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在急诊室和重症监护室进行非侵入性持续血压监测的直接评估
Journal of emergency nursing
|April 19, 2024
概括
非侵入性持续血压监测对医院来说是有前途的,但VitalStream设备需要进一步开发. 目前的准确性不符合临床标准,用于重症监护决策.
科学领域:
- 生物医学工程 生物医学工程
- 临床监测 临床监测
- 医疗器械 医疗器械
背景情况:
- 非侵入性的连续血压监测有可能在医院更早地检测患者的病情恶化.
- 它可以赋予临床医生权力,并减少与侵入性监测方法相关的风险.
- 新兴技术必须与已建立的临床措施对准确性进行验证.
研究的目的:
- 评估护士的可用性和愿意采用VitalStream非侵入性连续血压计.
- 为了比较VitalStream的血压读数与"黄金标准"方法 (手臂袖,动脉线).
主要方法:
- 评估了VitalStream设备的可用性和实施意愿.
- 在VitalStream和黄金标准措施之间比较了静脉缩压,静脉缩压和平均动脉压.
- 数据是在紧急和重症监护病房设置中收集的.
主要成果:
- 两个机构的护士都接受了类似的设备,急救护士的认可率更高.
- VitalStream的测量结果没有满足关于可接受的血压测量差异的既定共识标准.
- 布兰德-阿尔特曼分析显示偏差标准偏差超过8mmHg,并<85%的对差在10mmHg范围内.
结论:
- 目前的VitalStream设备需要额外的后处理,以便在紧急情况下可靠地做出医疗决策.
- 需要进一步精细化,以满足临床准确性标准,用于重症监护应用.
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