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Korean J Crit Care Med > Volume 13(2); 1998 > Article
Korean Journal of Critical Care Medicine 1998;13(2): 229-233.
중환자실에서 좌측 견갑골하방 체온측정의 유용성
이영주, 길현주1, 정금희1, 홍정연 문봉기, 김명은, 최민협, 이영석
아주대학교 의과대학 마취과학교실,1포천의과대학 마취과학교실
Effectiveness of Left Infrascapular Skin Temperature Monitoring in the ICU
Young Joo Lee, Hyun Jue Gill, Kuem Hee Chung, Jeong Yeon Hong, Bong Ki Moon, Myoung Eun Kim, Min Hyup Choi, Young Seok Lee
1Department of Anesthesiology, Ajou University, College of Medicine, Suwon, Korea.
2Department of Anesthesiology, Pochun Medical College, Sungnam, Korea.
BACKGOUND: Many sites are used to measure the body temperature and each site has different physiologic and practical importance. Several types of skin temperature monitoring have been used as simple, inexpensive and viable alternatives in many settings. In the operating area, it is difficult to insert a temperature probe during operation. The object of this study was to compare the difference and the correlation between the temperature of the left infrascapular skin region and temperatures of axilla, nasopharynx and rectum, METHODS: Forty-two adult patients who were admitted at surgical ICU were studied. After covering the bed with insulator and sheets, patients were placed in supine position. Temperature monitoring was done at the same time using four temperature probes from two bedside patient monitors in the same patient. The temperatures were measured twice at 30 minutes after application of the temperature probe at 10 minute intervals and the average temperature was recorded. RESULTS: The differences between skin temperature and rectal, nasopharyngeal, and axillary temperatures were -0.64+/-0.21degrees C (p<0.05), -0.40+/-0.21degrees C, and 0.24+/-0.21degrees C respectively. The lineal correlation between skin temperature and rectal, nasopharyngeal, and axillary temperatures were 0.839, 0.854, and 0.819, respectively (p<0.001). CONCLUSION: This study suggests that the monitoring of the skin temperature at the left infrascapular skin region is well correlated with the nasopharyngeal, rectal and axillary temperatures. And it will be an easy, simple and safe method which can be used for the patients who are alert but need continuous temperature monitoring in the intensive care unit and as well as for the patients who are in the middle of operation.
Key Words: Monitoring; Temperature; axillar; infrascapular skin; nasopharynx; rectum; Intensive Care unit
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