98%
921
2 minutes
20
Objective: The capillary refill test (CR test) is often used in emergency care, and the capillary refill time (CR time) is used to assess a patient's circulatory condition. The objective of this study was to investigate if repeated CR tests affect CR time.
Methods: Thirteen healthy volunteers had repeated CR tests performed on the sternum, forehead, and fingers. The tests were filmed using polarized reflectance spectroscopy and dedicated software for objective quantification of the CR time.
Results: There were no statistical differences between the first CR test in a series and the following. However, there were statistically significant differences in CR time between the different anatomical sites.
Conclusion: Repeated CR tests, separated by a minimum of 2 min, do not affect CR time in healthy volunteers. The site where the test is performed is of importance for CR time.
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http://dx.doi.org/10.1002/jbio.202400098 | DOI Listing |
Ann Plast Surg
September 2025
From the Department of Plastic Surgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Background: Early detection of vascular compromise is pivotal for successful microvascular flap reconstruction, as tissue necrosis can begin within 6 to 8 hours of circulatory impairment. Although conventional monitoring relies on subjective clinical assessment of color, temperature, and capillary refill-methods with inherent observer variability and diminished utility in patients with darker skin tones-emerging technologies offer potential for more objective evaluation. This study compared the efficacy of infrared thermography (IRT), a noninvasive modality that quantifies perfusion through precise temperature mapping, with traditional clinical methods for postoperative flap monitoring.
View Article and Find Full Text PDFCureus
July 2025
Urology, Hospital Angeles Metropolitano, Mexico City, MEX.
Penile strangulation is a rare urological emergency that can lead to severe complications such as ischemia, necrosis, and urethral injury. We present a case of a 76-year-old man who presented to the emergency department with severe penile pain and swelling after applying five metallic rings to enhance erection during sexual intercourse. The patient had a history of erectile dysfunction and had been using phosphodiesterase inhibitors with a moderate response.
View Article and Find Full Text PDFCrit Care Med
August 2025
Service de Médecine Intensive-Réanimation, Centre Hospitalier Universitaire d'Orléans, Orléans, France.
Objectives: To assess the reliability of conventional automated oscillometric upper arm cuff (cuffARM): 1) when finger cuff monitoring (cuffFINGER) of arterial pressure (AP) is suspected to be unreliable due to poor fingertip perfusion and/or hand edema or 2) fails to provide a reading.
Design: Prospective observational study based on cohorts evaluating the CNAP (Dräger Medical) and ClearSight (Edwards Lifesciences) systems.
Setting: Three ICUs.
J Clin Nurs
August 2025
School of Nursing, Curtin University, Bentley, Western Australia, Australia.
Background: Signs of clinical deterioration may appear differently in children with dark-coloured skin. How to assess children in this cohort is currently poorly defined.
Aim: To explore available information on the assessment of clinical deterioration in children with dark-coloured skin and identify research deficits.
Int J Surg Case Rep
September 2025
Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, West Java, Indonesia.
Introduction And Importance: Giant cell tumors (GCTs) of the hand are rare and typically present as painful, locally expanding masses. Bone grafting is commonly used after tumor removal to fill defects and restore structural integrity. This case highlights the management of a suspected GCT in a child using curettage, bone grafting, and biopsy.
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