Ridling Debra A, Kroon Leah
ICU, Children's Hospital and Regional Medical Center, Seattle, WA, USA.
Pediatr Nurs. 2009 Jan-Feb;35(1):11-5, 42.
Evaluation of peripheral perfusion is a standard practice in pediatric intensive care units (PICUs), which includes the qualitative assessment of foot warmth. The perfusion indicator, derived from the pulse oximetry signal, is available, along with some bedside monitors.
To describe the correlation between RN qualitative assessment of foot warmth, measured foot temperature, and perfusion indicator.
Simultaneous measurements of qualitative foot warmth, measured foot temperature, and perfusion indicator value were obtained on 39 critically ill children ages newborn to 18 years, at least every 2 hours for 48 hours, with 859 measurements completed.
There was a positive correlation between all three parameters (p = < 0.0001); however, there was a large amount of variability within groups.
Qualitative assessment of foot warmth and peripheral perfusion indicator may be helpful in assessing the perfusion in critically ill pediatric patients, but neither is predictably specific as compared to measured foot temperature.
评估外周灌注是儿科重症监护病房（PICU）的一项标准操作，其中包括对足部温暖度的定性评估。一些床边监护仪可提供源自脉搏血氧饱和度信号的灌注指标。
描述护士对足部温暖度的定性评估、测量的足部温度与灌注指标之间的相关性。
对39名年龄从新生儿到18岁的危重症患儿同时进行足部温暖度定性评估、测量足部温度及获取灌注指标值，在48小时内至少每2小时进行一次，共完成859次测量。
所有三个参数之间均呈正相关（p = < 0.0001）；然而，各组内存在大量变异性。
足部温暖度的定性评估和外周灌注指标可能有助于评估危重症儿科患者的灌注情况，但与测量的足部温度相比，两者都没有可预测的特异性。
