Sepsis & infection

Pupillary dilation velocity is reduced in intensive care unit patients with septic shock

Acta Anaesthesiol ScandPublished Prospective observational cohort study

Main finding · PLRdil.vel.Result — go to the resultDifference −0.3 mm/s 95% CI −0.4 to −0.2

Authors' conclusion

Septic shock may be associated with changes in sympathetic autonomic tone which is supported by the findings from this study that septic shock was associated with a slower dilation velocity in the pupillary light reflex.

Study context

Population
Adults acutely admitted to a mixed intensive care unit (ICU)
Participants
91 participants
Exposure
Septic shock vs no septic shock
  • Septic shockn = 35
Outcome
Dilation velocity of the pupillary light response (PLRdil.vel.), measured with a portable pupillometer twice daily
Methodological detailssingle-centre
  • Single-centre

Main finding

PLRdil.vel.

Difference

−0.3 mm/s

95% CI −0.4 to −0.2

Septic shock vs No septic shock
difference −0.3 mm/s (95% CI −0.4 to −0.2)

As reported in the abstract

Observational data: associations, not effects.

Original publication

Pupillary dilation velocity is reduced in intensive care unit patients with septic shock. Acta Anaesthesiol Scand. Published 18 September 2023. doi:10.1111/aas.14327

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