Pediatric anesthesia & critical care

Optimal Positioning of Nasopharyngeal Temperature Probes in Infants and Children: A Prospective Cohort Study

Anesth AnalgPublished Prospective cohort study

Authors' conclusion

Nasopharyngeal thermometers accurately measure core temperature, but only when probes are inserted a proper distance, which varies with age.

Study context

Population
Pediatric patients having noncardiac surgery with endotracheal intubation
Participants
157 patients
Exposure
Nasopharyngeal vs reference esophageal temperature at varying nasopharyngeal probe insertion depths, by age group
Outcome
Optimal nasopharyngeal probe insertion depth by age (limits of agreement between nasopharyngeal and esophageal temperatures <0.5 °C)

Main finding

As reported in the abstract

Optimal nasopharyngeal probe insertion depth
GroupValue95% LOAs at 9 cm
Newborn to 6 months6 to 10 cm
7 months to 1 year7 to 8 cm
13 to 23 months7.5 to 12 cm
2 to 5 years−0.67 °C to 0.52 °C
6 to 12 years10 to 12 cm

Value

Newborn to 6 months6 to 10 cm
7 months to 1 year7 to 8 cm
13 to 23 months7.5 to 12 cm
2 to 5 years— not stated in the abstract
6 to 12 years10 to 12 cm

95% LOAs at 9 cm

Newborn to 6 months— not stated in the abstract
7 months to 1 year— not stated in the abstract
13 to 23 months— not stated in the abstract
2 to 5 years−0.67 °C to 0.52 °C
6 to 12 years— not stated in the abstract
Bias (mean nasopharyngeal-to-esophageal difference) at optimal position within each age range
≤0.1 °C

Observational data: associations, not effects.

Original publication

Optimal Positioning of Nasopharyngeal Temperature Probes in Infants and Children: A Prospective Cohort Study. Anesth Analg. Published 29 November 2022. doi:10.1213/ane.0000000000006312

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