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Trauma
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Paediatric capillary refill times

Kirsten Bumke

Fellow in Paediatric Intensive Care Unit, The Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK;

Ian Maconochie

Consultant in Paediatric Emergency Medicine, St Mary’s Hospital, London W2 1NY, UK., i.maconochie{at}ic.ac.uk

Capillary refill time (CRT) has become universally used in paediatrics; it however has a number of limitations to its use as a marker of peripheral perfusion. These limitations include the effects of ambient temperature, environmental lighting conditions as well as different values being recorded at different sites of assessment; these have all been shown to have a bearing on its value. In older patients its range varies from 2 seconds to 4 seconds. All these variations have led to the removal of CRT from the trauma score. This paper reviews the influences on paediatric CRT. CRT does have a role as one of the physiological assessments of peripheral perfusion in combination with other markers such as heart rate, respiratory rate and level of consciousness.

Key Words: capillary refill time • peripheral perfusion • trauma score

Trauma, Vol. 3, No. 4, 217-220 (2001)
DOI: 10.1177/146040860100300404
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