在新生儿时膀温度目标温度管理:一个案例报告
Emanuele Buccione1, Valentina Chiavaroli, Davide Scarponcini Fornaro
1Neonatal Intensive Care Unit (Messrs Buccione and Scarponcini Fornaro and Drs Chiavaroli, Cicioni, and Di Valerio) and Vascular Surgery Unit (Ms Toracchio), Pescara Public Hospital, Pescara, Italy; Liggins Institute, University of Auckland, Auckland, New Zealand (Dr Chiavaroli); and Department of Health Sciences, University of Florence, Florence, Italy (Drs Rasero and Bambi).
概括
膀温度监测是针对婴儿进行向温度管理 (TTM) 的直肠或食道方法的可靠替代方案. 这种不那么侵入性的方法提供了可比的准确性和对患者护理的潜在好处.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
- 热调节 热调节 热调节
背景情况:
- 新生儿脑病变 (NE) 是一种影响新生儿的严重疾病,其特点是神经功能发生改变.
- 有针对性的温度管理 (TTM) 是一种标准的治疗方法,用于减少 NE 中的神经损伤.
- 精确的温度监测在TTM期间至关重要,目前的指导方针建议直肠或食道部位.
研究的目的:
- 评估膀温度监测的可靠性和性能,作为在新生儿TTM期间的不那么侵入性的替代方案.
- 为了比较膀温度测量与传统的直肠温度测量.
主要方法:
- 一个病例报告详细介绍了膀温度监测在心肺停止和缺氧缺血性脑病变诊断后接受TTM的女性新生儿的使用.
- 在TTM期间收集了4642个直肠和4520个膀温度测量结果.
主要成果:
- 膀和直肠温度显示出统计学上显著的一致性 (平均差异为0.064°C ± 0.219).
- 膀和直肠温度之间的差异不受尿液输出的影响.
- 膀温度监测显示出与直肠监测相比的高可靠性.
结论:
- 膀温度监测是新生儿TTM期间温度评估的可靠和潜在的优越方法.
- 使用膀温度传感器可以简化设备需求,提高患者的稳定性,减少治疗中断.
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