尽量减少在向的正常热量过程中:比较新型透鼻和表面温度调节装置之间的比较
Shannon Arnold1, Michael Armahizer2, Luis F Torres3
1Program in Trauma, Shock Trauma Neurocritical Care, Department of Neurology, University of Maryland School of Medicine, 22 S. Greene Street, G7K19, Baltimore, MD, 21201, USA.
Neurocritical care
|July 27, 2023
概括
与神经临界护理患者的表面冷却方法相比,一种新型的跨鼻温度调节装置 (tnTMD) 减少了和相关干预措施. 这种冷却方法为机械通风患者的发烧管理提供了一个可行的选择.
科学领域:
- 神经临界护理是指神经临界护理.
- 热调节 热调节 热调节
- 医疗器械技术 医疗器械技术
背景情况:
- 发是神经临床护理中正常热期间常见的不良反应.
- 通过鼻腔和表面冷却之间比较的负担对于患者管理至关重要.
研究的目的:
- 为了比较新型跨鼻温度调节装置 (tnTMD) 和表面温度调节装置 (sTMD) 之间的负担和干预措施.
- 评估tnTMD在机械通风发烧性神经临床护理患者中达到正常热量的疗效.
主要方法:
- 一项病例控制研究比较了10名tnTMD患者和30名sTMD患者.
- 记录了核心体温,评估 (BSAS) 和抗药物使用情况.
- 分析了达到常温的时间和温度负担.
主要成果:
- 在tnTMD和sTMD组之间,在时间到正常热量或温度负担方面没有显著差异.
- 较少的tnTMD患者需要药理学干预 (20%对67%,p=0.01).
- 每位tnTMD患者的发干预次数显著减少 (0对4,p<0.001).
结论:
- 透鼻冷却实现了与表面冷却相似的正常热量时间和温度负担.
- 这种tnTMD方法导致了显著减少和更少的干预.
- 透鼻冷却为神经临床护理中的发烧管理提供了一个可行的替代方案.
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