2.50
Hdl Handle:
http://hdl.handle.net/10755/162122
Category:
Abstract
Type:
Presentation
Title:
Tympanic versus Temporal Artery Temperatures of Adults
Author(s):
Goldstein, Alison; Fetzer, Susan
Author Details:
Alison Goldstein, RN, BSN, CPAN, Southern New Hampshire Medical Center, Nashua, New Hampshire, USA, email: Alison.Goldstein@snhmc.org; Susan Fetzer, RN PHD
Abstract:
Purpose: Reaching preoperative temperature stability is a critical discharge criterion following anesthesia and surgery. The reliability of tympanic temperatures (TT) has been criticized by numerous researchers, primarily due to variability of operator technique. In addition, hearing aids, cerumen and surgical procedures of the neck and face preclude the tympanic approach during the postoperative period. The temporal artery thermometer (TAT), available since 2002, has been tested extensively in children and concluded to be more accurate. The lack of research on adults, specifically during the perioperative period, prompted the current study to examine the relationship between tympanic and temporal artery temperatures among adult perianesthesia patients. Theoretical Framework: Both temperature methods rely on the infrared detection of heat from a vascular source. Methods (Design, Sample, Setting, Measures, Analysis): After obtaining IRB approval, a prospective descriptive correlational study was used. TT and TAT were obtained for a convenience sample of 249 adult surgical patients. Five perianesthesia nurses, trained and competency tested on both devices, collected data. TT was obtained first on patients with last names from A to L; TAT was obtained first in patients with last names from M to Z. Results: Results indicated a positive relationship between TT and TAT (r = .417, p = .000). While only a moderate relationship, the mean temperature difference between the two measurements (0.09) was clinically insignificant. Interestingly, ANOVA indicated that TT temperature was higher than TAT preoperatively, but lower postoperatively. There was no correlation among temperature difference, age or gender. Conclusions and Implications: Data from this study indicates that the TAT is as accurate as the tympanic membrane thermometer. Lack of a stronger correlation may be due to the limited reliability of the TT. The temporal artery thermometer is recommended for use in the perianesthesia setting when considering the limitations of the TT in this population and the accuracy of the TAT identified in the current study.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTympanic versus Temporal Artery Temperatures of Adultsen_GB
dc.contributor.authorGoldstein, Alisonen_US
dc.contributor.authorFetzer, Susanen_US
dc.author.detailsAlison Goldstein, RN, BSN, CPAN, Southern New Hampshire Medical Center, Nashua, New Hampshire, USA, email: Alison.Goldstein@snhmc.org; Susan Fetzer, RN PHDen_US
dc.identifier.urihttp://hdl.handle.net/10755/162122-
dc.description.abstractPurpose: Reaching preoperative temperature stability is a critical discharge criterion following anesthesia and surgery. The reliability of tympanic temperatures (TT) has been criticized by numerous researchers, primarily due to variability of operator technique. In addition, hearing aids, cerumen and surgical procedures of the neck and face preclude the tympanic approach during the postoperative period. The temporal artery thermometer (TAT), available since 2002, has been tested extensively in children and concluded to be more accurate. The lack of research on adults, specifically during the perioperative period, prompted the current study to examine the relationship between tympanic and temporal artery temperatures among adult perianesthesia patients. Theoretical Framework: Both temperature methods rely on the infrared detection of heat from a vascular source. Methods (Design, Sample, Setting, Measures, Analysis): After obtaining IRB approval, a prospective descriptive correlational study was used. TT and TAT were obtained for a convenience sample of 249 adult surgical patients. Five perianesthesia nurses, trained and competency tested on both devices, collected data. TT was obtained first on patients with last names from A to L; TAT was obtained first in patients with last names from M to Z. Results: Results indicated a positive relationship between TT and TAT (r = .417, p = .000). While only a moderate relationship, the mean temperature difference between the two measurements (0.09) was clinically insignificant. Interestingly, ANOVA indicated that TT temperature was higher than TAT preoperatively, but lower postoperatively. There was no correlation among temperature difference, age or gender. Conclusions and Implications: Data from this study indicates that the TAT is as accurate as the tympanic membrane thermometer. Lack of a stronger correlation may be due to the limited reliability of the TT. The temporal artery thermometer is recommended for use in the perianesthesia setting when considering the limitations of the TT in this population and the accuracy of the TAT identified in the current study.en_GB
dc.date.available2011-10-27T11:01:16Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:01:16Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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