在手腕区域应用Bair HuggerTM核心体温与上部身体温暖毯子:一个前性观察研究
Kyung Seo Oh1, Yong-Hee Park1, Chongwha Baek1
1Department of Anesthesiology and Pain Medicine, Chung-Ang University, Chung-Ang University Hospital, Seoul, Korea.
Anesthesia and pain medicine
|February 4, 2024
概括
在手腕上的非侵入性Bair HuggerTM核心体温监测系统 (BHTMS) 显示了准确监测体温的潜力. 30分钟后,手腕温度读数与食道温度密切一致,提供了一个不那么侵入性的替代方案.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 患者监测 患者监测
背景情况:
- 精确的外科手术前体温监测至关重要.
- 对核心体温测量的侵入性方法存在风险.
- 需要使用非侵入性的替代方法来提高患者的安全性.
研究的目的:
- 为了评估佩戴在手腕上的Bair HuggerTM核心体温监测系统 (BHTMS) 的准确性.
- 为了比较BHTMS手腕温度测量与全身麻醉期间食道温度.
- 评估用于核心体温监测的非侵入性系统的潜力.
主要方法:
- 招募了20名成年患者 (ASA身体状况I或II).
- 在气管管道输液后,BHTMS传感器应用于手腕.
- 每10分钟记录食道温度 (Teso) 和手腕温度 (Twrist),同时使用Bair HuggerTM上体保暖毯.
主要成果:
- 对257对数据对的分析显示,Teso和Twrist之间没有统计学上显著的差异 (P = 0.103).
- 中位温度为36.5°C (Teso) 和36.4°C (Twrist),布兰德-阿尔特曼的差异为0.14°C±1.44.
- 30分钟后,手腕温度测量显示与食道温度没有显著差异.
结论:
- 在手腕上的Bair HuggerTM核心体温监测系统 (BHTMS) 显示出作为一种非侵入性监测工具的承诺.
- 使用BHTMS的手腕温度监测是麻醉诱导30分钟后食道温度的可行替代方案.
- 这种非侵入性方法可以减少与侵入性温度监测设备相关的并发症.
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