Nasopharynx is well‐suited for core temperature measurement during hypothermia therapy

Background Rectal temperature is commonly used as the core temperature during therapeutic hypothermia therapy in neonates with hypoxic–ischemic encephalopathy (HIE). The purpose of this study was to examine whether nasopharyngeal temperature could serve as a substitute for rectal temperature. Method...

Full description

Saved in:
Bibliographic Details
Published in:Pediatrics international 2017-01, Vol.59 (1), p.29-33
Main Authors: Hine, Kotaro, Hosono, Shigeharu, Kawabata, Ken, Miyabayashi, Hiroshi, Kanno, Keichi, Shimizu, Masaki, Takahashi, Shori
Format: Article
Language:English
Subjects:
Body Temperature - physiology
Brain damage
Cooling
Encephalopathy
Female
Humans
Hypothermia
Hypothermia, Induced - methods
Hypoxia
Hypoxia-Ischemia, Brain - physiopathology
Hypoxia-Ischemia, Brain - therapy
hypoxic–ischemic encephalopathy
Infant, Newborn
Ischemia
Male
Monitoring, Physiologic - methods
Nasopharynx
Nasopharynx - physiology
neonate
Neonates
Pediatrics
Prospective Studies
Temperature
Temperature effects
Temperature measurement
temperature monitoring
therapeutic hypothermia
Thermometers
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Rectal temperature is commonly used as the core temperature during therapeutic hypothermia therapy in neonates with hypoxic–ischemic encephalopathy (HIE). The purpose of this study was to examine whether nasopharyngeal temperature could serve as a substitute for rectal temperature. Methods We prospectively investigated 40 neonates with HIE who underwent therapeutic hypothermia by selective head cooling, which involved cooling the body to 34°C for 72 h. During this period, nasopharyngeal temperature was measured and compared with rectal temperature every hour. Results For 40 neonates included in this study, the mean rectal and nasopharyngeal temperatures were 34.3 ± 0.4°C (n = 2920) and 34.3 ± 0.4°C (n = 2920), respectively. Nasopharyngeal temperature strongly correlated with rectal temperature (R2 = 0.623, P < 0.0001) and magnitude of the mean difference between nasopharyngeal and rectal temperature varied little during the 72 h of therapeutic hypothermia. Conclusions Nasopharyngeal temperature in neonates with perinatal HIE undergoing therapeutic hypothermia may be a suitable substitute for rectal temperature.
ISSN:1328-8067
1442-200X
DOI:10.1111/ped.13046