Ferreira-Santos Rui, Pinto José Pedro, Pinho João Pedro, Ribeiro Ana Cristina, da Costa Maia, Vieira Vicente, Ferreira Carmélia, Manso Fernando, Pereira Joaquim Costa
Department of Surgery, Unidade Local de Saúde de Braga, Braga, Portugal.
Department of Anesthesiology, Unidade Local de Saúde de Braga, Braga, Portugal.
J Clin Monit Comput. 2025 Apr;39(2):443-449. doi: 10.1007/s10877-024-01216-4. Epub 2024 Sep 9.
Same-day discharge (SDD) after Laparoscopic Roux-En-Y Gastric Bypass (LRYGB) faces resistance due to possible undetected postoperative complications. These present with changes in vital signs, which continuous remote monitoring devices can detect. This study compared continuous vital signs monitoring using the Isansys Patient Status Engine™ with standard nursing vital signs measurements to assess the device's reliability in postoperative surveillance of patients undergoing LRYGB. We conducted a pilot study including patients who underwent LRYGB. During their hospital stay, patients were continuously monitored using the Isansys Patient Status Engine™ with Lifetouch™, Lifetemp™, and Nonin Pulse Oximeter™ sensors. The heart rate (HR), body temperature, and oxygen saturation (SpO) collected by the device were compared with standard nursing assessments. Thirteen patients with a mean body mass index of 41.5 ± 4.4 kg/m were included. No major complications occurred. The median HR assessed by standard and continuous monitoring did not significantly differ (75.5 [69-88] vs. 77 [66-91] bpm, p = 0.995), nor did the mean values of SpO (94.7 ± 2.0 vs. 93.7 ± 1.8%, p = 0,057). A significant difference was observed in median body temperature between the nursing staff and the monitoring device (36.3 [36.1-36.7] vs. 36.1 [34.5-36.6] degrees Celsius, p = 0.012), with a tendency for lower temperature measurements by the device. In conclusion, this is the first study on continuous postoperative surveillance using the Isansys Patient Status Engine™ monitoring device for LRYGB patients. Our results introduce a novel tool for more efficient surgery. Prospective randomized experimental studies are warranted to evaluate this method's efficacy and safety.
腹腔镜Roux-en-Y胃旁路术（LRYGB）后当日出院（SDD）因可能存在未被发现的术后并发症而面临阻力。这些并发症会表现为生命体征的变化，而连续远程监测设备能够检测到这些变化。本研究将使用Isansys患者状态引擎™进行的连续生命体征监测与标准护理生命体征测量进行比较，以评估该设备在LRYGB术后患者监测中的可靠性。我们开展了一项纳入接受LRYGB手术患者的试点研究。在患者住院期间，使用配备Lifetouch™、Lifetemp™和Nonin脉搏血氧仪™传感器的Isansys患者状态引擎™对患者进行连续监测。将该设备收集的心率（HR）、体温和血氧饱和度（SpO）与标准护理评估结果进行比较。纳入了13例平均体重指数为41.5±4.4kg/m²的患者。未发生重大并发症。标准监测和连续监测评估的HR中位数无显著差异（75.5[69 - 88]对77[66 - 91]次/分钟，p = 0.995），SpO的平均值也无显著差异（94.7±2.0对93.7±1.8%，p = 0.057）。护理人员与监测设备之间的体温中位数存在显著差异（36.3[36.1 - 36.7]对36.1[34.5 - 36.6]摄氏度，p = 0.012），该设备测量的体温有偏低趋势。总之，这是第一项使用Isansys患者状态引擎™监测设备对LRYGB患者进行术后连续监测的研究。我们的结果引入了一种用于更高效手术的新工具。有必要进行前瞻性随机实验研究以评估该方法的有效性和安全性。
