在患有固体器官损伤的儿科患者中减少血液抽血,通过协议化皮肤间血红蛋白监测
Arya Payan1, Megan Coble2, Benjamin Kowalske2
1Department of Pediatric Critical Care, Corewell Health Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
Journal of pediatric surgery
|October 2, 2024
概括
通过皮肤持续血红蛋白监测 (TCHM) 可以安全地减少儿科固体器官损伤患者的血液抽取. 这项技术尽量减少侵入性手术,而不会增加不良事件或手术干预.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 血红蛋白监测技术的使用
- 固体器官损伤管理 固体器官损伤管理
背景情况:
- 儿童固体器官损伤管理正在发展,以减少干预.
- 透皮连续血红蛋白监测 (TCHM) 在儿科创伤中显示出对血红蛋白监测的前景.
研究的目的:
- 评估一套协议化的TCHM系统在儿科固体器官损伤患者中的安全性和有效性.
- 评估TCHM对实验室抽血和不良事件的影响.
主要方法:
- 97名儿科患者 (30天至<18岁) 经过固体器官损伤的回顾性图表审查.
- 实施一个协议化的TCHM系统.
- 追踪不良事件,包括输血产品,线位和手术干预.
主要成果:
- 在TCHM协议实施后,实验室血液抽取显著减少 (p=0.01).
- 没有显著增加的血液产品的管理,线位,或手术干预.
- 逗留时间不受影响.
结论:
- 在一个定义的协议中,TCHM安全地减少了固体器官损伤的儿科创伤患者的连续血液抽取.
- 需要进行进一步的研究,以探索TCHM在减少低度伤害入院的潜力.
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