活跃的外部回暖对模拟的医院前意外低温的食道温度的影响:一个随机交叉试验
Sigurd Mydske1,2,3, Ane Marthe Helland4,5,6, Nicola Borasio7,8
1Department of Clinical Medicine, University of Bergen, Haukelandsveien 28, Bergen, 5009, Norway. sigurd.mydske@norskluftambulanse.no.
积极升温可以提高意外低温患者的回暖率. 这项研究发现,活跃的外部回暖可能会在寒冷环境中的初始处理阶段防止进一步的温度下降.
科学领域:
- 紧急医疗 紧急医疗
- 生理学 生理学 生理学
- 热调节 热调节 热调节 热调节
背景情况:
- 对于意外低温患者来说,医院前的热化非常重要.
- 国际指导方针建议积极和被动的回暖.
- 活跃的外部回暖的具体影响需要进一步澄清.
研究的目的:
- 评估主动外部回暖与被动回暖的有效性.
- 为了在模拟的医院前环境中比较回暖率和患者舒适度.
主要方法:
- 一个随机的交叉实地研究,涉及11名不发的志愿者.
- 参与者被冷却在一个2°C的冰道中.
- 通过使用主动外部方法与被动回暖或单独被动回暖相结合,实现了回暖.
主要成果:
- 与被动回暖相比,主动回暖显示出食道温度升高的趋势.
- 活跃回暖组的皮肤温度回暖率较高,尽管在统计学上并不显著.
- 主观舒适度得分在主动回暖时更高.
结论:
- 积极的变暖可能会增加意外低温时的回暖率.
- 积极升温可以防止在初始处理阶段的温度进一步下降.
更多相关视频
06:25Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation
Published on: March 15, 2020
05:43Author Spotlight: Improving Lesion Contiguity in Pulmonary Vein Isolation via Proactive Esophageal Cooling
Published on: April 19, 2024
相关概念视频
Decreased Body Temperature
Methods of reducing fever
Pharmacological Methods of Reducing Fever:
Factors Affecting Body Temperature
Factors may include:
Assessing Body Temperature - 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...
Temperature Measurement Sites
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...
Assessing Body Temperature - Oral
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...
