Core to Skin Temperature Gradient in Septic Shock Patients and its Impact on Mortality: A Review

Authors

  • Pradeep kumar Yadav
  • Rajiv Ratan Singh
  • Mousami Singh
  • Sachin Kumar Tripathi
  • Anoop Kumar Verma

DOI:

https://doi.org/10.37506/ijfmt.v17i4.19948

Keywords:

Sepsis, Septic Shock, Mortality, ICU, Core temperature, Skin temperature, Thermography

Abstract

Sepsis is a life-threatening organ dysfunction resulting from a dysregulated host response to infection, consistent
with the Sepsis-5 consensus definition. Septic shock should be defined as a subtype of sepsis in which particularly
severe circulatory, cellular, and metabolic abnormalities are associated with a higher mortality risk than sepsis
alone. Infection-induced release of bacterial toxins, inflammatory mediators, cytokines, and vasoactive substances
increases capillary permeability and leads to extensive plasma leakage, resulting in insufficient effective circulating
blood volume and microcirculatory dysfunction., can cause electrolyte imbalances, acidosis, and other changes in
the internal environment. Septic shock is associated with alterations in peripheral blood flow, and core-to-skin
temperature gradients depend on cutaneous blood flow and microcirculatory function. Infrared thermography is
a non-invasive technique that uses an infrared camera to record the infrared radiation emitted by the body, from
which temperature is derived. We, therefore, hypothesized that high core-to-skin temperature gradients correlate
with septic shock and mortality.

Author Biographies

  • Pradeep kumar Yadav

    Assistant Professor, Department of Forensic Medicine and Toxicology, Dr. Ram Manohar Lohia Institute
    Lucknow

  • Rajiv Ratan Singh

    Professor (Jr), Department of Emergency Medicine, Dr. RML Institute of Medical Sciences
    Lucknow, India, Lucknow, India

  • Mousami Singh

    Professor (Jr), Department of Forensic Medicine & Toxicology, KingGeorge’s Medical University, Lucknow, Uttar Pradesh

  • Sachin Kumar Tripathi

    Scientific Assistant, Toxicology Department of Forensic Medicine & Toxicology, King George’s Medical University, Lucknow, Uttar Pradesh,

  • Anoop Kumar Verma

    Professor & HOD, Department of Forensic Medicine and Toxicology, King George’s Medical University, Lucknow,Uttar Pradesh.

Downloads

Published

2023-10-16

How to Cite

Core to Skin Temperature Gradient in Septic Shock Patients and its Impact on Mortality: A Review. (2023). Indian Journal of Forensic Medicine & Toxicology, 17(4), 92-98. https://doi.org/10.37506/ijfmt.v17i4.19948