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. 2021 May 5:8:666908.
doi: 10.3389/fmed.2021.666908. eCollection 2021.

Measuring Core Body Temperature Using a Non-invasive, Disposable Double-Sensor During _targeted Temperature Management in Post-cardiac Arrest Patients

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Measuring Core Body Temperature Using a Non-invasive, Disposable Double-Sensor During _targeted Temperature Management in Post-cardiac Arrest Patients

David Janke et al. Front Med (Lausanne). .

Abstract

Background: Precisely measuring the core body temperature during _targeted temperature management after return of spontaneous circulation is mandatory, as deviations from the recommended temperature might result in side effects such as electrolyte imbalances or infections. However, previous methods are invasive and lack easy handling. A disposable, non-invasive temperature sensor using the heat flux approach (Double Sensor), was tested against the standard method: an esophagus thermometer. Methods: The sensor was placed on the forehead of adult patients (n = 25, M/F, median age 61 years) with return of spontaneous circulation after cardiac arrest undergoing _targeted temperature management. The recorded temperatures were compared to the established measurement method of an esophageal thermometer. A paired t-test was performed to examine differences between methods. A Bland-Altman-Plot and the intraclass correlation coefficient were used to assess agreement and reliability. To rule out possible influence on measurements, the patients' medication was recorded as well. Results: Over the span of 1 year and 3 months, data from 25 patients were recorded. The t-test showed no significant difference between the two measuring methods (t = 1.47, p = 0.14, n = 1,319). Bland-Altman results showed a mean bias of 0.02°C (95% confidence interval 0.00-0.04) and 95% limits of agreement of -1.023°C and 1.066°C. The intraclass correlation coefficient was 0.94. No skin irritation or allergic reaction was observed where the sensor was placed. In six patients the bias differed noticeably from the rest of the participants, but no sex-based or ethnicity-based differences could be identified. Influences on the measurements of the Double Sensor by drugs administered could also be ruled out. Conclusions: This study could demonstrate that measuring the core body temperature with the non-invasive, disposable sensor shows excellent reliability during _targeted temperature management after survived cardiac arrest. Nonetheless, clinical research concerning the implementation of the sensor in other fields of application should be supported, as well as verifying our results by a larger patient cohort to possibly improve the limits of agreement.

Keywords: cardiac arrest; core body temperature; heat-flux sensor; hypothermia; intraclass correlation coefficient; return of spontaneous circulation; _targeted temperature management.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the study protocol.
Figure 2
Figure 2
Schematic of the double sensor. Tcore, core body temperature; HF 1, heat flux from body core to the sensor; HF 2, heat flux through the sensor.
Figure 3
Figure 3
Exemplary temperature profile during TTM. orange line: temperature measured by double sensor, blue line: temperature measured by esophageal thermometer, green line: ambient temperature.
Figure 4
Figure 4
Bland-Altman plot. X-axis: mean temperature between esophagus thermometer and double sensor, Y-axis: difference between esophagus thermometer and double sensor, continuous blue line: mean difference between esophagus thermometer and double sensor, dashed green lines: limits of agreement (= mean difference ± 1.96 standard deviations).

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