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Capillary refill time response to a fluid challenge or a vasopressor test: an observational, proof-of-concept study.

Glenn HernandezEmilio Daniel ValenzuelaEduardo KattanRicardo CastroCamila GuzmánAlicia Elzo KraemerNicolás SarzosaLeyla AlegríaRoberto ContrerasVanessa OviedoSebastián BravoDagoberto SotoClaudia SáezHafid Ait-OufellaGustavo Ospina-TascónJan Bakker
Published in: Annals of intensive care (2024)
Our findings support that fluid boluses may improve CRT or produce neutral effects in fluid-responsive septic shock patients with persistent hypoperfusion. Conversely, raising NE doses to target a higher MAP in previously hypertensive patients elicits a more heterogeneous response, improving CRT in the majority, but deteriorating skin perfusion in some patients, a fact that deserves further research.
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