1. Comparison of temporal artery temperature and bladder temperature in the postanesthesia care unit
- Author
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Jessica M. Cooke, Andrzej P. Kwater, Evan G. Pivalizza, Sam D. Gumbert, Xu Zhang, Srikanth Sridhar, Catherine M. Pivalizza, and Stephanie L. Bradley
- Subjects
Postanesthesia care ,biology ,business.industry ,General Medicine ,Core temperature ,biology.organism_classification ,Confidence interval ,Pacu ,Anesthesia ,Bladder temperature ,Medicine ,Temporal artery ,business ,Indwelling bladder catheter ,Original Research ,Surgical patients - Abstract
To verify that temporal artery (TA) temperature measured in the postanesthesia care unit (PACU) in noncardiac surgical patients is a valid reflection of core temperature, a prospective, observational, institutional review board–approved study was conducted in a large, academic tertiary care hospital. The study developed from an initial quality improvement project. A total of 276 patients who had an indwelling bladder catheter as standard of care were enrolled when a research student was available over a 6-month period in 2015. Infrared TA temperature was measured (average of three readings) simultaneously with bladder temperature on PACU arrival. Mean temperature in the bladder and TA groups was >36°C with a clinically negligible difference (0.125°C; 90% confidence interval, 0.059–0.192). Agreement between bladder and TA temperatures, as well as between bladder and last operating room temperatures, was >95% by Bland-Altman analysis. A properly performed TA temperature measure on PACU arrival is an acceptable representation of core temperature for purposes of quality assessment, patient comfort, and regulatory requirements.
- Published
- 2019
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