H., and Coulthard M.G. Central-peripheral temperature difference, blood pressure, and arginine vasopressin in preterm neonates undergoing volume expansion. Arch Dis Child 78 1 (1998) F43-F45
33. Ledingham I.M., and Ramsay G. Hypovolaemic shock. Br J Anaesth 58 (1986) 169-189
34. Lewis M., Al-Khalidi A., Townsend J., Coote J., and Bonser R. The effect of hypothermia on human left ventricular contractile function during cardiac surgery. J Am Coll Cardiol 39 1 (2002) 102-108
35. Matthews H.R., Meade J.B., and Evans C.C. Peripheral vasoconstriction after open-heart surgery. Thorax 29 (1974) 338-342
36. McCullagh P., and Nelder J.A. Generalized linear models (1983), Chapman and Hall, London
37. Menon V., Slater J.N., White H.D., Sleeper L.A., Cocke T., and Hochman J.S. Acute myocardial infarction complicated by systemic hypoperfusion without hypotension: report of the SHOCK trial registry. Am J Med 108 5 (2000) 374-380
38. Mikhail J. Resuscitation endpoints in trauma. AACN Clin Iss 10 1 (1999) 10-21
39. Millner R., and Treasure T. Explaining cardiac surgery: patient assessment and care (1995), BMJ Publishing Group, London
40. Moodie D. Measurement of cardiac output by thermodilution in pediatric patients. Pediatr Clin N Am 27 3 (1980) 513-523
41. Murdoch I.A., Qureshi S.A., Mitchell A., and Huggon I.C. Core-peripheral temperature gradient in children: does it reflect clinically important changes in circulatory haemodynamics?. Acta Paediatr 82 (1993) 773-776
42. Paulson D.S. Applied statistical designs for the researcher (2003), Marcel Dekker Inc., New York
43. Polgar S., and Thomas S.A. Introduction to research in the health sciences. 3rd ed. (1995), Churchill Livingstone, Melbourne
44. Rajek A., Lenhardt R., Sessler D.I., Brunner G., Haisjackl M., Kastner J., et al. Efficacy of two methods for reducing postbypass afterdrop. Anesthesiology 92 2 (2000) 447-450
45. Ross B.A., Lord Brock, and Aynsley-Green A. Observations of central and peripheral temperatures in the understanding and management of shock. Br J Surg 56 2 (1969) 877-882
46. Ruiz C.E., Weil M.H., and Carlson R.W. Treatment of circulatory shock with dopamine: studies on survival. JAMA 242 2 (1979) 165-168
47. Ryan C.A., and Soder C.M. Relationship between core-peripheral temperature gradient and central haemodynamics in children after open heart surgery. Crit Care Med 17 7 (1989) 638-640
48. Salenger R., Gammie J.S., and Vander Salm T.J. Postoperative care of cardiac surgical patients. In: Cohn L.H., and Edmunds L.H. (Eds). Cardiac surgery in the adult. 2nd ed. (2003), McGraw-Hill, New York 439-469
49. Schell H., and Puntillo K. Critical care nursing secrets. 2nd ed. (2006), Mosby-Elselvier, St. Louis
50. Seki S., Fujii H., Itano T., Murakami T., Teramoto S., and Sunada T. Regional changes of skin temperature in the leg after open-heart surgery. J Thorac Cardiovasc Surg 68 3 (1974) 411-418
51. Shah M.R., Hasselblad V., Stevenson L.W., Binanay C., O'Connor C.M., Sopko G., et al. Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. JAMA 294 13 (2005) 1664-1670
52. Smith R.E. Circadian variation in human thermoregulatory responses. J Appl Physiol 26 (1969) 554
53. Sommers M.S., Stevenson J.S., and Ivey T.D. Skin Temperature and limb blood flow as predictors of cardiac output. Clin Nurs Res 4 1 (1995) 22-37
54. Tibby S.M., Hatherill M., and Murdoch I.A. Capillary refill and core-peripheral temperature gap as indicators of haemodynamic status in paediatric intensive care patients. Arch Dis Child 77 6 (1999) 516-518
55. Weil M.H. Defining haemodynamic instability. In: Pinsky M.R., and Payen D. (Eds). Functional hemodynamic monitoring (2005), Springer-Verlag, Berlin 10-14
56. Woodrow P. Intensive care nursing: a framework for practice. 2nd ed. (2006), Routledge, London
57. Woods I., Wilkins R.G., Edwards D., Martin P., and Faragher B. Danger of using core-peripheral temperature gradient as a guide to therapy in shock. Crit Care Med 15 5 (1987) 850-852
58. In: Zipes D., Libby P., Bonow R., and Braunwald E. (Eds). Braunwald's heart disease: a textbook of cardiovascular medicine. 7th ed. (2005), Elselvier Saunders, Philadelphia