Finger sensor may save skin in elderly ICU patients

This study tests whether using a device that measures blood flow in the finger (called the Peripheral Perfusion Index, or PPI) to guide fluid treatment can prevent acute skin failure in elderly patients in the intensive care unit (ICU). About 216 patients aged 65 and older with sepsis or shock will be randomly assigned to receive either standard fluid therapy or PPI-guided therapy. The goal is to see if the PPI approach reduces the number of patients who develop severe skin damage within the first week in the ICU.