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이수진 ( Lee Soo-Jin ) - 서울아산병원
박향숙 ( Park Hyang-Sook ) - 서울아산병원
심유미 ( Sim Yu-Mi ) - 서울아산병원
임은영 ( Lim Eun-Young ) - 서울아산병원
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Abstract
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Purpose: The purpose of this study was to investigate the effect of heated dialysate sloution(HDS) and heated
replacement solution(HRS) on maintenance of the body temperature for ICU patients taking CRRT.
Method: To maintain body temperature, we made the HDS and HRS using it in the peritoneal dialysis solution warmer. We measured body temperature every hour for initial 5hours after applying HDS and HRS by tympanic membrane thermometer. One hundred twenty nine of ICU patients taking CRRT were non-randomly assigned into four groups : only dialysate warmer; DW(n=33), only blood warmer; BW(n=32), DW+HDS+HRS(n=32), BW+HDS+HRS(n=32).
Results: The patients’ core temperature in the DW+HDS+HRS and BW+HDS+HRS groups were maintained within isothermic range. Those in the DW and BW groups significantly decreased during initial 5hours after applying CRRT. There was significant difference in the patients’ core temperature between the DW and DW+HDS+HRS groups. No significant difference was showed between the BW and BW+HDS+HRS groups.
Conclusion: The additional application of HDS and HRS to DW or BW may be an easy to use, and effective for maintenance of body temperature for patients on CRRT.
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KeyWords
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지속적 신대체 요법, 저체온증, 가온
CRRT(Continuous Renal Replacement Therapy), Hypothermia, Warming
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원문 및 링크아웃 정보
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등재저널 정보
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