Comparison of Oral and Axillary Temperatures in Intubated Pediatric Patients.

Journal of Pediatric Nursing
Danielle WoodLouis Fogg

Abstract

Accurate body temperature measurement is essential in providing timely care to critically ill patients. Current practice within the Pediatric ICU (PICU) at a Midwestern academic medical center is to obtain axillary temperatures in endotracheally intubated patients. According to research, axillary temperatures have greater variance than other forms of temperature measurement. Research in adult patients show that oral temperature measurement in endotracheally intubated patients is acceptable as the heated gases from the ventilator has no significant effect on measured temperatures. This study sought to determine if the same is true in pediatrics. Oral and axillary temperatures of endotracheally intubated pediatric patients were obtained during unit prescribed vital assessment intervals. Patients were divided into neonate, infant, and children age groups with 25 sets of temperatures obtained for each group. Descriptive statistics and Bland-Altman plot interpretation were performed to determine confidence intervals for each age group. Bland-Altman plot analysis of oral and axillary routes of temperature measurement showed a high positive correlation within all age groups studied. The infant age group showed lower correlation in com...Continue Reading

Citations

Apr 20, 2021·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Mary HeitschmidtRuth Kleinpell
Jun 3, 2021·International Journal of Environmental Research and Public Health·Tatsuya YoshiharaShin Irie

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