Specific Implementation Method and Intraoperative Monitoring of TTM Treatment
Specific Implementation Method and
Intraoperative Monitoring of TTM Treatment
The previous article detailed TTM status
and basic knowledge. This article mainly explains the specific implementation
method of TTM and the role of medical temperature probe in TTM patient
temperature monitoring.
It is recommended that a new type of
cooling device with temperature feedback control system is preferred for TTM
treatment. The first choice is the temperature regulator in the nasal cavity,
body surface or blood vessel.
If this type of conditioning device is not
available, traditional body surface cooling measures can also be selected to
complete the TTM treatment, including cold external cooling, water circulation
cooling blanket, air circulation cooling blanket, or alcohol wiping the whole
body to cool down physical cooling methods.
For patients with heat radiation disease,
if implemented in general physical cooling method after confirmed invalid, and
the temperature is higher than 40 ℃ for 2 hour duration
may consider blood purification therapy to reduce the patient's temperature.
In the implementation of TTM treatment,
continuous core temperature monitoring is recommended for TTM treatment
patients.
Based on the advantages of safety, easy
operation, non-invasive, high precision and rapid response, the first
recommendation is to select the body cavity/ esophageal general purpose
temperature probe to monitor the core body temperature of patients in TTM
treatment.
Secondly, it is recommended to use Foley
Catheter temperature probe to monitor the bladder temperature
In this way, the body temperature probe at
this position can accurately and in real time monitor the temperature changes
of patients, so as to avoid the adverse sequelae caused by TTM treatment.
In the TTM treatment for patients,
especially when the patient's temperature is already within the hypothermic
line, the doctors should pay more attention to hemodynamics, and dynamic
monitoring and evaluation should be carried out on volume status, fluid distribution,
cardiac function, afterload and intravascular pulmonary fluid.
Have conducted TTM treatment of patients
and the target temperature less than 36 ℃, EEG monitor is
recommended along with temperature monitor.
TTM treatment cannot be implemented without
various monitoring systems, from temperature probe to various types of
monitors, which escort the successful implementation of TTM treatment.