Monitoring peripheral perfusion in critically ill patients at the bedside

Current Opinion in Critical Care

Volumn 18, Issue 3, 2012, Pages 273-279

  Van Genderen, Michel E ^a   Van Bommel, Jasper ^a   Lima, Alexandre ^a  

^a ERASMUS MEDICAL CENTER   (Netherlands)

Author keywords

critically ill; microcirculation; organ failure; peripheral perfusion

Indexed keywords

ADRENERGIC SYSTEM; BODY TEMPERATURE; CAPILLARY REFILL TIME; CENTRAL TO TOE; CLINICAL ASSESSMENT; CLINICAL ASSESSMENT TOOL; CRITICALLY ILL PATIENT; FOREARM TO FINGER; HEMODYNAMIC PARAMETERS; HEMODYNAMICS; HUMAN; MOTTLE SCORE; NEAR INFRARED SPECTROSCOPY; PATIENT MONITORING; PERIPHERAL CIRCULATION; PERIPHERAL PERFUSION INDEX; POINT OF CARE TESTING; RESUSCITATION; REVIEW; SKIN TEMPERATURE; CRITICAL ILLNESS; MICROCIRCULATION; PHYSIOLOGIC MONITORING; PHYSIOLOGY; PROCEDURES; REPERFUSION;

BODY TEMPERATURE; CRITICAL ILLNESS; HEMODYNAMICS; HUMANS; MICROCIRCULATION; MONITORING, PHYSIOLOGIC; REPERFUSION;

EID: 84861227437     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e3283533924     Document Type: Review

References (45)

1. Weil MH, Shubin H. Proposed reclassification of shock states with special reference to distributive defects. Adv Exp Med Biol 1971; 23: 13-23.
2. Lima A, Bakker J. Noninvasive monitoring of peripheral perfusion. Intensive Care Med 2005; 31:1316-1326.
3. Poeze M, Solberg BC, Greve JW, Ramsay G. Monitoring global volumerelated hemodynamic or regional variables after initial resuscitation: what is a better predictor of outcome in critically ill septic patients? Crit Care Med 2005; 33:2494-2500.
4. Bonanno FG. Clinical pathology of the shock syndromes. J Emerg Trauma Shock 2011; 4:233-243.
5. Lima A, Jansen TC, Van Bommel J, et al. The prognostic value of the subjective assessment of peripheral perfusion in critically ill patients. Crit Care Med 2009; 37:934-938.
6. Lima A, Van Bommel J, Jansen TC, et al. Low tissue oxygen saturation at the end of early goal-directed therapy is associated with worse outcome in critically ill patients. Crit Care 2009; 13 (Suppl 5):S13.
7. Lima AP, Beelen P, Bakker J. Use of a peripheral perfusion index derived from the pulse oximetry signal as a noninvasive indicator of perfusion. Crit Care Med 2002; 30:1210-1213.
8. Champion HR, Sacco WJ, Carnazzo AJ, et al. Trauma score. Crit Care Med 1981; 9:672-676.
9. Bohnhorst B, Lange M, Bartels DB, et al. Procalcitonin and valuable clinical symptoms in the early detection of neonatal late-onset bacterial infection. Acta Paediatr 2012; 101:19-25.
10. Van den Bruel A, Haj-Hassan T, Thompson M, et al. Diagnostic value of clinical features at presentation to identify serious infection in children in developed countries: a systematic review. Lancet 2010; 375:834-845.
11. Pickard A, Karlen W, Ansermino JM. Capillary refill time: is it still a useful clinical sign? Anesth Analg 2011; 113:120-123.
12. Schriger DL, Baraff L. Defining normal capillary refill: variation with age, sex, and temperature. Ann Emerg Med 1988; 17:932-935.
13. Lima A, Van Bommel J, Sikorska K, et al. The relation of near-infrared spectroscopy with changes in peripheral circulation in critically ill patients. Crit Care Med 2011; 39:1649-1654.
14. Lima A, Van Genderen M, Boerstra T, et al. Is bedside clinical examination of capillary refill time reproducible in critically ill patients between different observers? A inter-rater variability study [abstract]. Intensive Care Med 2011; 37 (Suppl 1):215.
15. De Backer D, Dubois MJ. Assessment of the microcirculatory flow in patients in the intensive care unit. Curr Opin Crit Care 2001; 7:200-203.
16. Pearson J, Low DA, Stohr E, et al. Hemodynamic responses to heat stress in the resting and exercising human leg: insight into the effect of temperature on skeletal muscle blood flow. Am J Physiol Regul Integr Comp Physiol 2011; 300:R663-R673.
17. Carrillo AE, Cheung SS, Flouris AD. A novel model to predict cutaneous finger blood flow via finger and rectal temperatures. Microcirculation 2011; 18:670-676.
18. Ait-Oufella H, Lemoinne S, Boelle PY, et al. Mottling score predicts survival in septic shock. Intensive Care Med 2011; 37:801-807.
19. Joly HR, Weil MH. Temperature of the great toe as an indication of the severity of shock. Circulation 1969; 39:131-138.
20. Akata T, Kanna T, Yoshino J, et al. Reliability of fingertip skin-surface temperature and its related thermal measures as indices of peripheral perfusion in the clinical setting of the operating theatre. Anaesth Intensive Care 2004; 32:519-529.
21. Rubinstein EH, Sessler DI. Skin-surface temperature gradients correlate with fingertip blood flow in humans. Anesthesiology 1990; 73:541-545.
22. Curley FJ, Smyrnios NA. Routine monitoring of critically ill patients. In: Irwin RS, Cerra FB, Rippe JM, editors. Intensive care medicine. Lippincott Williams & Wilkins; 2003. pp. 250-270.
23. House JR, Tipton MJ. Using skin temperature gradients or skin heat flux measurements to determine thresholds of vasoconstriction and vasodilatation. Eur J Appl Physiol 2002; 88:141-145.
24. Sessler DI. Skin-temperature gradients are a validated measure of fingertip perfusion. Eur J Appl Physiol 2003; 89:401-402.
25. Sakr Y. Techniques to assess tissue oxygenation in the clinical setting. Transfus Apher Sci 2010; 43:79-94.
26. Galvin EM, Niehof S, Verbrugge SJ, et al. Peripheral flow index is a reliable and early indicator of regional block success. Anesth Analg 2006; 103:239- 243; table.
27. Takeyama M, Matsunaga A, Kakihana Y, et al. Impact of skin incision on the pleth variability index. J Clin Monit Comput 2011; 25:215-221.
28. Mowafi HA, Ismail SA, Shafi MA, Al-Ghamdi AA. The efficacy of perfusion index as an indicator for intravascular injection of epinephrine-containing epidural test dose in propofol-anesthetized adults. Anesth Analg 2009; 108:549-553.
29. Biais M, Cottenceau V, Petit L, et al. Impact of norepinephrine on the relationship between pleth variability index and pulse pressure variations in ICU adult patients. Crit Care 2011; 15:R168.
30. Lima A, Van Genderen M, Klijn E, et al. Perfusion index as a predictor for central hypovolemia in humans. Crit Care 2011; 15 (Suppl 1):69; Ref Type: Abstract.
31. Lima A, VanGenderen ME, Klijn E, et al. Peripheral vasoconstriction influences thenar oxygen saturation as measured by near-infrared spectroscopy. Intensive Care Med 2012; 38:606-611.
32. Doerschug KC, Delsing AS, Schmidt GA, Haynes WG. Impairments in microvascular reactivity are related to organ failure in human sepsis. Am J Physiol Heart Circ Physiol 2007; 293:H1065-H1071.
33. Gomez H, Torres A, Polanco P, et al. Use of noninvasive NIRS during a vascular occlusion test to assess dynamic tissue O(2) saturation response. Intensive Care Med 2008; 34:1600-1607.
34. Skarda DE, Mulier KE, Myers DE, et al. Dynamic near-infrared spectroscopy measurements in patients with severe sepsis. Shock 2007; 27:348-353.
35. De Blasi RA, Palmisani S, Alampi D, et al. Microvascular dysfunction and skeletal muscle oxygenation assessed by phase-modulation near-infrared spectroscopy in patients with septic shock. Intensive Care Med 2005; 31:1661-1668.
36. Shapiro NI, Arnold R, Sherwin R, et al. The association of near-infrared spectroscopy-derived tissue oxygenation measurements with sepsis syndromes, organ dysfunction and mortality in emergency department patients with sepsis. Crit Care 2011; 15:R223.
37. Mayeur C, Campard S, Richard C, Teboul JL. Comparison of four different vascular occlusion tests for assessing reactive hyperemia using near-infrared spectroscopy. Crit Care Med 2011; 39:695-701.
38. Damoisel C, Payen D. Vascular occlusion tests: do we need another definition? Crit Care Med 2011; 39:2587-2588.
39. Colin G, Nardi O, Polito A, et al. Masseter tissue oxygen saturation predicts normal central venous oxygen saturation during early goal-directed therapy and predicts mortality in patients with severe sepsis. Crit Care Med 2012; 40:665-666.
40. Van Genderen ME, Lima A, Akkerhuis M, et al. Persistent peripheral and microvascular perfusion alterations after out-of-hospital arrest are associated with poor survival. Crit Care Med (in press
41. Boerma EC, Kuiper MA, Kingma WP, et al. Disparity between skin perfusion and sublingual microcirculatory alterations in severe sepsis and septic shock: a prospective observational study. Intensive Care Med 2008; 34:1294-1298.
42. Convertino VA, Ludwig DA, Cooke WH. Stroke volume and sympathetic responses to lower-body negative pressure reveal new insight into circulatory shock in humans. Auton Neurosci 2004; 111:127-134.
43. Cooke WH, Convertino VA. Association between vasovagal hypotension and low sympathetic neural activity during presyncope. Clin Auton Res 2002; 12:483-486.
44. Boerma EC, Koopmans M, Konijn A, et al. Effects of nitroglycerin on sublingual microcirculatory blood flow in patients with severe sepsis/septic shock after a strict resuscitation protocol: a double-blind randomized placebo controlled trial. Crit Care Med 2010; 38:93-100.
45. Futier E, Christophe S, Robin E, et al. Use of near-infrared spectroscopy during a vascular occlusion test to assess the microcirculatory response during fluid challenge. Crit Care 2011; 15:R214.