皮肤导电性测量仪在外科手术期间突然升温时不可靠
Ulf E Kongsgaard1,2, Robin Johansen Menchini1, Stein Gunnar Larsen3
1Department of Anaesthesia, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
Scandinavian journal of pain
|April 12, 2024
概括
由于温度波动,在麻醉患者的皮肤导电性度计 (SCA) 监测疼痛在高温腹腔内化疗 (HIPEC) 期间不可靠. 在这些具有挑战性的情况下,需要进一步的研究来准确评估疼痛.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
- 疼痛管理 疼痛管理
背景情况:
- 在非通讯性,麻醉患者中评估疼痛是很困难的.
- 传统的疼痛指标 (心跳动,高血压) 缺乏特异性.
- 皮肤导电性变异性显示出疼痛敏感性的潜力,但受温度的影响.
研究的目的:
- 为了评估皮肤导电性变化在温度波动引起的高温腹腔内化学疗法 (HIPEC).
- 为了确定皮肤导电性基质测量仪 (SCA) 在HIPEC过程中检测疼痛的可靠性.
主要方法:
- 一项试点研究涉及十名接受细胞减小手术和HIPEC的患者.
- 皮肤导电性度计 (SCA) 的测量结果与标准生理变量进行了比较.
- 在七个时间点收集的数据,重点关注HIPEC perfusion 阶段.
主要成果:
- 在HIPEC阶段,十分之九的患者观察到SCA测量的增加.
- 这种增加与核心体温的上升相关.
- SCA结果表明温度对测量有潜在的影响.
结论:
- 皮肤导电性度仪 (SCA) 在成人患者急性外科手术前温度变化期间检测增加的疼痛感觉时不可靠.
- 该研究强调了在HIPEC的背景下SCA的局限性.
- 对于接受有显著温度变化的手术的麻醉患者,需要更具体,更可靠的疼痛监测技术.
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