在内镜术过程镇静过程中的热损失:一项描述性研究
Judy Munday1, Lucy McKenna2, Sarah Johns2
1School of Health, University of the Sunshine Coast, Sippy Downs, QLD, Australia; Faculty of Health and Sports Sciences, University of Agder, Grimstad, Norway; School of Nursing, Queensland University of Technology (QUT), Brisbane, QLD, Australia.
接受内镜程序镇静的患者会失去大量的体温,其中许多人变得低温. 这种热损失相当于麻醉,突出了需要主动加热和监测的需要.
科学领域:
- 医学研究 医学研究
- 麻醉学 麻醉学
- 胃肠病学 胃肠病学
背景情况:
- 在手术镇静期间的热损失尚不清楚.
- 手术镇静通常用于内镜手术.
研究的目的:
- 检查在接受手术镇静的患者中热损失的模式和特征.
- 为量化内镜术过程镇静过程中的温度变化.
主要方法:
- 一项描述性研究,涉及使用零热流装置连续监测温度.
- 关于温度,人口统计,临床数据,和热舒适度的未来数据收集.
- 线性混合模型分析,以评估随时间变化的体温变化.
主要成果:
- 诱导后45分钟,平均体温下降到36°C以下.
- 每15分钟的镇静时间,体温平均下降0.19°C.
- 低温症从抵达第一阶段康复时的30%增加到第二阶段康复时的42%.
结论:
- 在内镜术的过程镇静期间的热损失是显著的,可与早期的全身或神经轴麻醉相比较.
- 对这些患者来说,主动升温和持续温度监测并不是常规实施的.
- 进一步研究和临床实施变暖策略是有必要的.
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