从新生儿重症监护病房减少婴儿手术内低温
Abbey Studer1, Barbara Fleming2, Roderick C Jones3
1From the Center for Quality and Safety Department, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Ill.
Pediatric quality & safety
|July 12, 2023
概括
在新生儿重症监护室 (NICU) 接受手术的婴儿面临低温的高风险. 标准化升温方案显著降低了新生儿急症室婴儿的手术内低温,改善了手术过程中的患者安全.
科学领域:
- 新生儿手术 新生儿手术
- 儿科重症监护 儿科重症监护
- 患者的安全性 患者安全性
背景情况:
- 在新生儿重症监护室 (NICU) 接受手术的婴儿由于环境因素,麻醉和温度监测不一致而面临低温的风险.
- 在手术期间的低温是一个很大的问题,比手术后的温度波动带来更大的风险.
研究的目的:
- 在IV级NICU接受手术的婴儿中减少25%的手术内低温.
- 改善手术过程中新生儿的温度管理.
主要方法:
- 实施"改善模式"框架.
- 标准化温度监测,运输和操作室 (OR) 升温协议,包括增加环境OR温度.
- 连续,安全和自动化的温度监测,以术后高温症作为平衡指标.
主要成果:
- 在OR到达 (48.7%至6.4%) 和手术期间 (67.5%至37.4%) 显著降低了低温.
- 术后低温症的减少 (5.8%至2.1%) 观察到.
- 经手术后高温症的轻微增加 (0.8%至2.6%) 值得注意.
结论:
- 标准化的温度管理,包括监测和升温,有效地减少手术后新生儿的手术内和术后低温.
- 需要进一步的研究来了解导致低温的危险因素,以防止高温的增加.
- 自动数据收集可以提高温度管理和情境意识.
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