Portable measurement device to quantitatively measure capillary refilling time

被引:0
作者
Masayoshi Shinozaki
Rika Shimizu
Daiki Saito
Taka-aki Nakada
Toshiya Nakaguchi
机构
[1] Chiba University,Department of Medical Engineering, Graduate School of Science and Engineering
[2] Chiba University Graduate School of Medicine,Department of Emergency and Critical Care Medicine
[3] Chiba University,Center for Frontier Medical Engineering
来源
Artificial Life and Robotics | 2022年 / 27卷
关键词
Capillary refilling time; Peripheral circulation; Portable measurement device; Triage;
D O I
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中图分类号
学科分类号
摘要
Capillary refilling time (CRT) is defined as the time taken for the distal capillary bed to regain its color after the capillaries have been blanched through external skin compression. Measuring the CRT is a simple method of evaluating peripheral circulation in the clinic. Typically, the CRT is measured by manually recording the time taken for the skin color to be regained after blanching using a timer. However, this method is observer-dependent, which results in variability and subjectivity. In this study, a portable CRT measurement device was developed for simple quantitative measurement. This device standardizes the operator’s manual compression by measuring the manual compression force using a force sensor and displaying it as well as the duration of the compression on a display unit. The device also measures CRT by recording the change in skin color after fingertip compression using an RGB color sensor. The stability of CRT measurement by this device was compared with that of conventional CRT measurement, which involves manual compression and naked eye observation. These results showed that CRT measurement using this device was more stable than that by the conventional method. The proposed device can potentially improve the reliability of CRT measurement by reducing the variability in the manual compression force and ensuring accurate recording of the time.
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页码:48 / 57
页数:9
相关论文
共 101 条
[1]  
Pickard A(2011)Capillary refill time: is it still a useful clinical sign? Anesth Analg 113 120-123
[2]  
Karlen W(2005)Noninvasive monitoring of peripheral perfusion Intensive Care Med 31 1316-1326
[3]  
Ansermino JM(2014)How to use capillary refill time Arch Dis Child Educ Pract Ed 99 111-116
[4]  
Lima A(2017)Relationship between capillary refill time at triage and abnormal clinical condition: a prospective study Open Nurs J 11 84-90
[5]  
Bakker J(2008)Capillary refill time in adults Emerg Med J 25 325-326
[6]  
King D(2014)Capillary refill time exploration during septic shock Intensive Care Med 40 958-964
[7]  
Morton R(2012)Evolution of peripheral vs metabolic perfusion parameters during septic shock resuscitation. A clinical-physiologic study J Crit Care 27 283-288
[8]  
Bevan C(2017)Capillary refill time during fluid resuscitation in patients with sepsis-related hyperlactatemia at the emergency department is related to mortality PLoS ONE 12 e0188548-210
[9]  
Sansone CM(2019)Narrative review: clinical assessment of peripheral tissue perfusion in septic shock Ann Intensive Care 9 37-28
[10]  
Prendin F(2014)Nitroglycerin reverts clinical manifestations of poor peripheral perfusion in patients with circulatory shock Crit Care 18 R126-548