在多家兽医医院使用临床螺旋仪测量体积的准确性
Mathieu Raillard1, Martina Mosing1,2, Anthea Raisis1
1School of Veterinary Medicine, College of Environmental and Life Sciences, Murdoch University, Murdoch, WA, Australia.
Frontiers in veterinary science
|December 19, 2024
概括
临近患者的螺旋计仪器显示显示器之间的高可变性,Pedi-lite低估了体积. 对于较大的体积,D-lite的性能更好,但在麻醉患者的肺机械数据解释时,建议谨慎.
科学领域:
- 兽医麻醉 兽医麻醉是什么
- 呼吸机械学 呼吸机械
- 医疗设备的性能 医疗设备的性能
背景情况:
- 螺旋计仪器对于在麻醉期间评估肺部机制至关重要.
- 这些设备的校准通常遵循制造商指南,没有标准化的协议.
- 临近患者的螺旋测量提供了潜在的优势,但需要彻底评估.
研究的目的:
- 在兽医麻醉中评估临近患者的螺旋计 (Pedi-lite和D-lite流量传感器) 的性能和准确性.
- 评估监控器间和监控器内部的变异性和与校准量一致性.
- 为了确定测量是否符合制造商规格和临床耐受性水平.
主要方法:
- 在14家兽医医院的67个监视器上测试了Pedi-lite和D-lite流量传感器.
- 使用经过认证的1L校准注射器,容量范围为50-750毫升.
- 分析了启发/过期卷,计算了协议错误,偏见和协议限制.
主要成果:
- 对于这两种传感器,观察到高的监视器间变异性;监视器内部的变异性很低.
- Pedi-lite低估了体积,很少达到规格或10%的临床耐受性.
- 对于300-750毫升的体积,D-lite表现更好,大多数测量符合标准.
结论:
- 在解读麻醉动物中的这些螺旋计传感器的肺体积和机械数据时要小心.
- 结果对于肺体积低于300毫升的较小患者来说尤其重要.
- 虽然绝对值可能有所不同,但预计趋势可靠性.
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