Webster H, Chellis M J
AACN Clin Issues Crit Care Nurs. 1993 Feb;4(1):180-96.
Accurate and safe monitoring of infants and children requires knowledge of their unique physiology, especially cardiovascular function, pulmonary physiology, and metabolic function. These individual features influence the equipment selection, as well as data interpretation. Although some adult equipment is adaptable for pediatric use, many specifications must be tailored to pediatric needs. Vascular monitoring in pediatric patients requires specific knowledge of insertion procedures and complications, fluid maintenance, and hemodynamic norms, indexed to body surface area. Valid data interpretation requires an understanding of the distinctive clinical responses intrinsic to the pediatric patient. Likewise, maintenance care for pediatric patients always includes attention to precise fluid balance, thermoregulation, and metabolic needs. Finally, all pediatric patients require constant vigilance to protect the integrity of their monitoring systems and, ultimately, the safety of these patients. Failure to address these concerns may result in complications or invalid data.
对婴幼儿和儿童进行准确、安全的监测需要了解他们独特的生理机能，尤其是心血管功能、肺生理和代谢功能。这些个体特征会影响设备的选择以及数据解读。尽管一些成人设备可适用于儿科，但许多规格必须根据儿科需求进行调整。儿科患者的血管监测需要具备有关穿刺程序及并发症、液体维持和以体表面积为指标的血流动力学标准的专业知识。有效的数据解读需要理解儿科患者特有的临床反应。同样，对儿科患者的护理始终包括关注精确的液体平衡、体温调节和代谢需求。最后，所有儿科患者都需要持续保持警惕，以保护其监测系统的完整性，并最终确保这些患者的安全。未能解决这些问题可能会导致并发症或无效数据。
