| Measurement of toe temperature for assessing the severity of acute circulatory failure. | |
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MedLine Citation:
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PMID: 451819 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The temperature gradient between the ventral surface of the first toe and the ambient temperature was measured and compared with established hemodynamic measurements in 71 critically ill patients. Thirty-two patients had acute myocardial infarctions, 21 patients had primary bacteremia and 18 patients had primary hypovolemia which followed acute blood loss. The temperature gradient served as a more predictable indicator of survival or fatality than either arterial pressure or cardiac index in each group of patients. Patients who improved after treatment and survived had increases in the toe minus ambient temperature gradient to more than 4 degrees C., whereas a gradient of less than 3 degrees over an interval of 12 hours was typically observed in patients who subsequently died. These observations indicate that the toe minus ambient temperature gradient provides a valuable, inexpensive and noninvasive monitor of tissue perfusion in critically ill patients. |
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Authors:
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R J Henning; F Wiener; S Valdes; M H Weil |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Surgery, gynecology & obstetrics Volume: 149 ISSN: 0039-6087 ISO Abbreviation: Surg Gynecol Obstet Publication Date: 1979 Jul |
Date Detail:
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Created Date: 1979-08-29 Completed Date: 1979-08-29 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0101370 Medline TA: Surg Gynecol Obstet Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1-7 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Blood Pressure Body Temperature* Cardiac Output Humans Lactates / blood Myocardial Infarction / blood, complications, physiopathology Sepsis / blood, complications, physiopathology Shock / blood, diagnosis*, etiology, physiopathology Shock, Hemorrhagic / blood, physiopathology Toes* / physiopathology |
| Chemical | |
Reg. No./Substance:
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0/Lactates |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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