Capillary refll time for the management of acute circulatory failure: a survey among pediatric and adult intensivists
Dublin Core
Title
Capillary refll time for the management of acute circulatory failure: a survey among pediatric and adult intensivists
Subject
Capillary refll time, Acute circulatory failure, Survey, Peripheral perfusion, Shock
Description
Introduction: Recent studies have shown the prognostic value of capillary refll time (CRT) and suggested that resus‑
citation 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.
Methods: 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.
Results: Among the 6071 physicians who received the letter, 418 (7%) completed the survey. Among all respond‑
ents, 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 confdent in its diagnostic value and
its ability to guide treatment.
Conclusion: 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.
citation 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.
Methods: 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.
Results: Among the 6071 physicians who received the letter, 418 (7%) completed the survey. Among all respond‑
ents, 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 confdent in its diagnostic value and
its ability to guide treatment.
Conclusion: 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.
Creator
Matthias Jacquet‑Lagrèze, Cléo Wiart, Rémi Schweizer, Léa Didier, Martin Ruste, Maxime Coutrot, Matthieu Legrand, Florent Baudin, Etienne Javouhey, François Dépret and Jean‑Luc Fellahi
Publisher
BMC Emergency Medicine
Date
(2022) 22:131
Contributor
Fajar Bagus W
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Matthias Jacquet‑Lagrèze, Cléo Wiart, Rémi Schweizer, Léa Didier, Martin Ruste, Maxime Coutrot, Matthieu Legrand, Florent Baudin, Etienne Javouhey, François Dépret and Jean‑Luc Fellahi, “Capillary refll time for the management of acute circulatory failure: a survey among pediatric and adult intensivists,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/4123.