TY - JOUR
T1 - Comparison of temporal artery temperature and bladder temperature in the postanesthesia care unit
AU - Bradley, Stephanie L.
AU - Kwater, Andrzej P.
AU - Cooke, Jessica M.
AU - Pivalizza, Catherine M.
AU - Zhang, Xu
AU - Sridhar, Srikanth
AU - Gumbert, Sam D.
AU - Pivalizza, Evan G.
N1 - Publisher Copyright:
© 2019, © 2019 Baylor University Medical Center.
PY - 2019/10/2
Y1 - 2019/10/2
N2 - 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.
AB - 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.
KW - Bladder temperature
KW - postanesthesia care unit
KW - temporal artery temperature
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U2 - 10.1080/08998280.2019.1624097
DO - 10.1080/08998280.2019.1624097
M3 - Article
C2 - 31656405
AN - SCOPUS:85069046121
SN - 0899-8280
VL - 32
SP - 502
EP - 504
JO - Baylor University Medical Center Proceedings
JF - Baylor University Medical Center Proceedings
IS - 4
ER -