Michard Frederic, Thiele Robert H, Saugel Bernd, Joosten Alexandre, Flick Moritz, Khanna Ashish K
MiCo, Denens, Switzerland.
Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA.
BJA Open. 2022 Feb 23;1:100002. doi: 10.1016/j.bjao.2022.100002. eCollection 2022 Mar.
Several continuous monitoring solutions, including wireless wearable sensors, are available or being developed to improve patient surveillance on surgical wards. We designed a survey to understand the current perception and expectations of anaesthesiologists who, as perioperative physicians, are increasingly involved in postoperative care.
The survey was shared in 40 university hospitals from Western Europe and the USA.
From 5744 anaesthesiologists who received the survey link, there were 1158 valid questionnaires available for analysis. Current postoperative surveillance was mainly based on intermittent spot-checks of vital signs every 4-6 h in the USA (72%) and every 8-12 h in Europe (53%). A majority of respondents (91%) considered that continuous monitoring of vital signs should be available on surgical wards and that wireless sensors are preferable to tethered systems (86%). Most respondents indicated that oxygen saturation (93%), heart rate (80%), and blood pressure (71%) should be continuously monitored with wrist devices (71%) or skin adhesive patches (54%). They believed it may help detect clinical deterioration earlier (90%), decrease rescue interventions (59%), and decrease hospital mortality (54%). Opinions diverged regarding the impact on nurse workload (increase 46%, decrease 39%), and most respondents considered that the biggest implementation challenges are economic (79%) and connectivity issues (64%).
Continuous monitoring of vital signs with wireless sensors is wanted by most anaesthesiologists from university hospitals in Western Europe and in the USA. They believe it may improve patient safety and outcome, but may also be challenging to implement because of cost and connectivity issues.
包括无线可穿戴传感器在内的几种连续监测解决方案已经可用或正在研发中，以改善外科病房对患者的监测。我们设计了一项调查，以了解麻醉医生目前的看法和期望，这些麻醉医生作为围手术期医生，越来越多地参与术后护理。
该调查在西欧和美国的40所大学医院中进行。
在5744名收到调查链接的麻醉医生中，有1158份有效问卷可供分析。在美国，目前术后监测主要基于每4 - 6小时对生命体征进行一次间歇性抽查（72%），在欧洲则是每8 - 12小时一次（53%）。大多数受访者（91%）认为外科病房应具备生命体征的连续监测，并且无线传感器比有线系统更可取（86%）。大多数受访者表示，应使用腕部设备（71%）或皮肤贴片（54%）对血氧饱和度（93%）、心率（80%）和血压（71%）进行连续监测。他们认为这可能有助于更早地发现临床病情恶化（90%）、减少抢救干预（59%）以及降低医院死亡率（54%）。对于对护士工作量的影响，意见存在分歧（增加46%，减少39%），并且大多数受访者认为最大的实施挑战是经济问题（79%）和连接问题（64%）。
西欧和美国大学医院的大多数麻醉医生都希望使用无线传感器对生命体征进行连续监测。他们认为这可能会改善患者安全和治疗结果，但由于成本和连接问题，实施起来可能也具有挑战性。
