创伤患者院前组织氧饱和度测量：一项试点、可行性研究。
Tissue oxygen saturation measurement in prehospital trauma patients: a pilot, feasibility study.
机构信息
Pre-hospital Care, London's Air Ambulance & Emergency Medicine Research Group Edinburgh, The Helipad, Royal London Hospital, Whitechapel Road, London E1 1BB, UK.
出版信息
Emerg Med J. 2013 Jun;30(6):506-8. doi: 10.1136/emermed-2012-201411. Epub 2012 Jul 25.
BACKGROUND
This study evaluated the feasibility of prehospital tissue oxygen saturation (StO₂) in major trauma patients.
METHODS
A prospective, pilot feasibility study carried out in a physician based prehospital trauma service.
RESULTS
Prehospital StO₂ was recorded on 13 patients. Continuous StO₂ monitoring was achieved on all patients, despite intermittent failure of pulse oximetry and non-invasive blood pressure monitoring in six patients. No adverse outcomes of StO₂ monitoring were reported. The specific equipment used was reported to be inconveniently bulky and heavy for use in the prehospital setting.
CONCLUSIONS
Prehospital measurement and monitoring of StO₂ is feasible in trauma patients undergoing prehospital anaesthesia and may be useful in the early identification of shock, triggering of transfusion protocols and guiding fluid resuscitation.
背景
本研究评估了院前组织氧饱和度（StO₂）在严重创伤患者中的可行性。
方法
这是一项在基于医生的院前创伤服务中进行的前瞻性、试点可行性研究。
结果
对 13 名患者记录了院前 StO₂。尽管有 6 名患者的脉搏血氧仪和无创血压监测间歇性故障，但所有患者均实现了连续 StO₂监测。没有报告 StO₂监测的不良后果。所使用的特定设备被报告为在院前环境中使用不方便，体积庞大且沉重。
结论
在接受院前麻醉的创伤患者中进行院前 StO₂测量和监测是可行的，并且可能有助于早期识别休克，触发输血方案和指导液体复苏。
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