Neuroanesthesia & neurocritical care

Zero-heat-flux thermometry over the carotid artery in assessment of core temperature in craniotomy patients

J Clin Monit ComputPublished Method comparison study

Authors' conclusion

ZHF-neck measures core temperature as reliably as ZHF-forehead in non-cardiac surgery.

Study context

Population
Craniotomy patients under general anesthesia (non-cardiac surgery)
Participants
99 participants
Comparison
ZHF-neck vs ZHF-forehead, each vs esophageal temperature
Outcome
Agreement with esophageal temperature (Bland-Altman, difference index, percentage index within ± 0.5 °C)
Follow-up
Entire anesthesia; before and after esophageal temperature nadir
Methodological detailsBland-Altman analysis
  • Bland-Altman analysis

Main finding

As reported in the abstract

Bland-Altman agreement with esophageal temperature, entire anesthesia · entire anesthesia

Further findings

OutcomeValuesP value
Bland-Altman agreement after core temperature nadirZHF-forehead mean 0.1 (limits of agreement −0.6 to +0.8) °C
Difference index (mean absolute difference), entire anesthesiaZHF-neck vs ZHF-forehead · after Bonferroni correctionZHF-neck median 0.2 (IQR 0.1–0.3) °C · ZHF-forehead median 0.2 (IQR 0.2–0.4) °CP > 0.017
Difference index, after core temperature nadirZHF-neck vs ZHF-forehead · after Bonferroni correctionZHF-neck median 0.2 (IQR 0.1–0.3) °C · ZHF-forehead median 0.2 (IQR 0.1–0.3) °CP > 0.017
Percentage index (differences within ± 0.5 °C), after esophageal nadirZHF-neck median 100 (IQR 92–100) % · ZHF-forehead median 100 (IQR 92–100) %

Difference index (mean absolute difference), entire anesthesia

Performed equally

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Zero-heat-flux thermometry over the carotid artery in assessment of core temperature in craniotomy patients. J Clin Monit Comput. Published 6 March 2023. doi:10.1007/s10877-023-00984-9

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