Conclusion
Our results show that the PFI in normal populations has a highly skewed distribution. The best discriminating value to detect an abnormal peripheral perfusion in critically ill patients equals the median value of normal volunteers but nevertheless can adequately reflect the presence of clinical indicators of poor peripheral perfusion in critically ill patients. Changes in these clinical indicators are reflected by changes in the PFI. Therefore, this easily obtainable and noninvasive method may have a role in monitoring peripheral perfusion in critically ill patients.
Jan Bakker, MD, PhD, Isala Clinics, Department of Intensive Care Weezenlanden, PO Box 10500, 8000 GM Zwolle, The Netherlands. E-mail: acutgen@wxs.nl
Crit Care Med. 2002;30(6) © 2002 Lippincott Williams & Wilkins
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