Department of Anaesthesiology, Amsterdam UMC, location AMC, H1-148, Amsterdam UMC, location AMC, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.
Leeds Institute of Medical Research at St. James's, University of Leeds, United Kingdom.
Int J Nurs Stud. 2020 Apr;104:103515. doi: 10.1016/j.ijnurstu.2019.103515. Epub 2020 Jan 3.
Remote wireless monitoring is a new technology that allows the continuous recording of ward patients' vital signs, supporting nurses by measuring vital signs frequently and accurately. A case series is presented to illustrate how these systems might contribute to improved patient surveillance.
Five hospitals in three European countries installed a remote wireless vital signs monitoring system on medical or surgical wards. Heart rate, respiratory rate and temperature were measured by the system every 2 min. Four cases of (paroxysmal) atrial fibrillation are presented, two cases of sepsis and one case each of pyrexia, cardiogenic pulmonary edema and pulmonary embolisms. All cases show that the remote monitoring system revealed the first signs of ventilatory and circulatory deterioration before a change in the trends of the respective values became obvious by manual vital signs measurement.
This case series illustrates that a wireless remote vital signs monitoring system on medical and surgical wards has the potential to reduce time to detect deteriorating patients.
远程无线监测是一项新技术，可实现对病房患者生命体征的连续记录，通过频繁且准确地测量生命体征为护士提供支持。本病例系列介绍了这些系统如何有助于改善患者监测。
三个欧洲国家的五家医院在医疗或外科病房安装了远程无线生命体征监测系统。系统每 2 分钟测量一次心率、呼吸频率和体温。呈现了四起（阵发性）心房颤动、两起败血症和一起发热、心源性肺水肿和肺栓塞的病例。所有病例均表明，远程监测系统在手动生命体征测量时各值趋势变得明显之前，揭示了通气和循环恶化的最初迹象。
本病例系列表明，医疗和外科病房的无线远程生命体征监测系统有可能减少发现病情恶化患者的时间。
