Measurement of Body Temperature
- 1.3k Downloads
#x203A; Body temperature measurement is mainly indicated to confirm the presence or absence of fever.
› There remains considerable controversy among professionals regarding the most appropriate thermometer and the best anatomical site for temperature measurement.
› Medical staff should be aware of those clinical conditions that require accurate temperature measurement (e.g., febrile neutropenia) and those in which screening for fever may be adequate (maternal intrapartum).
› Core temperature is generally defined as the temperature measured within the pulmonary area.
› In an environment where ambient temperatures are stable (e.g., neonatal units), temperature recorded from the axilla is nearly as accurate that recorded from the rectal site.
› Although rectal temperature is a satisfactory reference standard for core temperature, it is reliable only if the body is in thermal balance and reacts slowly to changes in temperature.
› There is evidence to suggest that tympanic temperature accurately reflects pulmonary artery temperature even when body temperature is changing rapidly.
KeywordsCore Temperature Tympanic Membrane Rectal Temperature Clostridium Difficile Infection Malignant Hyperthermia
Unable to display preview. Download preview PDF.
- 1.Sarton G. Sarton on the history of science. Harvard University Press. Cambridge, Massachu setts. 1962Google Scholar
- 7.El-Radhi AS. Hyperpyrexia in paediatric intensive care. Br J Intensive Care 1996; 6: 305–308Google Scholar
- 8.Lorin MI. Measurement of body temperature. Semin Pediatr Infect Dis 1993; 4: 4–8Google Scholar
- 11.Chamberlain JM, Terndrup TE. New light on ear thermometer readings. Contemp Pediatr 1994: 1–8Google Scholar
- 12.El-Radhi AS, Carroll J. Fever in paediatric practice. Blackwell. Oxford. 1994, pp. 68–84Google Scholar
- 17.Whybrew K, Murray M, Morley C. Diagnosing fever by touch. Br Med J 1998; 317: 321Google Scholar
- 34.Silverman BG, Daley WR, Rubin JD. The use of infrared ear thermometers in pediatric and family practice offices. Publ Health Rep 1998; 113: 268–272Google Scholar
- 40.Holdcroft A, Hall GM, Cooper GM. Redistribution of body heat during anaesthesia. Anaes thesia 1979; 34: 758–764Google Scholar
- 43.Duce SJ. A systematic review of the literature to determine optimal methods of temperature measurement in neonates, infants and children. DARE review 1994; 4: 1–124Google Scholar
- 47.Schmitz T, Bair N, Falk M, et al. A comparison of five methods of temperature measurement in febrile intensive care patients. Am J Intensive Care 1995; 4: 286–292Google Scholar
- 49.Morley C. Babies' rectal temperature: parents' reluctance reflects poorly on our culture. Br Med J 1993; 307: 1005Google Scholar
- 50.Robinson J, Charlton J, Seal R, et al. Oesophageal, rectal, axillary, tympanic and pulmonary artery temperatures during cardiac surgery comment. Can J Anaesth 1998; 45: 1133–1134Google Scholar
- 55.Klein DG, Mitchell C, Petrinec A, et al. A comparison of pulmonary artery, rectal and tym panic membrane temperature measurement6 in the ICU. Heart Lung: J acute Crit Care 1993; 22: 435–441Google Scholar
- 58.Chang Y, Ho L, Huang T, et al. Accuracy of infrared ear thermometry and traditional body temperatures for medical intensive care unit patients. J Nurs (China) 2000; 47: 53–63Google Scholar