Hypothermia Clinical Trial
Official title:
Accuracy of Non-invasive Temperature Measurement in Deep Hypothermia; a Prospective Cohort Study
In pre-hospital care, there are few non-invasive thermometers that are proved both robust and accurate. The aim of this study is to investigate the accuracy of a certain ear-canal based thermometer on patients undergoing thoracic surgery in deep hypothermia.
The study is a prospective cohort study on patients undergoing elective thoracic surgery in
deep hypothermia. The goal is to assess the accuracy of non-invasive temperature devices
compared to a gold standard representing core temperature.
At the study hospital, Oslo University Hospital Rikshospitalet, patients undergoing thoracic
surgery will already have several routes of temperature monitoring as part of standard
procedure. Before cardiopulmonary bypass bladder temperature is normally used as a reference
for core temperature. After cardiopulmonary bypass is established, temperature is monitored
directly in the circulating blood, hence reflecting core temperature.
For measuring the epitympanic temperature we will use the Metraux Epitympanic Thermometer
(Walpoth, Galdikas et al. 1994), a nasopharyngeal temperature probe (Mon-a-Therm, General
Purpose Temperature Probe 12Fr/Ch, Covidien) and a new transcutaneous device (SpotOn 3M).
The temperature will be measured in degrees Celsius. The first reading will be noted just
after induction of anaesthesia and compared to the bladder temperature. After
cardiopulmonary bypass (CPB) is established and therapeutic hypothermia is induced, the
values for both non-invasive and blood temperature will be recorded every minute. After
reaching the target temperature according to the blood temperature, we will continue
recording the non-invasive temperature until relative similarity is established. The process
will be repeated during re-warming.
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Observational Model: Cohort, Time Perspective: Prospective
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