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Reliability of different body temperature measurement sites during aortic surgery
- Source :
- Perfusion. 29:75-81
- Publication Year :
- 2013
- Publisher :
- SAGE Publications, 2013.
-
Abstract
- Objective: We retrospectively performed a comparative analysis of temperature measurement sites during surgical repair of the thoracic aorta. Methods: Between January 2004 and May 2006, 22 patients (mean age: 63±12 years) underwent operations on the thoracic aorta with arterial cannulation of the aortic arch concavity and selective antegrade cerebral perfusion (ACP) during deep hypothermic circulatory arrest (HCA). Indications for surgical intervention were acute type A dissection in 14 (64%) patients, degenerative aneurysm in 6 (27%), aortic infiltration of thymic carcinoma in 1 (4.5%) and intra-aortic stent refixation in 1 (4.5%). Rectal, tympanic and bladder temperatures were evaluated to identify the best reference to arterial blood temperature during HCA and ACP. Results: There were no operative deaths and the 30-day mortality rate was 13% (three patients). Permanent neurological deficits were not observed and transient changes occurred in two patients (9%). During re-warming, there was strong correlation between tympanic and arterial blood temperatures (r= 0.9541, pConclusion: We conclude that tympanic temperature measurements correlate with arterial blood temperature monitoring during aortic surgery with HCA and ACP and, therefore, should replace bladder and rectal measurements.
- Subjects :
- Male
medicine.medical_specialty
Temperature monitoring
610 Medizin
Aorta, Thoracic
Body temperature measurement
Thermometry
Body Temperature
aortic surgery
temperature monitoring
antegrade cerebral perfusion
hypothermia
circulatory arrest
tympanic
rectal
bladder
Risk Factors
medicine
Humans
Radiology, Nuclear Medicine and imaging
Reliability (statistics)
Retrospective Studies
Advanced and Specialized Nursing
Surgical repair
ddc:610
business.industry
Temperature
General Medicine
Middle Aged
Hypothermia
Aortic surgery
Surgery
Perfusion
Circulatory Arrest, Deep Hypothermia Induced
Cerebrovascular Circulation
Anesthesia
Female
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Safety Research
Subjects
Details
- ISSN :
- 1477111X and 02676591
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Perfusion
- Accession number :
- edsair.doi.dedup.....c7a39c18016f90d8f8f415723daba5ae
- Full Text :
- https://doi.org/10.1177/0267659113497228