naa a22 4500 510743382 CHVBK 20180411083036.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12630-013-0047-z doi (NATIONALLICENCE)springer-10.1007/s12630-013-0047-z The accuracy of a disposable noninvasive core thermometer [Elektronische Daten] [Oliver Kimberger, Leif Saager, Cameron Egan, Ivan Sanchez, Sebahat Dizili, Jochim Koch, Andrea Kurz] Exactitude d'un thermomètre non invasif jetable pour température centrale Purpose: Perioperative hypothermia is still a common occurrence, and it can be difficult to measure a patient's core temperature accurately, especially during regional anesthesia, with placement of a laryngeal mask airway device, or postoperatively. We evaluated a new disposable double-sensor thermometer and compared the resulting temperatures with those of a distal esophageal thermometer and a bladder thermometer in patients undergoing general and regional anesthesia, respectively. Furthermore, we compared the accuracy of the thermometer between regional and general anesthesia, since forehead microcirculation might differ between the two types of anesthesia. Methods: We assessed core temperature in 36 general anesthesia patients and 20 patients having regional anesthesia for orthopedic surgery. The temperatures obtained using the double-sensor thermometer were compared with those obtained with the distal esophageal thermometer in the general anesthesia population and those obtained with the bladder thermometer in regional anesthesia patients. Results: In our general anesthesia patients, 90% (95% confidence interval [CI] 85 to 95) of all double-sensor values were within 0.5°C of esophageal temperatures. The average difference (bias) between the esophageal and double-sensor temperatures was −0.01°C. In patients undergoing regional anesthesia 89% (95% CI 80 to 97) of all double-sensor values were within 0.5°C of bladder temperatures. The average difference (bias) between the bladder and double-sensor temperatures was −0.13°C, limits of agreement were −0.65 to 0.40°C. Conclusions: In a perioperative patient population undergoing general or regional anesthesia, the accuracy of the noninvasive disposable double-sensor thermometer is comparable with that of the distal esophageal and bladder thermometers in routine clinical practice. Furthermore, the sensor performed comparably in patients undergoing regional and general anesthesia. Canadian Anesthesiologists' Society, 2013 Kimberger Oliver Department of Anesthesiology and General Intensive Care, Medical University of Vienna, Vienna, Austria aut Saager Leif Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut Egan Cameron Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut Sanchez Ivan Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut Dizili Sebahat Department of Anesthesiology and General Intensive Care, Medical University of Vienna, Vienna, Austria aut Koch Jochim Draegerwerk AG & Co. KGaA, Luebeck, Germany aut Kurz Andrea Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/12(2013-12-01), 1190-1196 0832-610X 60:12<1190 2013 60 12630 https://doi.org/10.1007/s12630-013-0047-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-0047-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kimberger Oliver Department of Anesthesiology and General Intensive Care, Medical University of Vienna, Vienna, Austria aut NATIONALLICENCE 700 1- Saager Leif Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Egan Cameron Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Sanchez Ivan Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Dizili Sebahat Department of Anesthesiology and General Intensive Care, Medical University of Vienna, Vienna, Austria aut NATIONALLICENCE 700 1- Koch Jochim Draegerwerk AG & Co. KGaA, Luebeck, Germany aut NATIONALLICENCE 700 1- Kurz Andrea Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue P77, 44195, Cleveland, OH, USA aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/12(2013-12-01), 1190-1196 0832-610X 60:12<1190 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer