Relationship between clinical evaluation of peripheral perfusion and global hemodynamics in adults after cardiac surgery.
The relationship between clinical indicators of peripheral perfusion and global hemodynamics after cardiac surgery was examined in 40 adults. We found no significant relationship between capillary refill, pedal pulses, or extremity (toe or finger) core temperature gradients and cardiac index (CI) or systemic vascular resistance index immediately after surgery on the day of operation. However, on the first postoperative day we did observe a crude (r = -.60) correlation between CI and toe-core temperature gradient.
Bailey
J M
JM
Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA.
Levy
J H
JH
Kopel
M A
MA
Tobia
V
V
Grabenkort
W R
WR
D000328:Adult; D001831:Body Temperature; D002200:Capillary Resistance; D002302:Cardiac Output; D002407:Catheterization, Swan-Ganz; D001026:Coronary Artery Bypass; D005069:Evaluation Studies as Topic; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods / Q000592:standards*; D010173:Palpation; D010808:Physical Examination / Q000592:standards*; D011182:Postoperative Care; D011237:Predictive Value of Tests; D011674:Pulse; D014034:Toes / Q000098:blood supply*; D014655:Vascular Resistance