细胞还原手术期间核心温度监测方法与高温腹腔内化疗的比较:一项前性观察性研究
Jung-Won Kim1, Jin Ho Kim1, Soojeong Oh1
1Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea.
European journal of medical research
|September 30, 2025
概括
在用高温腹腔内化疗 (HIPEC) 进行细胞还原性手术时,精确的核心温度监测至关重要. 虽然鼻,皮肤和食道方法显示出强烈的一致性,但食道温度可能在HIPEC后具有相位依赖差异.
科学领域:
- 医疗器械 医疗器械 医疗器械
- 手术瘤学手术瘤学
- 热调节 热调节 热调节
背景情况:
- 精确的核心温度监测对于通过高热性腹腔内化学疗法 (HIPEC) 进行细胞还原性手术的患者安全至关重要.
- 这项研究前性地比较了HIPEC程序期间的鼻温度 (Tnaso),零热流皮肤温度计 (TSpotOn) 和食道温度 (Teso) 监测.
研究的目的:
- 评估HIPEC期间三种核心温度监测方法的一致性和临床相关性.
- 识别潜在的差异,并指导温度监测的最佳地点选择.
主要方法:
- 同时使用Tnaso,TSpotOn和Teso进行温度测量.
- 用布兰德-阿尔特曼分析和林的一致性相关系数 (LCCC) 来评估一致性.
- 报告了超过0.5°C值的温度差异的比例.
主要成果:
- 这三种方法都显示出实质上的一致性 (LCCC=0.94).
- 平均差异很小 (-0.04±0.33°C对于Tnaso和TSpotOn;0.02±0.35°C对于Tnaso和Teso).
- 然而,高达14%的食道温度对超过了0.5°C的值,在HIPEC后出现了显著的温度波动.
结论:
- 虽然所有方法的相关性很好,但食道温度监测显示了相位依赖的差异,特别是在HIPEC之后.
- 这些发现表明,核心温度测量地点的选择应考虑目标器官和程序类型,特别是基于腹腔切除术的HIPEC.
更多相关视频
06:43Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
24.9K
13:41Magnetic Resonance-Guided High Intensity Focused Ultrasound Generated Hyperthermia: A Feasible Treatment Method in a Murine Rhabdomyosarcoma Model
Published on: January 13, 2023
2.8K
相关概念视频
01:27Assessing Body Temperature - Rectal
11.5K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
11.5K
01:14Temperature Measurement Sites
3.2K
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...
3.2K
01:19Assessing Body Temperature - Temporal Artery
1.1K
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
1.1K
01:14Assessing Body Temperature - Oral
1.5K
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
1.5K
01:14Assessing Body Temperature - Axilla
1.2K
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
1.2K
01:13Equipments Used to Measure Body Temperature
1.7K
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,...
1.7K