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🚨Capillary Refill Time⏰ This is the best and most easily available microcirculatory surrogate for perfusion. We can't tell what the renal, gut, brain, and liver perfusion is doing by looking at the patient - but by simply examining the cap refill time we can get a pretty good estimate. 👍Normal: 2 seconds or less I check fingers: press lightly for 10 seconds until blanching then release. Use a glass slide if available. | Cardiophilia
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🚨Capillary Refill Time⏰ This is the best and most easily available mic…
873 viewsOct 14, 2024
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🚨 Septic Shock: Beyond Mean Arterial Pressure (MAP)! 🩸 ​Restoring MAP (greater than or equal to 65 mmHg) and cardiac output with fluids and vasopressors does not always guarantee tissue perfusion in septic shock. There is a dissociation between macrocirculatory parameters and microcirculatory flow, compelling us to analyze the determinants of arterial pressure more deeply to avoid organ dysfunction. ​📊 Tissue Perfusion Pressure (TPP): This is the actual gradient driving tissue blood flow, cal
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