Key result
Clinical hemodynamic monitoring using bedside parameters like capillary refill time and skin mottling is a reliable and accessible tool for early diagnosis and management of shock.
Why the study?
Clinical hemodynamic monitoring is essential to diagnose tissue hypoperfusion and guide therapeutics in shock, but performing adequate monitoring with available tools remains a challenge.
Does clinical hemodynamic monitoring improve the diagnosis of tissue hypoperfusion in patients in shock?
Does clinical hemodynamic monitoring improve the diagnosis of tissue hypoperfusion in patients in shock?
Clinical evaluation and physical examination remain essential, reliable, and readily available tools for the early detection and management of tissue hypoperfusion in shock states.
Clinical signs reliably detect hypoperfusion in shock; leaves open need for prospective trials to guide monitoring choices.
The state of shock is a frequent diagnosis in the critical areas, prehospital, emergency, operating room and intensive care unit, clinical hemodynamic monitoring is essential to make the diagnosis of tissue hypoperfusion and its causes, in addition to guiding therapeutics, the challenge It consists of performing adequate monitoring with the tools available in our service, recent studies show that the data found with the clinic have good reliability when compared to other types of monitoring such as invasive and semi-invasive.
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Nieto et al. (2020) conducted a review in Shock and tissue hypoperfusion. Clinical hemodynamic monitoring was evaluated. Clinical hemodynamic monitoring using bedside parameters like capillary refill time and skin mottling is a reliable and accessible tool for early diagnosis and management of shock.
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