Core temperature monitoring during cesarean delivery under spinal anesthesia: a quality improvement descriptive study

TitleCore temperature monitoring during cesarean delivery under spinal anesthesia: a quality improvement descriptive study
Publication TypeJournal Article
Year of Publication2021
AuthorsBurey L, Lui B, White RS, Tangel VE, Kjaer K
JournalJ Comp Eff Res
Volume10
Issue1
Pagination13-15
Date Published01/2021
ISSN2042-6313
Keywordscesarean delivery, intraoperative temperature monitoring, obstetric anesthesia, spinal anesthesia
Abstract

Aim: To analyze intraoperative temperature change over time following spinal anesthesia for cesarean delivery using temperature enabled Foley catheters.

Materials & methods: 512 records of women who underwent scheduled cesarean deliveries were retrospectively identified from January 1, 2018 through September 9, 2018 using our anesthesia information management system.

Results: Median minimum temperature at min 1 following foley insertion was 35.24°C (interquartile range: 1.43), with an average of 12 minutes until temperature equilibration at median maximum temperature of 36.54°C (interquartile range 0.39). Temperature dropped to a nadir of 35.9°C at the 45 min mark, reflecting an average 0.64°C decline in temperature.

Conclusion: Bladder temperature is a useful surrogate for core temperature and offers a practical solution to continuous temperature monitoring in awake patients.

DOI10.2217/cer-2020-0183
PubMed ID33325275

Center for Perioperative Outcomes
NewYork-Presbyterian Hospital 
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cpo@med.cornell.edu