在剖腹产脊柱麻醉期间,三种非侵入性温度监测设备之间的协议:一项前性观察研究
D O Vawda1, Christopher King2, L du Toit2,3
1Department of Anaesthesia, School of Clinical Medicine, College of Health Sciences, Grey's Hospital, University of KwaZulu-Natal, Pietermaritzburg, 3201, South Africa.
Journal of clinical monitoring and computing
|April 30, 2024
概括
低温在产科脊髓麻醉期间很常见,影响67%的患者. 当前的非侵入性温度监测仪表表现出不良一致性,无法准确检测温度调节变化.
科学领域:
- 麻醉学 麻醉学
- 生理学 生理学 生理学
- 医疗器械 医疗器械
背景情况:
- 低温是产科脊柱麻醉期间经常出现的并发症.
- 精确的核心温度监测至关重要,但由于不合适或昂贵的设备,往往缺乏.
- 温度调节的变化需要可靠的监测,以防止不良结果.
研究的目的:
- 为了比较一个非侵入性的核心温度监测器和两个外围温度监测器之间的协议.
- 评估表面温度监测器在产科脊柱麻醉期间检测温度调节变化的能力.
- 评估温度监测在这个患者群体中的临床相关性.
主要方法:
- 一项前性观察性研究,涉及166名接受选择性或紧急剖腹产的患者.
- 德雷格T-core© (热流) 与Welch Allyn SureTemp® Plus口腔和布朗3合1无触摸红外温度计的比较.
- 布兰德-阿尔特曼分析和错误网格分析,以确定一致性 (LOA) 和临床分歧的极限.
主要成果:
- 在67%的患者中观察到低温 (核心温度<36°C).
- 所有测试的设备之间发现差异很大,LOA超过了临床上可接受的极限 (±0.5°C).
- 错误网格分析证实了监视器之间的温度读数存在显著的临床差异.
结论:
- 现有的非侵入性和外围温度监测器在产科脊柱麻醉期间的临床使用中显示出不充分的一致性.
- 精确的核心温度监测是必不可少的,但不是可靠地实现当前负担得起的设备.
- 需要使用黄金标准显示器进行进一步的研究,以了解差异并改善温度调节管理.
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