[乳房再建と整形外科および四肢再建における赤外線温度測定の適用]
Haohao Jian1, Lan Mu1,2,3,4, Junbo Pan2
1Department of Breast and Thyroid Surgery, Second Affiliated Hospital of Hainan Medical University, Haikou Hainan, 570100, P. R. China.
まとめ
赤外線温度計は,血流をモニタリングすることによって,乳房と四肢の再建を助けます. この非侵襲的なツールは,外科医が決定を下し,合併症を軽減するのに役立ちますが,誤った結果は可能です.
科学分野:
- 整形外科手術についてです.
- リコンストラクティブな外科手術です.
- メディカルイマージング (医学イメージング)
背景:
- 乳房再建と四肢再建は,組織活性の注意深い監視を必要とする複雑な手順です.
- これらの手術で成功するために,血管 perfusion を評価することは非常に重要です.
- 血液供給のモニタリングのための伝統的な方法は,侵入的または限られたリアルタイムデータを提供することができます.
研究 の 目的:
- 乳房と四肢の再建における赤外線温度測定 (IRT) の臨床的有用性を評価する.
- フラップとディスタル四肢の温度,および血管 perfusion をモニタリングする IRT の有効性を評価する.
- 術内および術後の意思決定におけるIRTの役割を決定する.
主な方法:
- 乳房 (n=67) と四肢 (n=30) の再建を施した97人の患者の遡及的分析.
- 赤外線温度計は,手術中および手術後の48時間以内に適用されます.
- フラップと遠端肢の温度,および血管 perfusion のモニタリング.
主要な成果:
- IRTは,2つの陽性症例 (2.1%) を1つの偽陽性で,95の陰性症例 (97.9%) を1つの偽陰性で特定した.
- 乳房再建における局所血管不全の1例は,IRTが最初に見逃した.
- ラティシムス・ドルシのフラップは一時的な低体温を示したが,最終的に生存し,IRTが輸液変化を追跡する能力を実証した.
結論:
- 赤外線サーモグラフィーは,乳房および四肢再建における血液供給を評価するための貴重な非侵襲的な補足ツールです.
- IRTは手術に関する意思決定を助け,手術後の合併症を潜在的に軽減することができます.
- 臨床医は,IRTの結果を解釈する際,偽陽性と偽陰性の可能性に留意する必要があります.
関連する概念動画
01:13Equipments Used to Measure Body Temperature
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
01:14Temperature Measurement Sites
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
01:14Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
01:27Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
01:14Assessing Body Temperature - Axilla
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:19Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...