在新型连续腹内压力测量系统 (TraumaGuard) 的体外验证
Salar Tayebi1, Robert Wise2,3,4, Ashkan Zarghami1
1Department of Electronics and Informatics, Vrije Universiteit Brussel, 1050 Brussels, Belgium.
Journal of clinical medicine
|October 14, 2023
概括
这项研究验证了TraumaGuard设备的持续腹内压力 (IAP) 监测与黄金标准相比. 创伤护理显示高精度,可以与黄金标准互换使用,即使有空膀.
科学领域:
- 关键护理医学 关键护理医学
- 手术技术 手术技术
- 医疗器械验证 医疗器械验证
背景情况:
- 持续的腹内压力 (CIAP) 监测对于重症患者至关重要,因为腹内高血压的患病率很高.
- 现有的CIAP监控技术具有不同程度的准确性和可靠性.
- 验证像TraumaGuard这样的新设备对于改善患者护理至关重要.
研究的目的:
- 为了在体外环境中验证TraumaGuard CIAP监测设备与黄金标准 (水柱) 相比.
- 为了比较分析不同的CIAP测量技术 (胃内和血管内).
- 为CIAP设备选择提供技术和临床指南.
主要方法:
- 在体外验证五种CIAP设备 (CiMON,Spiegelberg,Serenno,TraumaGuard,Accuryn) 与水柱黄金标准相比.
- 评估温度和膀填充体积对静脉器械的影响.
- 在48小时的连续监测中,对准度,精度,偏差,相关性,一致性和错误网格分析的分析.
主要成果:
- 创伤护理器是唯一一个在空虚的人工膀上运行的设备.
- 静脉内科器件通常显示出更可靠的测量结果;TraumaGuard,Accuryn和Serenno显示出更高的准确性.
- 塞伦诺和TraumaGuard表现出最好的相关性和一致性 (R2=0.98,99.5%一致性),偏差最小,错误治疗风险低.
结论:
- 根据WSACS的指导方针,TraumaGuard设备被验证为可与CIAP测量的黄金标准互换,即使有空膀,也可.
- 静脉内CIAP测量技术似乎比胃内更可靠.
- 建议对动物和人类进行进一步的体内研究,以确认TraumaGuard的临床效用.
相关概念视频
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Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment: