在分娩室稳定期间,在非常早产的婴儿身上放置温度探针:一项开放式随机试验
Pranav R Jani1,2, Rajesh Maheshwari3,4, Hannah Skelton3,5
1Department of Neonatology, Westmead Hospital, Westmead, NSW, Australia. pranav.jani@sydney.edu.au.
Pediatric research
|March 5, 2024
概括
上背部和下一样有效,用于监测非常早产婴儿的温度. 这项随机试验在两个部位之间维持正常热量或不良事件方面没有发现差异.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科温度调节 儿科温度调节
- 临床试验方法论 临床试验方法论
背景情况:
- 在稳定非常早产婴儿 (<32周妊娠期) 期间放置温度探针的做法各不相同.
- 不同温度探针位置对婴儿温度调节的影响还不清楚.
研究的目的:
- 为了研究温度探头位置 (大与背部) 在稳定过程中对非常早产婴儿维持正常热量的影响.
- 为了比较腹和上背部温度探针放置的有效性和安全性.
主要方法:
- 一个开放的,随机对照试验,涉及175名非常早产婴儿.
- 婴儿被分为两层,并随机分配给在下或背部上部放置温度探针.
- 主要结局是正常热度,定义为当地 (36.8-37.3°C) 和世卫组织 (36.5-37.5°C) 在新生病重症监护室入院时的范围.
主要成果:
- 44.8%的婴儿使用上背探针实现了正常热度 (局部范围),而使用下探针则为31.8%.
- 在89.7%的婴儿中,使用上背探头实现了正常热度 (WHO范围),而使用尾探头则达到79.6%.
- 无论探针位置如何,没有婴儿经历过超过38°C的温度或发生皮肤损伤.
结论:
- 背部上部温度探针的放置与尾部的放置一样有效,以维持非常早产婴儿的正常热量.
- 与使用上背部部位相关的不良事件风险没有增加.
- 临床医生可以考虑上背部作为一个可行的替代地点来监测这个群体的温度.
相关概念视频
01:14Temperature Measurement Sites
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A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
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01:27Assessing Body Temperature - Rectal
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Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
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01:19Assessing Body Temperature - Temporal Artery
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Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
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01:14Assessing Body Temperature - Oral
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Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
743
01:14Assessing Body Temperature - Axilla
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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
587
01:14Assessing Body Temperature - Tympanic membrane
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Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
580