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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...
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| Published in: | Pediatrics international 2017-01, Vol.59 (1), p.29-33 |
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| Main Authors: | , , , , , , |
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| Language: | English |
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| container_end_page | 33 |
| container_issue | 1 |
| container_start_page | 29 |
| container_title | Pediatrics international |
| container_volume | 59 |
| creator | Hine, Kotaro Hosono, Shigeharu Kawabata, Ken Miyabayashi, Hiroshi Kanno, Keichi Shimizu, Masaki Takahashi, Shori |
| description | 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. |
| doi_str_mv | 10.1111/ped.13046 |
| format | article |
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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.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.13046</identifier><identifier>PMID: 27273561</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Pediatrics international, 2017-01, Vol.59 (1), p.29-33</ispartof><rights>2016 Japan Pediatric Society</rights><rights>2016 Japan Pediatric Society.</rights><rights>Copyright © 2017 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4386-517f8ea2e473d72cbb644c322c92ee197414f56ade7097ff14a16ffa6a3fd11e3</citedby><cites>FETCH-LOGICAL-c4386-517f8ea2e473d72cbb644c322c92ee197414f56ade7097ff14a16ffa6a3fd11e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27273561$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hine, Kotaro</creatorcontrib><creatorcontrib>Hosono, Shigeharu</creatorcontrib><creatorcontrib>Kawabata, Ken</creatorcontrib><creatorcontrib>Miyabayashi, Hiroshi</creatorcontrib><creatorcontrib>Kanno, Keichi</creatorcontrib><creatorcontrib>Shimizu, Masaki</creatorcontrib><creatorcontrib>Takahashi, Shori</creatorcontrib><title>Nasopharynx is well‐suited for core temperature measurement during hypothermia therapy</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>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.</description><subject>Body Temperature - physiology</subject><subject>Brain damage</subject><subject>Cooling</subject><subject>Encephalopathy</subject><subject>Female</subject><subject>Humans</subject><subject>Hypothermia</subject><subject>Hypothermia, Induced - methods</subject><subject>Hypoxia</subject><subject>Hypoxia-Ischemia, Brain - physiopathology</subject><subject>Hypoxia-Ischemia, Brain - therapy</subject><subject>hypoxic–ischemic encephalopathy</subject><subject>Infant, Newborn</subject><subject>Ischemia</subject><subject>Male</subject><subject>Monitoring, Physiologic - methods</subject><subject>Nasopharynx</subject><subject>Nasopharynx - physiology</subject><subject>neonate</subject><subject>Neonates</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Temperature</subject><subject>Temperature effects</subject><subject>Temperature measurement</subject><subject>temperature monitoring</subject><subject>therapeutic hypothermia</subject><subject>Thermometers</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkctKBDEQRYMovhf-gDS40UVrKkkn6aX4BlEXCu5CprvitEw_TLrR2fkJfqNfYsbRjaBYm1sUh1tUXUK2gO5DrIMOy33gVMgFsgpCsJRRer8Ye850qqlUK2QthEdKqVZaLJMVppjimYRVcn9lQ9uNrZ82L0kVkmecTN5f38JQ9VgmrvVJ0XpMeqw79LYfYl-jDVFrbPqkHHzVPCTjadf2Y_R1ZZOZ2m66QZacnQTc_NJ1cnd6cnt0nl5en10cHV6mheBaphkop9EyFIqXihWjkRSi4IwVOUOEXAkQLpO2REVz5RwIC9I5Ky13JQDydbI79-18-zRg6E1dhSJeYRtsh2BAS80F40D_gTIpc6myPKI7P9DHdvBNPMQw-IRyDn9RoLNcSS34bO3enCp8G4JHZzpf1fHjBqiZ5WdifuYzv8hufzkOozpOv8nvwCJwMAeeqwlOf3cyNyfHc8sPIwOkvw</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Hine, Kotaro</creator><creator>Hosono, Shigeharu</creator><creator>Kawabata, Ken</creator><creator>Miyabayashi, Hiroshi</creator><creator>Kanno, Keichi</creator><creator>Shimizu, Masaki</creator><creator>Takahashi, Shori</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201701</creationdate><title>Nasopharynx is well‐suited for core temperature measurement during hypothermia therapy</title><author>Hine, Kotaro ; Hosono, Shigeharu ; Kawabata, Ken ; Miyabayashi, Hiroshi ; Kanno, Keichi ; Shimizu, Masaki ; Takahashi, Shori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4386-517f8ea2e473d72cbb644c322c92ee197414f56ade7097ff14a16ffa6a3fd11e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Body Temperature - physiology</topic><topic>Brain damage</topic><topic>Cooling</topic><topic>Encephalopathy</topic><topic>Female</topic><topic>Humans</topic><topic>Hypothermia</topic><topic>Hypothermia, Induced - methods</topic><topic>Hypoxia</topic><topic>Hypoxia-Ischemia, Brain - physiopathology</topic><topic>Hypoxia-Ischemia, Brain - therapy</topic><topic>hypoxic–ischemic encephalopathy</topic><topic>Infant, Newborn</topic><topic>Ischemia</topic><topic>Male</topic><topic>Monitoring, Physiologic - methods</topic><topic>Nasopharynx</topic><topic>Nasopharynx - physiology</topic><topic>neonate</topic><topic>Neonates</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Temperature</topic><topic>Temperature effects</topic><topic>Temperature measurement</topic><topic>temperature monitoring</topic><topic>therapeutic hypothermia</topic><topic>Thermometers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hine, Kotaro</creatorcontrib><creatorcontrib>Hosono, Shigeharu</creatorcontrib><creatorcontrib>Kawabata, Ken</creatorcontrib><creatorcontrib>Miyabayashi, Hiroshi</creatorcontrib><creatorcontrib>Kanno, Keichi</creatorcontrib><creatorcontrib>Shimizu, Masaki</creatorcontrib><creatorcontrib>Takahashi, Shori</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hine, Kotaro</au><au>Hosono, Shigeharu</au><au>Kawabata, Ken</au><au>Miyabayashi, Hiroshi</au><au>Kanno, Keichi</au><au>Shimizu, Masaki</au><au>Takahashi, Shori</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nasopharynx is well‐suited for core temperature measurement during hypothermia therapy</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2017-01</date><risdate>2017</risdate><volume>59</volume><issue>1</issue><spage>29</spage><epage>33</epage><pages>29-33</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>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.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>27273561</pmid><doi>10.1111/ped.13046</doi><tpages>5</tpages></addata></record> |
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| ispartof | Pediatrics international, 2017-01, Vol.59 (1), p.29-33 |
| issn | 1328-8067 1442-200X |
| language | eng |
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| source | Wiley |
| 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 |
| title | Nasopharynx is well‐suited for core temperature measurement during hypothermia therapy |
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