在全身麻醉下进行心血管干预的儿科患者中,身体上部和全身下部强制空气加热毯之间的比较:随机对照试验
Jung-Bin Park1, Tae-Won Kim1, Sang-Hwan Ji1
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03070, Republic of Korea.
BMC anesthesiology
|May 21, 2025
概括
对于儿科心血管干预,身体上部和全身下部的强制空气加热毯子在维持目标温度方面同样有效. 仔细监测至关重要,以防止诸如高热和皮肤问题等并发症.
科学领域:
- 麻醉学 麻醉学
- 儿科重症监护 儿科重症监护
- 心血管外科心血管外科
背景情况:
- 在非手术室内进行心血管干预的儿科患者面临临临近期低温的重大风险.
- 维持正常热量对于患者的安全和在这些程序中获得最佳结果至关重要.
研究的目的:
- 为了比较身体上部与全身下部强制空气加热毯子在心血管干预的全身麻醉期间在儿科患者的疗效.
- 评估两个升温方法之间的食道温度在目标范围 (36.5-37.5°C) 外的时间加权偏差.
主要方法:
- 一项随机对照试验,涉及88名儿童 (<15岁) 接受选择性心血管干预.
- 患者被分配到身体上部或全身下部强制空气加热毯子组.
- 监测食道温度,主要结果是从目标温度范围的时间加权平均偏差.
主要成果:
- 在上半身和全身下半身组之间的时间加权平均温度偏差没有发现显著差异 (p=0.318).
- 超热的发病率在上体组为9.09%,在全身下体组为0% (p=0.125).
- 低温持续时间和不良事件发生率在两组之间没有统计学上显著的差异.
结论:
- 在儿科心血管干预中,身体上部和全身下部的强制空气加热毯子都在维持外科手术期间的正常热量方面表现出相似的有效性.
- 密切监测患者至关重要,以防止潜在的并发症,如高温和皮肤相关问题.
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