Accuracy and precision of a novel non-invasive core thermometer

Slides:



Advertisements
Similar presentations
Comparison of continuous non-invasive finger arterial pressure monitoring with conventional intermittent automated arm arterial pressure measurement in.
Advertisements

McGrath videolaryngoscope for an anticipated difficult airway
Functional walking capacity as an outcome measure of laparoscopic prostatectomy: the effect of lidocaine infusion  S. Lauwick, D.J. Kim, G. Mistraletti,
Precision and accuracy of a new device (CNAP™) for continuous non-invasive arterial pressure monitoring: assessment during general anaesthesia  C Jeleazcov,
Supplemental oxygen and surgical site infection: getting to the truth
Is comparison of changes in cardiac output, assessed by different methods, better than only comparing cardiac output to the reference method?  N.W.F.
Radial artery applanation tonometry for continuous non-invasive arterial pressure monitoring in intensive care unit patients: comparison with invasively.
Retroperitoneal haematoma in a patient with continuous psoas compartment block and enoxaparin administration for total knee replacement  M. Dauri, S.
Parkinson's disease and anaesthesia
Time delay of electroencephalogram index calculation: analysis of cerebral state, bispectral, and Narcotrend indices using perioperatively recorded electroencephalographic.
M. Niesters, R. Mahajan, E. Olofsen, M. Boom, S. Garcia del Valle, L
Comparison between an uncalibrated pulse contour method and thermodilution technique for cardiac output estimation in septic patients  F. Franchi, R.
Accuracy and precision of the ultrasound cardiac output monitor (USCOM 1A) in pregnancy: comparison with three-dimensional transthoracic echocardiography 
A different use of visual analytic techniques in anaesthetics
M. Boutonnet, V. Faitot, A. Katz, L. Salomon, H. Keita 
Ventilatory ratio: a simple bedside measure of ventilation
Pre-hospital tracheal intubation in patients with traumatic brain injury: systematic review of current evidence  E. von Elm, P. Schoettker, I. Henzi,
T. Asai  British Journal of Anaesthesia 
J. Thai, E. J. Reynolds, N. Natalia, C. Cornelissen, H. J. M
Less invasive determination of cardiac output from the arterial pressure by aortic diameter-calibrated pulse contour  J.B. de Vaal, R.B.P. de Wilde, P.C.M.
O. Thom, D. M. Taylor, R. E. Wolfe, J. Cade, P. Myles, H. Krum, R
M.A. Olympio, R. Whelan, R.P.A. Ford, I.C.M. Saunders 
Modification of tracheal tubes
Accuracy of non-invasive measurement of haemoglobin concentration by pulse co- oximetry during steady-state and dynamic conditions in liver surgery  J.J.
Fluoride excretion in children after sevoflurane anaesthesia
Tissue oxygenation response to mild hypercapnia during cardiopulmonary bypass with constant pump output  O. Akça, D.I. Sessler, D. Delong, R. Keijner,
A. Absalom, D. Amutike, A. Lal, M. White, G.N.C. Kenny 
Apparent blind spot with the GlideScope® video laryngoscope
Transpulmonary thermodilution cardiac output measurement is not affected by severe pulmonary oedema: a newborn animal study  A Nusmeier, S Vrancken, W.P.
Continuous non-invasive cardiac output monitoring during exercise: validation of electrical cardiometry with Fick and thermodilution methods  Y.H. Liu,
D.H.J. Davis, M. Oliver, A.J. Byrne  British Journal of Anaesthesia 
Comparison of esCCO and transthoracic echocardiography for non-invasive measurement of cardiac output intensive care  B. Bataille, M. Bertuit, M. Mora,
Role of therapeutic hypothermia in improving outcome after traumatic brain injury: a systematic review  A.P. Georgiou, A.R. Manara  British Journal of.
Does regional anaesthesia improve outcome after total hip arthroplasty
Stroke volume optimization in elective bowel surgery: a comparison between pulse power wave analysis (LiDCOrapid) and oesophageal Doppler (CardioQ)  J.
Novel multiparameter approach for measurement of nociception at skin incision during general anaesthesia†‡  M Rantanen, A Yli-Hankala, M van Gils, H Yppa¨rila¨-Wolters,
Anaesthetists’ non-technical skills
R. Stanger, K. Colyvas, J.G. Cassey, I.A. Robinson, P. Armstrong 
R Kruisselbrink, C Arzola, T Jackson, A Okrainec, V Chan, A Perlas 
Pressure recording analytical method (PRAM) for measurement of cardiac output during various haemodynamic states  S. Scolletta, S.M. Romano, B. Biagioli,
S.M. Underwood, A.K. McIndoe  British Journal of Anaesthesia 
Mini-clinical evaluation exercise in anaesthesia training
E.K. Aasvang, M.U. Werner, H. Kehlet  British Journal of Anaesthesia 
H. Beloeil, J.-X. Mazoit, D. Benhamou, J. Duranteau 
Y.A. Zausig, H. Künzig, G. Roth, B.M. Graf 
Non-invasive continuous arterial pressure measurement based on radial artery tonometry in the intensive care unit: a method comparison study using the.
Therapeutic hypothermia: heat transfer from warmed tracheal tubes to oesophageal temperature probes poses risk of life-threatening overcooling  A. Lavinio,
Similarity between the suprasystolic wideband external pulse wave and the first derivative of the intra-arterial pulse wave  R.A. Payne, D. Isnardi, P.J.D.
Systemic vascular resistance has an impact on the reliability of the Vigileo-FloTrac system in measuring cardiac output and tracking cardiac output changes 
Chronic pain in adults after thoracotomy in childhood or youth
Securing tracheal tubes in facial burns
Investigation of trainee and specialist reactions to the mini-Clinical Evaluation Exercise in anaesthesia: implications for implementation  J.M. Weller,
Intraoperative tissue oxygenation and postoperative outcomes after major non-cardiac surgery: an observational study†  B.B. Abdelmalak, J.P. Cata, A.
Bibliometrics of anaesthesia researchers in the UK
Arm-to-arm variation when evaluating neuromuscular block: an analysis of the precision and the bias and agreement between arms when using mechanomyography.
Non-invasive continuous arterial pressure monitoring with Nexfin® does not sufficiently replace invasive measurements in critically ill patients  A Hohn,
J.E. Spiegel, A. Vasudevan, Y. Li, P.E. Hess 
Comparison of sub-Tenon’s block with i. v
Comparison of central venous and external jugular venous pressures during repair of proximal femoral fracture†  A.D. Leonard, C.M. Allsager, J.L. Parker,
C. Bergek, J.H. Zdolsek, R.G. Hahn  British Journal of Anaesthesia 
G. Haller, D.S. Courvoisier, H. Anderson, P.S. Myles 
Association between preoperative statin therapy and postoperative change in glomerular filtration rate in endovascular aortic surgery  M.Y. Argalious,
Accuracy of impedance cardiography for evaluating trends in cardiac output: a comparison with oesophageal Doppler  E. Lorne, Y. Mahjoub, M. Diouf, J.
A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study 
Comparison of different methods of ventilation via cannula cricothyroidotomy in a trachea–lung model†   N.J. Flint, W.C. Russell, J.P. Thompson  British.
O. Opatz, T. Trippel, A. Lochner, A. Werner, A. Stahn, M. Steinach, J
Rocuronium dose-dependently suppresses the spectral entropy response to tracheal intubation during propofol anaesthesia  M. Kawaguchi, I. Takamatsu, T.
Controlled hypotension for middle ear surgery: a comparison between remifentanil and magnesium sulphate†   J.-H. Ryu, I.-S. Sohn, S.-H. Do  British Journal.
U.H. Frey, P. Scharmann, C. Löhlein, J. Peters 
H.A. Leather, P.F. Wouters  British Journal of Anaesthesia 
Presentation transcript:

Accuracy and precision of a novel non-invasive core thermometer O. Kimberger, R. Thell, M. Schuh, J. Koch, D.I. Sessler, A. Kurz  British Journal of Anaesthesia  Volume 103, Issue 2, Pages 226-231 (August 2009) DOI: 10.1093/bja/aep134 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 1 Two temperatures are measured: Th1 for skin temperature and Th2 for ‘environment-side’ temperature. The heat coefficient of the insulating material (Ks) is known. An additional parameter that has to be taken in account is the estimated heat transfer coefficient of human tissue (Kg). A formula for calculating core temperature with an empiric human tissue heat transfer coefficient using the double-sensor is thus: T core = T h 1 + ( K s / K g ) ( K h 1 − T h 2 ) . British Journal of Anaesthesia 2009 103, 226-231DOI: (10.1093/bja/aep134) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 2 Bland–Altman plot comparing the distal oesophageal and double-sensor temperature measurements (n=1287). The x-axis is the average of the two measurements. The y-axis is the bias that is the difference of the two measurements (oesophageal−double-sensor). Bias: −0.08°C; limits of agreement: ±0.58°C. British Journal of Anaesthesia 2009 103, 226-231DOI: (10.1093/bja/aep134) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 3 Bland–Altman plot comparing the forehead and double-sensor temperature measurements (n=1287). The x-axis is the average of the two measurements. The y-axis is the bias that is the difference of the two measurements (oesophageal−double-sensor). Bias: −0.56°C; limits of agreement: ±1.54°C. British Journal of Anaesthesia 2009 103, 226-231DOI: (10.1093/bja/aep134) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions