Scanning laser Doppler is a useful technique to assess foot cutaneous perfusion during femoral artery cannulation 英文参考文献.docVIP

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Scanning laser Doppler is a useful technique to assess foot cutaneous perfusion during femoral artery cannulation 英文参考文献.doc

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Scanning laser Doppler is a useful technique to assess foot cutaneous perfusion during femoral artery cannulation 英文参考文献

Research paper 95 Scanning laser Doppler is a useful technique to assess foot cutaneous perfusion during femoral artery cannulation Nicholas H Boyle, Peter C Roberts*, Bernice Ng*, Haim Berkenstadt*, Angela McLuckie*, Richard J Beale* and Robert C Mason Background: Measurement of cardiac output and extravascular lung water in critically ill patients using femoral artery double-indicator dilution involves femoral artery catheterization. The potential risk of vascular compromise to the limb may be exacerbated in patients receiving vasopressors. The utility of scanning laser Doppler flowmetry to measure changes in pedal perfusion following catheterization was assessed. Addresses: Departments of Surgery and *Intensive Care, New Guy’s House, Guy’s Hospital, London, UK Correspondence: NH Boyle, Department of Surgery, 2nd Floor, New Guy’s House, Guy’s Hospital, St Thomas’ Street, London SE1 9RT, UK. Tel: 44 (0)410 125259; fax: 44 (0)171 955 2426, 44 (0)171 955 3168; email: 113036.1627@ Results: There were no significant changes in mean occlusion pressures or in cutaneous perfusion between either leg or between measurement time points, immediately after or 24h following insertion of the catheters. Keywords: arterial catheterisation, laser Doppler, scanning laser Doppler, intrathoracic blood volume, digital ischaemia Conclusions: Scanning laser Doppler flowmetry is easily used to assess changes in foot perfusion and the effect of interventions that may reduce blood flow to the skin of the foot. Femoral artery catheterization for double-indicator dilution measurements does not reduce calf occlusion pressures or foot skin perfusion in patients receiving vasopressor drugs. Received: 31 March 1999 Revisions requested: 11 June 1999 Revisions received: 28 June 1999 Accepted: 1 July 1999 Published: 27 July 1999 Crit Care 1999, 3:95–100 The original version of this paper is the electronic version which can be seen on the Internet (). The electronic version may contain additio