在布兰克特罗尔系统下冷却与使用北极太阳温度调节系统 (CATS) 进行冷却对于接受治疗性低温症的新生儿
Mahmoud A Ali1, Muppala Prasanth Raju2, Tara Lyngaas3
1Neonatology, West Virginia University, Morgantown, USA.
Cureus
|June 4, 2024
概括
新生儿缺氧缺血性脑病变 (HIE) 的治疗性低温 (TH) 与Blanketrol III相比,与北极太阳装置的温度变化较小. 由于使用方便,护士们更喜欢北极太阳,这表明对HIE治疗有潜在的好处.
科学领域:
- 新生儿医学 新生儿医学
- 儿科重症监护 儿科重症监护
- 医疗器械技术 医疗器械技术
背景情况:
- 治疗性低温症 (TH) 改善了新生儿患有缺氧缺血性脑病变 (HIE) 的结果.
- 关于TH期间的温度变化及其临床影响的数据有限.
- 对比冷却系统对于优化HIE管理至关重要.
研究的目的:
- 为了比较北极太阳与布兰克特罗尔III在实现HIE的TH方面的疗效.
- 评估与每个设备相关的温度变化和临床结果.
- 在NICU护士中评估这两种冷却系统的易用性.
主要方法:
- 追溯队列研究比较北极太阳 (n=22) 和Blanketrol III (n=44) 的新生儿HIE TH.
- 在整个冷却过程中,核心体温以4小时的间隔记录.
- 评估了临床结果和护士管理的易用性调查.
主要成果:
- 北极太阳显示的温度变化明显小 (p=0.03) 比布兰克特罗尔III.
- 与北极太阳 (9%对38%,p=0.001) 相比,血小板缺血的发生率明显较低.
- 护士报告说,他们更喜欢北极太阳,因为它更容易设置,手工干预也更少.
结论:
- 基于凝粘合的TH (北极太阳) 可能优于循环水系统 (Blanketrol III).
- 北极太阳提供了更好的温度控制精度和用户友好性.
- 这种系统可能会导致新生儿HIE治疗中不良事件的概况减少.
相关概念视频
Decreased Body Temperature
607
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
607
Temperature Measurement Sites
1.6K
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...
1.6K
Methods of reducing fever
660
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
660
Equipments Used to Measure Body Temperature
994
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
994
Factors Affecting Body Temperature
4.1K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
4.1K
Mechanism of heat transfer
1.2K
Understanding heat transfer mechanisms is essential for understanding how our bodies maintain balance in different environmental conditions. When the environment is thermoneutral, the body is in a state of balance, neither using nor releasing energy to maintain its core temperature. However, when the environment is not thermoneutral, the body employs four heat transfer mechanisms to maintain homeostasis: conduction, convection, evaporation, and radiation. These mechanisms facilitate heat...
1.2K


