Article Text

PDF

PO-0718 Temperature Measurement During Body-cooling Therapy In Newborn Babies With Hypoxic-ischaemic Encephalopathy
  1. RDG van der Spek1,
  2. RA van Lingen1,
  3. BJ Kollen2
  1. 1Princess Amalia Department of Paediatrics Division of Neonatology, Isala, Zwolle, Netherlands
  2. 2Department of General Practice University of Groningen, University Medical Centre Groningen, Groningen, Netherlands

Abstract

Background and aims Temperature control during therapeutic hypothermia in newborns with hypoxic ischaemic encephalopathy needs to be monitored with great care since this treatment can cause serious side effects. The temperature measured in the pulmonary artery is considered the ‘gold standard’; however, this is not suited to patients in the NICU. A reliable and less invasive method is the temperature measured in the oesophagus.

Aim We hypothesised temperature measurements during hypothermia using an oesophageal probe reflects higher temperatures than measurements using a rectal probe.

Methods 20 newborns treated with hypothermia were provided with a continuous rectal temperature probe as well as an oesophageal temperature probe. Both measurements were registered over a period of 72 h of hypothermic therapy.

Results Linear multilevel regression analysis revealed significant associations between rectal and oesophageal temperatures. We recorded a mean difference per degree between rectal and oesophageal temperatures of 0.12°C. This difference is 0.17°C higher during the cooling phase when compared to the rewarming phase.

Conclusion The differences between oesophageal and rectal temperatures do not result in any clinical effects. Temperature control during hypothermia can be done with either an oesophageal probe or a rectal probe; however, in order to reduce the risk of inadequate cooling due to a defective or dislocated probe, it is safer to use both probes simultaneously.

Abstract PO-0718 Figure 1

Oesophageal temperature, rectal temperature, surface temperature and zero heat flow temperature during 72 h of hypothermic treatment followed by the rewarming period

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.