Staging of Skin Mottling


Mottling is less sensitive, but more specific for hypoperfusion and elevated mortality (figure below).  Mottling suggests active endogenous vasoconstriction, implying that the patient would benefit from an increase in cardiac output (e.g. an inotroph) – not additional exogenous vasoconstrictors.


Source: https://www.sciencedirect.com/science/article/abs/pii/S0168827814007417


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