Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method

Lefrant, Jean‐Yves; Muller, Laurent; Coussaye, J.-E. de La; Benbabaali, Mohammed; Lebris, C.; Zeitoun, N.; Mari, Cristina; Saïssi, G.; Ripart, Jacques; Eledjam, Jean‐Jacques

doi:10.1007/s00134-002-1619-5

Cited by 256 publications

(174 citation statements)

References 22 publications

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“…Furthermore, several studies have shown that even more invasive core thermometry methods (e.g., rectal or bladder thermometry) perform outside of the B 0.5°C limits of agreement range. 26,27 Our results are consistent with our previous research using a non-disposable sensor in intensive care patients as well as patients undergoing abdominal surgery. 11 Despite the fact that forehead temperatures are usually slightly lower in the regional anesthesia patients, the performance of the double-sensor in these patients was comparable with its performance in patients undergoing general anesthesia.…”

Section: -3supporting

confidence: 92%

“…Since bladder and esophageal temperature are highly correlated, we consider it acceptable to compare the two groups. 27 In conclusion, the latest generation of the Draeger doublesensor thermometer was sufficiently accurate and comparable in patients undergoing general and regional anesthesia. We thus suggest that this sensor can replace the esophageal or other invasive temperature probes in patient populations where placement of invasive probes is not possible.…”

Section: -3mentioning

confidence: 80%

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The accuracy of a disposable noninvasive core thermometer

Kimberger

Saager

Egan

et al. 2013

Can J Anesth/J Can Anesth

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Purpose Perioperative hypothermia is still a common occurrence, and it can be difficult to measure a patient's core temperature accurately, especially during regional anesthesia, with placement of a laryngeal mask airway device, or postoperatively. We evaluated a new disposable double-sensor thermometer and compared the resulting temperatures with those of a distal esophageal thermometer and a bladder thermometer in patients undergoing general and regional anesthesia, respectively. Furthermore, we compared the accuracy of the thermometer between regional and general anesthesia, since forehead microcirculation might differ between the two types of anesthesia. Methods We assessed core temperature in 36 general anesthesia patients and 20 patients having regional anesthesia for orthopedic surgery. The temperatures obtained using the double-sensor thermometer were compared with those obtained with the distal esophageal thermometer in the general anesthesia population and those obtained with the bladder thermometer in regional anesthesia patients. Results In our general anesthesia patients, 90% (95% confidence interval [CI] 85 to 95) of all double-sensor values were within 0.5°C of esophageal temperatures. The average difference (bias) between the esophageal and double-sensor temperatures was -0.01°C. In patients undergoing regional anesthesia 89% (95% CI 80 to 97) of all double-sensor values were within 0.5°C of bladder temperatures. The average difference (bias) between the bladder and double-sensor temperatures was -0.

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Section: -3supporting

confidence: 92%

Section: -3mentioning

confidence: 80%

The accuracy of a disposable noninvasive core thermometer

Kimberger

Saager

Egan

et al. 2013

Can J Anesth/J Can Anesth

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“…Cork et al [19] suggest that bladder temperature is as accurate a source for core temperature measurement as the esophagus, rectum, larynx, or the tympanic membrane. Lefrant et al [20] have…”

Section: Discussionmentioning

confidence: 98%

Comparison of warming methods for core temperature preservation during total knee arthroplasty using a pneumatic tourniquet

Kim

Koh

et al. 2016

Anesth Pain Med

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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Background:It is important to ensure that patients are normothermic during surgery. In total knee arthroplasty, the pneumatic tourniquet affects body temperature. We compared the ability of two warming devices to preserve core temperature in patients using a lower limb tourniquet under general anesthesia. Methods: We included 132 patients with American Society of Anesthesiologists physical status I-II who were scheduled to undergo total knee arthroplasty. The patients were randomly divided into four groups (n = 33): group 1, without any heating method; group 2, with fluid warming; group 3, with forced-air warming; and group 4, with a combination of the two heating methods. After the induction of anesthesia, the esophageal and urinary bladder temperatures were monitored and recorded every 5 min before tourniquet deflation and every 1 min after tourniquet deflation. Results: Before tourniquet deflation, compared with group 1, the odds ratios of groups 3 and 4 were less than 1. After tourniquet deflation, compared with group 1, the odds ratios of all groups using warming devices were less than 1. In particular, group 4 showed the largest hypothermia-preventive effect among the four groups. There was a significant correlation between esophageal temperature and bladder temperature before and after tourniquet deflation. Conclusions: After tourniquet deflation, a combination of a fluid warmer and forced-air warmer is the most effective method to prevent hypothermia, although either a fluid warmer or forced-air warmer alone could help to prevent hypothermia. Urinary bladder temperature changes correlate well with esophageal temperature changes throughout this operation. (Anesth Pain Med 2016; 11: 91-98)

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“…Tympanic, nasopharyngeal and rectal probes are useable, but the bladder, oesophagus or blood (pulmonary artery or Picco catheter) are most frequently used for temperature control during MTH maintenance. 55 Recommendation: We recommend that a rapid, efficient and safe cooling strategy be used (GOR D). There are no specific methods for MTH that can be recommended.…”

Section: Methods For Mthmentioning

confidence: 99%

Scandinavian Clinical practice guidelines for therapeutic hypothermia and post‐resuscitation care after cardiac arrest

Castrèn¹,

Silfvast²,

Rubertsson³

et al. 2009

Acta Anaesthesiol Scand

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Background and aim: Sudden cardiac arrest survivors suffer from ischaemic brain injury that may lead to poor neurological outcome and death. The reperfusion injury that occurs is associated with damaging biochemical reactions, which are suppressed by mild therapeutic hypothermia (MTH). In several studies MTH has been proven to be safe, with few complications and improved survival, and is recommended by the International Liaison of Committee on Resuscitation. The aim of this paper is to recommend clinical practice guidelines for MTH treatment after cardiac arrest from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI).Methods: Relevant studies were identified after two consensus meetings of the SSAI Task Force on Therapeutic Hypothermia (SSAITFTH) and via literature search of the Cochrane Central Register of Controlled Trials and Medline. Evidence was assessed and consensus opinion was used when high‐grade evidence (Grade of Recommendation, GOR) was unavailable. A management strategy was developed as a consensus from the evidence and the protocols in the participating countries.Results and conclusion: Although proven beneficial only for patients with initial ventricular fibrillation (GOR A), the SSAITFTH also recommend MTH after restored spontaneous circulation, if active treatment is chosen, in patients with initial pulseless electrical activity and asystole (GOR D). Normal ethical considerations, premorbid status, total anoxia time and general condition should decide whether active treatment is required or not. MTH should be part of a standardized treatment protocol, and initiated as early as possible after indication and treatment have been decided (GOR E). There is insufficient evidence to make definitive recommendations among techniques to induce MTH, and we do not know the optimal target temperature, duration of cooling and rewarming time. New studies are needed to address the question as to how MTH affects, for example, prognostic factors.

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Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method

Abstract: In critically ill patients, urinary bladder and oesophageal electronic thermometers are more reliable than the electronic rectal thermometer which is better than inguinal and axillary gallium-in-glass thermometers to measure core temperature.

Cited by 256 publications

References 22 publications

The accuracy of a disposable noninvasive core thermometer

The accuracy of a disposable noninvasive core thermometer

Comparison of warming methods for core temperature preservation during total knee arthroplasty using a pneumatic tourniquet

Scandinavian Clinical practice guidelines for therapeutic hypothermia and post‐resuscitation care after cardiac arrest

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