Voigt Louis P, Reynolds Kelly, Mehryar Maryam, Chan Wai Soon, Kostelecky Natalie, Pastores Stephen M, Halpern Neil A
Critical Care Medicine Service, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Critical Care Medicine Service, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
J Crit Care. 2017 Jun;39:36-39. doi: 10.1016/j.jcrc.2016.12.020. Epub 2016 Dec 30.
To determine the feasibility of continuous recording of sound and light in the intensive care unit (ICU).
Four 1-hour baseline scenarios in an empty ICU patient room by day and night (doors open or closed and maximal or minimal lighting) and two daytime scenarios simulating a stable and unstable patient (quiet or loud devices and staff) were conducted. Sound and light levels were continuously recorded using a commercially available multisensor monitor and transmitted via the hospital's network to a cloud-based data storage and management system.
The empty ICU room was loud with similar mean sound levels of 45 to 46 dBA for the day and night simulations. Mean levels for maximal lighting during day and night ranged from 1306 to 1812 lux and mean levels for minimum lighting were 1 to 3 lux. The mean sound levels for the stable and unstable patient simulations were 61 and 81 dBA, respectively. The mean light levels were 349 lux for the stable patient and 1947 lux for the unstable patient.
Combined sound and light can be continuously and easily monitored in the ICU setting. Incorporating sound and light monitors in ICU rooms may promote an enhanced patient- and staff-centered healing environment.
确定在重症监护病房(ICU)连续记录声音和光线的可行性。
在一间空的ICU病房中,进行了四个1小时的基线场景测试,包括白天和夜晚(门打开或关闭以及最大或最小照明),以及两个白天模拟稳定和不稳定患者的场景(安静或嘈杂的设备及医护人员)。使用市售的多传感器监测器连续记录声音和光线水平,并通过医院网络传输到基于云的数据存储和管理系统。
空的ICU病房声音很大,白天和夜晚模拟的平均声级相似,为45至46分贝(A)。白天和夜晚最大照明的平均水平在1306至1812勒克斯之间,最小照明的平均水平为1至3勒克斯。稳定和不稳定患者模拟的平均声级分别为61和81分贝(A)。稳定患者的平均光照水平为349勒克斯,不稳定患者为1947勒克斯。
在ICU环境中,可以连续且轻松地监测声音和光线。在ICU病房配备声音和光线监测器可能有助于营造以患者和医护人员为中心的更好的治疗环境。