Capillary refill time for the management of acute circulatory failure: a survey among pediatric and adult intensivists.
Acute circulatory failure
Capillary refill time
Peripheral perfusion
Shock
Survey
Journal
BMC emergency medicine
ISSN: 1471-227X
Titre abrégé: BMC Emerg Med
Pays: England
ID NLM: 100968543
Informations de publication
Date de publication:
18 07 2022
18 07 2022
Historique:
received:
03
02
2022
accepted:
06
06
2022
entrez:
19
7
2022
pubmed:
20
7
2022
medline:
22
7
2022
Statut:
epublish
Résumé
Recent studies have shown the prognostic value of capillary refill time (CRT) and suggested that resuscitation management guided by CRT may reduce morbidity and mortality in patients with septic shock. However, little is known about the current use of CRT in routine clinical practice. This study aimed to assess the modalities of CRT use among French adult and pediatric intensivists. A cross-sectional survey exploring CRT practices in acute circulatory failure was performed. The targeted population was French adult and pediatric intensivists (SFAR and GFRUP networks). An individual invitation letter including a survey of 32 questions was emailed twice. Descriptive and analytical statistics were performed. Among the 6071 physicians who received the letter, 418 (7%) completed the survey. Among all respondents, 82% reported using CRT in routine clinical practice, mainly to diagnose acute circulatory failure, but 45% did not think CRT had any prognostic value. Perfusion goal-directed therapy based on CRT was viewed as likely to improve patient outcome by 37% of respondents. The measurement of CRT was not standardized as the use of a chronometer was rare (3%) and the average of multiple measurements rarely performed (46%). Compared to adult intensivists, pediatric intensivists used CRT more frequently (99% versus 76%) and were more confident in its diagnostic value and its ability to guide treatment. CRT measurement is widely used by intensivists in patients with acute circulatory failure but most often in a non-standardized way. This may lead to a misunderstanding of CRT reliability and clinical usefulness.
Identifiants
pubmed: 35850662
doi: 10.1186/s12873-022-00681-x
pii: 10.1186/s12873-022-00681-x
pmc: PMC9290243
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
131Informations de copyright
© 2022. The Author(s).
Références
Am J Respir Crit Care Med. 2015 Feb 15;191(4):477-80
pubmed: 25679107
Curr Opin Crit Care. 2012 Jun;18(3):280-6
pubmed: 22473257
PLoS One. 2015 Sep 16;10(9):e0138155
pubmed: 26375953
Am J Respir Crit Care Med. 2020 Feb 15;201(4):423-429
pubmed: 31574228
Ann Intensive Care. 2020 Nov 2;10(1):150
pubmed: 33140173
JAMA. 2019 Feb 19;321(7):654-664
pubmed: 30772908
Trials. 2016 Aug 02;17:384
pubmed: 27484695
Intensive Care Med. 2021 Nov;47(11):1181-1247
pubmed: 34599691
Crit Care Med. 2012 Aug;40(8):2287-94
pubmed: 22809904
Am J Respir Crit Care Med. 2002 Jul 1;166(1):98-104
pubmed: 12091178
Ann Intensive Care. 2020 Apr 22;10(1):47
pubmed: 32323060
Crit Care Med. 2009 Mar;37(3):934-8
pubmed: 19237899
Eur J Anaesthesiol. 2022 Apr 1;39(4):333-341
pubmed: 34610607
N Engl J Med. 2011 Jun 30;364(26):2483-95
pubmed: 21615299
Intensive Care Med. 2020 May;46(5):854-887
pubmed: 32222812
J Opioid Manag. 2017 Jan/Feb;13(1):17-25
pubmed: 28345743
Ann Transl Med. 2020 Jun;8(12):800
pubmed: 32647725
Intensive Care Med. 2019 Feb;45(2):190-200
pubmed: 30706120
Crit Care Res Pract. 2012;2012:536852
pubmed: 22570774
PLoS One. 2017 Nov 27;12(11):e0188548
pubmed: 29176794
Crit Care. 2014 Jun 03;18(3):R114
pubmed: 24894892
Crit Care. 2019 Aug 16;23(1):281
pubmed: 31420052
Crit Care Med. 2011 Jul;39(7):1649-54
pubmed: 21685739
Pediatr Crit Care Med. 2020 Feb;21(2):e52-e106
pubmed: 32032273
Arch Pediatr. 2022 May;29(4):326-329
pubmed: 35351342
Crit Care. 2015;19 Suppl 3:S8
pubmed: 26729241
Intensive Care Med. 2014 Jul;40(7):958-64
pubmed: 24811942
BMC Anesthesiol. 2019 Jun 15;19(1):108
pubmed: 31202272