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Paratrend 7传感器的护理

Nursing care of the Paratrend 7 sensor.

作者信息

Saich C, Graystone S J, Hendry S P, Clutton-Brock T H

机构信息

Featherstone Department of Anaesthetics, University of Birmingham, UK.

出版信息

Intensive Crit Care Nurs. 1997 Dec;13(6):338-40. doi: 10.1016/s0964-3397(97)81090-7.

DOI:10.1016/s0964-3397(97)81090-7
PMID:9564351
Abstract

The Paratrend 7 sensor is a continuous intravascular blood gas sensor that consists of a miniaturized Clark-type PO2 electrode, fibreoptic pH and PCO2 optodes and a thermocouple, the monitor continuously displays the measured pH, PaO2 PaCO2 and temperature of the blood, and the calculated oxygen saturation, BE and SBC. After 7 years of caring for over 200 patients following insertion of the sensor, we describe our nursing experience with particular emphasis on the adequate fixation of the cannula, sensor system and connectors. The maintenance of the sensor through adequate flushing of the arterial line and care of the insertion site is described. Also outlined are the potential advantages to nursing practice of this new monitoring system, with particular reference to early warning of deterioration in respiratory function, closer control of mechanical ventilation and reduction in blood gas sampling and the errors inherent therein.

摘要

Paratrend 7传感器是一种连续血管内血气传感器,它由一个小型化的Clark型PO2电极、光纤pH和PCO2光极以及一个热电偶组成,该监护仪能持续显示所测血液的pH、PaO2、PaCO2和温度,以及计算得出的氧饱和度、碱剩余和标准碳酸氢盐。在使用该传感器对200多名患者进行了7年的护理后,我们描述了我们的护理经验,特别强调了对套管、传感器系统和连接器的妥善固定。还介绍了通过充分冲洗动脉管路和护理穿刺部位来维护传感器的方法。此外,还概述了这种新监测系统在护理实践中的潜在优势,特别是在呼吸功能恶化的早期预警、机械通气的更严密控制以及减少血气采样及其固有误差方面。

相似文献

1
Nursing care of the Paratrend 7 sensor.Paratrend 7传感器的护理
Intensive Crit Care Nurs. 1997 Dec;13(6):338-40. doi: 10.1016/s0964-3397(97)81090-7.
2
Continuous blood gas monitoring using an in-dwelling optode method: comparison to intermittent arterial blood gas sampling in ECMO patients.使用植入式光极法进行连续血气监测:与体外膜肺氧合(ECMO)患者的间歇性动脉血气采样对比
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Clinical evaluation of a multiparameter intra-arterial blood-gas sensor.一种多参数动脉内血气传感器的临床评估。
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Continuous intra-arterial blood gas and pH monitoring in critically ill patients with severe respiratory failure: a prospective, criterion standard study.重症呼吸衰竭危重症患者的连续动脉血气和pH监测:一项前瞻性标准对照研究。
Crit Care Med. 1994 Apr;22(4):580-7. doi: 10.1097/00003246-199404000-00012.
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Continuous arterial gas monitoring: initial experience with the Paratrend 7 in children.连续动脉血气监测:儿童使用Paratrend 7的初步经验。
Intensive Care Med. 1996 Dec;22(12):1414-7. doi: 10.1007/BF01709562.
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Continuous measurement of blood gases using a combined electrochemical and spectrophotometric sensor.使用电化学和分光光度法组合传感器连续测量血气。
J Med Eng Technol. 1994 Sep-Oct;18(5):165-8. doi: 10.3109/03091909409030246.
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Evaluation of the Paratrend 7 intravascular blood gas monitor during cardiac surgery: comparison with the C4000 in-line blood gas monitor during cardiopulmonary bypass.心脏手术期间Paratrend 7血管内血气监测仪的评估:与体外循环期间C4000在线血气监测仪的比较。
J Cardiothorac Vasc Anesth. 1995 Aug;9(4):412-9. doi: 10.1016/s1053-0770(05)80096-5.
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Long-term evaluation of a continuous intra-arterial blood gas monitoring system in patients with severe respiratory failure.严重呼吸衰竭患者连续动脉血气监测系统的长期评估
Infusionsther Transfusionsmed. 1995 Apr;22(2):98-104. doi: 10.1159/000223106.
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Continuous pH and Pco2 monitoring during respiratory failure in children with the Paratrend 7 inserted into the peripheral venous system.使用插入外周静脉系统的Paratrend 7对儿童呼吸衰竭期间的pH值和二氧化碳分压进行连续监测。
J Pediatr. 2000 May;136(5):623-7. doi: 10.1067/mpd.2000.104293.

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