对于外周循环衰竭诊断的毛细血管补充时间的切断值
Masayoshi Shinozaki1, Taka-Aki Nakada2, Daiki Saito2
1Department of Medical Engineering, Graduate School of Science and Engineering, Chiba University, Chiba, Japan.
Prehospital and disaster medicine
|June 5, 2023
概括
使用便携式设备测量毛细血管补充时间 (CRT) 可以客观地评估外周循环. 对于外周循环衰竭,确定了2.88秒的截止值,验证了以前的败血症管理指南.
科学领域:
- 生物医学工程 生物医学工程
- 临床诊断 临床诊断 临床诊断
- 生理学 生理学 生理学
背景情况:
- 毛细血管补充时间 (CRT) 是外周循环的关键指标.
- 目前的败血症管理指南 (2021) 建议CRT评估.
- 为了准确的临床评估,需要客观的CRT测量.
研究的目的:
- 开发一款用于客观CRT测量的便携式设备.
- 为了确定外周循环衰竭的切断值.
- 为了在不同的血管封闭条件下比较CRT.
主要方法:
- 开发了一种用于CRT测量的便携式设备.
- 在14名健康成年人身上使用了动脉封闭试验 (AOT) 和静脉封闭试验 (VOT).
- 与没有血管封闭 (No OT) 的CRT测量结果进行比较.
主要成果:
- 与没有OT相比,在AOT期间CRT显著延长.
- 在VOT期间没有观察到CRT的显著差异.
- 接收器运行特征 (ROC) 分析使用AOT.发现了2.88秒的切断值,用于外周循环衰竭.
结论:
- 便携式设备使客观的CRT评估成为可能.
- 2.88秒的验证截止值与以前在败血症中异常CRT (>3秒) 的发现一致.
- 这项研究支持在诊断外周循环衰竭时使用客观的CRT测量.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
395
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
395
Cardiovascular System Abnormal Findings I: Inspection and Palpation
452
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
452
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
19
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
19
Assessment of Diffusion and Perfusion
1.0K
Understanding and evaluating diffusion and perfusion is critical in assessing a patient's respiratory and circulatory health. These processes play key roles in maintaining the body's internal environment, ensuring that tissues receive adequate oxygen while waste products are efficiently removed.
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...
1.0K
Assessment of radial pulse
889
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
889
Pulse
598
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical...
The pulse serves as a clinical...
598


