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저체온 환자 치료에서 정맥주입 수액의 열손실을 막는 간단한 방법에 관한 고찰
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  • 저체온 환자 치료에서 정맥주입 수액의 열손실을 막는 간단한 방법에 관한 고찰
  • A Simple and Easy Method to Prevent Intravenous Fluid Heat Loss in Hypothermia
저자명
이선화,최윤희,이동훈,Lee. Sun Hwa,Choi. Yoon Hee,Lee. Dong Hoon
간행물명
大韓外傷學會誌
권/호정보
2013년|26권 4호|pp.255-260 (6 pages)
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대한외상학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose: For the treat hypothermia patients, active warming might be needed. In most emergency departments, IV warm saline infusion is used for treatments. However, during IV warm saline infusion, heat loss from the warm saline may occur and aggravate hypothermia. Thus, in this study, we conducted an experiment on conserving heat loss from warm saline by using a simple method. Methods: Four insulation methods were used for this study. 1) wrapping the set tube for the administration of the IV fluid with a cotton bandage, 2) wrapping the set tube for the administration of the IV fluid with a cotton bandage with aluminum foil, 3) wrapping the warm saline bag and tube with a cotton bandage, and 4) wrapping the warm saline bag and tube with a cotton bandage with aluminum foil. Intravenous fluid was preheated to a temperature between $38-40^{circ}C$. The temperatures of the saline bag temperature and the distal end of the IV administration set were measured every ten minutes for an hour. The infusion rate was 1000 cc/hr, and to obtain an accurate infusion rate, we used an infusion pump. Results: The mean initial temperature of the saline bag was $39.11^{circ}C$. An hour later, the fluid temperature at the distal end of the fluid temperature ranged from $39.11^{circ}C$ to $34.3^{circ}C$. Without any insulation, the initial temperature of the pre-heated warm saline, $39^{circ}$ had decreased to $34.8^{circ}C$ after having been run through the 170-cm-long IV administration tube, and after 1-hour, the temperature was $29.63^{circ}C$. As we expected, heat loss was prevented most by wrapping both the saline bag and the IV administration set with a cotton bandage and aluminum foil. Conclusion: Wrapping both the saline bag and the IV administration set with a cotton bandage and aluminum foil can prevent heat loss during IV infusion in Emergency departments.