A Comparative Study on Nasopharyngeal and Peripheral Skin Temperature in Critically Ill Patients

Autores

  • Neethu Jose
  • Sunita Sharma Senior Lecturer, NINE, PGIMER, Chandigarh, India
  • Dr. Neerja Bhardwaj Professor,Department of Anesthesia, PGIMER, Chandigarh, India
  • Dr. Sandhya Yaddanapudi Additional Professor, Department of Anesthesia, PGIMER, Chandigarh, India

Palavras-chave:

Skin temperature, core temperature, nasopharyngeal temperature, vasoactive substances

Resumo

Skin temperature measurement is an easy and convenient method of temperature measurement, but there is no consensus about its agreement with core temperature. Objective of this study was to compare the skin temperature measurement with the nasopharyngeal temperature (NP) measurement in critically ill patients. It was a prospective comparative study. A total of 280 (140 skin temperature and 140 NP) temperature measurements were obtained from 35 adult ICU patients. The bias between the skin temperature and the NP was −0.68 °C ± 0.38 SD (limits of agreements −0.07 °C and −1.43 °C). There was no significant relationship between the temperature gradient and different ranges of temperature (r = 0.12, r2 = 0.15, p = 0.08). But for patients, not receiving any vasoactive agents (r = −0.19, r2 = 0.035, p = 0.03), there was a weak negative relationship between the temperature gradient and the temperature of the patient and for patients getting vasoactive agents there was a positive correlation (r = 0.43, r2 = 0.19, p = 0.004). The results reflect that the skin temperature measurement is not an accepted mode due to its large bias and less precision, especially in patients receiving vasoactive drugs.

Downloads

Publicado

2012-10-19

Edição

Vol. 2 N.º 2 (2012)

Secção

Research Articles

Licença

Declaration and Copyright Transfer Form

(to be completed by authors)

I/ We, the undersigned author(s) of the submitted manuscript, hereby declare, that the above manuscript which is submitted for publication in the STM Journals(s), is not published already in part or whole (except in the form of abstract) in any journal or magazine for private or public circulation, and, is not under consideration of publication elsewhere.

·         I/We will not withdraw the manuscript after 1 week of submission as I have read the Author Guidelines and will adhere to the guidelines.

·         I/We Author(s ) have niether given nor will give this manuscript elsewhere for publishing after submitting in STM Journal(s).

·         I/ We have read the original version of the manuscript and am/ are responsible for the thought contents embodied in it. The work dealt in the manuscript is my/ our own, and my/ our individual contribution to this work is significant enough to qualify for authorship.

·          I/We also agree to the authorship of the article in the following order:

Author’s name                                    

 

1. ________________

2. ________________

3. ________________

_______________

We  Author(s) tick this box and would request you to consider it as our signature as we agree to the terms of this Copyright Notice, which will apply to this submission if and when it is published by this journal.