Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock

Skin temperature changes can be used to assess peripheral perfusion in circulatory shock patients. However, research has been limited to point measurements from acral parts of the body. Infrared thermography allows non-invasive evaluation of temperature distribution over a larger surface. Our study...

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Main Authors: Sigita Kazune, Edgars Vasiljevs, Anastasija Caica-Rinca, Zbignevs Marcinkevics, Andris Grabovskis
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/6/729
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author Sigita Kazune
Edgars Vasiljevs
Anastasija Caica-Rinca
Zbignevs Marcinkevics
Andris Grabovskis
author_facet Sigita Kazune
Edgars Vasiljevs
Anastasija Caica-Rinca
Zbignevs Marcinkevics
Andris Grabovskis
author_sort Sigita Kazune
collection DOAJ
description Skin temperature changes can be used to assess peripheral perfusion in circulatory shock patients. However, research has been limited to point measurements from acral parts of the body. Infrared thermography allows non-invasive evaluation of temperature distribution over a larger surface. Our study aimed to map thermographic patterns in the knee and upper thigh of 81 septic shock patients within 24 h of admission and determine the relationship between skin temperature patterns, mottling, and 28-day mortality. We extracted skin temperature measurements from zones corresponding to mottling scores and used a linear mixed model to analyze the distribution of skin temperature in patients with different mottling scores. Our results showed that the distribution of skin temperature in the anterior thigh and knee is physiologically heterogeneous and has no significant association with mottling or survival at 28 days. However, overall skin temperature of the anterior thigh and knee is significantly lower in non-survivors when modified by mottling score. No differences were found in skin temperature between the survivor and non-survivor groups. Our study shows the potential usefulness of infrared thermography in evaluating skin temperature patterns in resuscitated septic shock patients. Overall skin temperature of the anterior thigh and knee may be an important indicator of survival status when modified by mottling score.
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spelling doaj.art-65a904e968684f9fa3fd8831334a28e22023-11-18T09:21:56ZengMDPI AGBioengineering2306-53542023-06-0110672910.3390/bioengineering10060729Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic ShockSigita Kazune0Edgars Vasiljevs1Anastasija Caica-Rinca2Zbignevs Marcinkevics3Andris Grabovskis4Department of Anesthesiology, Riga Stradins University, LV-1007 Riga, LatviaResidency Development Department, University of Latvia, LV-1004 Riga, LatviaLaboratory of Biophotonics, Institute of Atomic Physics and Spectroscopy, University of Latvia, LV-1004 Riga, LatviaLaboratory of Biophotonics, Institute of Atomic Physics and Spectroscopy, University of Latvia, LV-1004 Riga, LatviaDepartment of Human and Animal Physiology, Faculty of Biology, University of Latvia, LV-1004 Riga, LatviaSkin temperature changes can be used to assess peripheral perfusion in circulatory shock patients. However, research has been limited to point measurements from acral parts of the body. Infrared thermography allows non-invasive evaluation of temperature distribution over a larger surface. Our study aimed to map thermographic patterns in the knee and upper thigh of 81 septic shock patients within 24 h of admission and determine the relationship between skin temperature patterns, mottling, and 28-day mortality. We extracted skin temperature measurements from zones corresponding to mottling scores and used a linear mixed model to analyze the distribution of skin temperature in patients with different mottling scores. Our results showed that the distribution of skin temperature in the anterior thigh and knee is physiologically heterogeneous and has no significant association with mottling or survival at 28 days. However, overall skin temperature of the anterior thigh and knee is significantly lower in non-survivors when modified by mottling score. No differences were found in skin temperature between the survivor and non-survivor groups. Our study shows the potential usefulness of infrared thermography in evaluating skin temperature patterns in resuscitated septic shock patients. Overall skin temperature of the anterior thigh and knee may be an important indicator of survival status when modified by mottling score.https://www.mdpi.com/2306-5354/10/6/729infrared thermographyskin temperaturelower limbperipheral perfusioncirculatory shocksepsis
spellingShingle Sigita Kazune
Edgars Vasiljevs
Anastasija Caica-Rinca
Zbignevs Marcinkevics
Andris Grabovskis
Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock
Bioengineering
infrared thermography
skin temperature
lower limb
peripheral perfusion
circulatory shock
sepsis
title Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock
title_full Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock
title_fullStr Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock
title_full_unstemmed Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock
title_short Infrared Thermography Imaging for Assessment of Peripheral Perfusion in Patients with Septic Shock
title_sort infrared thermography imaging for assessment of peripheral perfusion in patients with septic shock
topic infrared thermography
skin temperature
lower limb
peripheral perfusion
circulatory shock
sepsis
url https://www.mdpi.com/2306-5354/10/6/729
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AT zbignevsmarcinkevics infraredthermographyimagingforassessmentofperipheralperfusioninpatientswithsepticshock
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