1. Pilot study on optimizing pressure for standardized capillary refill time measurement
- Author
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Zi-Yu Ma, Shen Sun, Shui-Cai Wu, Lan Lin, Yi-Xiong Chen, Dong Zhao, and Stephen P. Morgan
- Subjects
Capillary refill time ,Sepsis ,Septic shock ,Microcirculation ,Pressure ,Science (General) ,Q1-390 ,Social sciences (General) ,H1-99 - Abstract
Purpose: Capillary Refill Time (CRT) measurement has gained increasing attention in the field of sepsis and septic shock. Recognizing pressure as a fundamental determinant in CRT measurement is crucial for establishing a standardized CRT measurement procedure. In this preliminary study, we elucidated the optimal pressing strength for CRT measurement by analyzing the CRTs measured under varying pressures. Method: Seventeen healthy individuals were enlisted to undergo CRT tests on their fingertips at various pressure levels. The applied force was initiated at 0.5N and incrementally increased by 0.5N until it reached 10.5N. An integrated Photoplethysmography (PPG) device was employed to capture fluctuations in light intensity. The CRT was automatically derived from the PPG signals via a specialized algorithm. The study included correlation assessment and reliability evaluation. Box plot and Bland-Altman plot were used to visualize the impact of pressure levels on CRTs. Results: A dataset of 1414 CRTs across 21 pressures showed significant differences (Kruskal-Wallis test, p
- Published
- 2024
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