Anesthetic drugs & techniques

Comparison of tracheal versus esophageal temperatures during laparoscopic surgery

Can J AnaesthPublished Observational method-comparison study

Main finding · Agreement (Bland-Altman) and trending abilityResult — go to the resultMean bias −0.3 °C 95% limit of agreement CI −0.8 °C to 0.1 °C

Authors' conclusion

The temperature tracheal tube showed an acceptable overall mean bias of -0.3 °C and a percentage error of 3%, but incompatible trending ability with the esophageal temperature probe.

Study context

Population
Patients undergoing laparoscopic surgery36 analysed, 261 data points
Participants
40 patients
Exposure
Temperature tracheal tube vs esophageal temperature probe
Outcome
Agreement between tracheal and esophageal temperatures (recorded at 15-min intervals until end of surgery)
Methodological detailsBland-Altman analysis, four-quadrant plots, polar plots
  • Bland-Altman analysis
  • Four-quadrant plots
  • Polar plots

Main finding

Agreement (Bland-Altman) and trending ability

Mean bias

−0.3 °C

95% limit of agreement CI −0.8 °C to 0.1 °C

As reported in the abstract

Percentage error
3%
Concordance rate, four-quadrant plot (cut-off ≥ 92%)
94%
Mean angular bias, polar plot (cut-off < ± 5°)
177°
Radial limits of agreement, polar plot (cut-off < ± 30°)
52°

Observational data: associations, not effects.

Safety

Serious injuries related to temperature tracheal tube (bronchoscopy at extubation, interview 6 h postop) · six hours postoperatively

No serious injuries

Original publication

Comparison of tracheal versus esophageal temperatures during laparoscopic surgery. Can J Anaesth. Published 11 March 2024. doi:10.1007/s12630-024-02721-5

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