心脏骤停后目标温度管理 36°C 时的能量消耗和寒战严重程度：病例系列。
Energy Expenditure and Shivering Severity During Targeted Temperature Management at 36°C After Cardiac Arrest: A Case Series.
机构信息
Division of Sleep and Chronobiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia (Dr Cordoza); Department of Pharmacy, School of Pharmacy (Dr Chan), Department of Biobehavioral Nursing and Health Informatics, School of Nursing (Drs Bridges and Thompson), and Division of Pulmonary, Critical Care & Sleep Medicine, School of Medicine (Dr Carlbom), University of Washington, Seattle.
出版信息
Crit Care Nurs Q. 2020 Jul/Sep;43(3):286-293. doi: 10.1097/CNQ.0000000000000313.
Abstract
Patients undergoing targeted temperature management (TTM) after cardiac arrest are at risk for shivering, which increases energy expenditure (EE) and may attenuate TTM benefits. This article reports patterns of EE for patients with and without shivering who received TTM at 36°C after cardiac arrest. Based on 96 case assessments, there were 14 occasions when more than one 15-minute interval period was required to appropriately modify the Bedside Shivering Assessment Scale (BSAS) score. Investigators noted that although higher EE was related to higher BSAS scores, there may be opportunities for earlier detection of shivering.
摘要
心脏骤停后接受目标温度管理（TTM）的患者有发生寒战的风险，寒战会增加能量消耗（EE），并可能削弱 TTM 的益处。本文报告了心脏骤停后接受 36°C TTM 的患者有和无寒战时的 EE 模式。基于 96 例评估，有 14 次需要多个 15 分钟间隔期来适当修改床边寒战评估量表（BSAS）评分。研究人员指出，尽管较高的 EE 与较高的 BSAS 评分相关，但可能有机会更早地发现寒战。
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