腹腔镜手术期间气管与食道温度的比较
Eun Kyung Lee1, Yu Jeong Bang2, Jeayoun Kim2
1Department of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul, Republic of Korea.
概括
新的气管温度显示与食道探针的可接受一致,但在手术期间跟踪温度变化方面存在局限性. 需要进一步的研究来优化它们的临床使用趋势能力.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 手术监测 手术监测
背景情况:
- 带有嵌入温度传感器的内管 (温度气管) 是最近的一项创新.
- 准确的核心体温监测在手术过程中至关重要.
研究的目的:
- 评估气管和食道温度探针之间的温度一致性.
- 评估手术患者中气管温度的准确性和趋势能力.
主要方法:
- 一项观察性研究涉及40名接受腹腔镜手术的患者.
- 同时记录气管和食道温度,每隔15分钟使用各自的探针.
- 使用布兰德-阿尔特曼分析,四象限图和极地图分析温度数据的分析.
主要成果:
- 对36名患者261个数据点的分析显示,设备之间的可接受平均偏差 (-0.3°C) 和3%的误差.
- 趋势能力在四个象限的图表中显示出94%的一致性,这表明对整体温度变化的良好一致.
- 然而,极地图分析表明不兼容的趋势能力,具有显著的角度和辐射偏差.
结论:
- 气管温度在手术期间对核心温度的测量具有可接受的准确性.
- 气管的温度趋势能力需要改进,以便可靠的实时温度变化监测.
- 没有报告与使用温度气管相关的严重伤害.
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