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Capillary refill time is a quick and cheap way to indicate decreased peripheral perfusion and may indicate cardiovascular or respiratory dysfunction. [5] It has also been used to assess or diagnose diseases of the peripheral circulatory system such as Raynaud's syndrome and hand–arm vibration syndrome. [6]
The test takes about 45 minutes. Results are reported either as the absolute values of the tissue in question (in mmHg) or as a ratio of the tissue in question to the control tissue. The normal oxygen tension in the foot is approximately 60 mmHg, and the normal chest/foot ratio is approximately 0.9. [2]
The ratio of the AC component to the DC component, expressed as a percentage, is known as the (peripheral) perfusion index (Pi) for a pulse, and typically has a range of 0.02% to 20%. [43] An earlier measurement called the pulse oximetry plethysmographic (POP) only measures the "AC" component, and is derived manually from monitor pixels. [41] [44]
Venous oxygen saturation (SvO 2) is the percentage of oxygenated hemoglobin returning to the right side of the heart. It can be measured to see if oxygen delivery meets the tissues' demands. SvO 2 typically varies between 60% and 80%. [9] A lower value indicates that the body is in lack of oxygen, and ischemic diseases occur.
The two branches of the autonomic nervous system work together to increase or slow the heart rate. The vagus nerve acts on the sinoatrial node, slowing its conduction and modulating vagal tone, via the neurotransmitter acetylcholine and downstream changes to ionic currents and calcium of heart cells. [ 4 ]
Integrated pulmonary index (IPI) is a patient pulmonary index which uses information from capnography and pulse oximetry to provide a single value that describes the patient's respiratory status. IPI is used by clinicians to quickly assess the patient's respiratory status to determine the need for additional clinical assessment or intervention.
Prior to heart bypass surgery, the test is performed to assess the suitability of the radial artery to be used as a conduit. A result of less than 3 seconds is considered as good and suitable. A result of between 3–5 seconds is equivocal, whereas the radial artery will not be considered for grafting if the result is longer than 5 seconds. [3]
assess signs of pathology in the peripheral vascular system A peripheral vascular examination is a medical examination to discover signs of pathology in the peripheral vascular system . It is performed as part of a physical examination , or when a patient presents with leg pain suggestive of a cardiovascular pathology.