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PubMed1994

The relationship between directly measured human cerebral and tympanic temperatures during changes in brain temperatures.

The present study was performed to investigate the relationship between noninvasive measurements of core temperature and intracranial temperature measurements in humans. At 2-3 weeks following minor subarachoid haemorrhage, five patients were studied during open brain surgery. All patients were fully conscious and free of neurological symptoms at the time of surgery. During craniotomies in the frontotemporal region, temperatures between the dura and brain surface were on average 0.58 (SD 0.51) degrees C lower than those near the mesencephalon. During the 60-90 min following the initial exposure of the brain surface to the ambient temperature of 24 degrees C, subdural temperature at the convexity decreased by 0.72 (SD 0.43) degrees C and subdural temperature at the basis decreased by 0.36 (SD 0.17) degrees C. During the same period, mesencephalon temperature decreased by 0.22 (SD 0.10) degrees C. The decreases of cerebral temperatures were followed by a similar decrease in tympanic temperature of 0.28 (SD 0.10) degrees C but by an increase in rectal temperature of 0.22 (SD 0.13) degrees C and an increase in oesophageal temperature of 0.20 (SD 0.20) degrees C. The maximal shift of frontal skin temperature during the same period amounted to +0.04 (SD 0.21) degrees C. The findings would seem to support the thesis that a direct relationship does exist between tympanic and brain temperatures in humans and that of the externally accessible body temperatures, tympanic temperatures giving the best approximation of average cerebral temperature.

Body Temperature↗
PubMed1996

Monitoring body-core temperature from the trachea: comparison between pulmonary artery, tympanic, esophageal, and rectal temperatures.

INTRODUCTION: We designed an endotracheal tube (ETT) for acquiring body-core temperature from the trachea. This ETT had two temperature sensors, one attached to the inside surface of the cuff, the other mounted on the ETT shaft underneath the cuff. The ETT was evaluated in vitro and in dogs to determine: 1) optimal position of temperature sensors and 2) the responsiveness, accuracy, and resistance to ventilatory artifacts. METHODS: In vitro. An artificial trachea assessed the response-time and accuracy of ETT temperature sensors to abrupt temperature changes and ventilatory flow-rates. In vivo. Body temperature in 5 dogs was lowered to approximately 26 degrees C then elevated toward 39 degrees C using a heat exchanger during carotid-jugular bypass. ETT temperature measurements were compared simultaneously with those from the artificial trachea (in vitro) or from the pulmonary artery, tympanic cavity, esophagus, and rectum of dogs using dry and humidified gas. RESULTS: Cuff temperature sensor responded quickly and accurately to temperature changes and was less prone than the tube sensor to ventilatory and humidity artifacts. During carotid-jugular bypass, in vivo tube and cuff mean temperatures averaged 1.4 degrees C and 0.36 degree C lower, respectively, than pulmonary artery temperatures. There were no statistical differences (P > 0.05) between cuff temperatures and those measured from the pulmonary artery, tympanic cavity, esophagus, and rectum. Heating and humidifying the inspiratory gas of dogs with a water-bath humidifer or heat moisture exchanger (HME) had minimal effects on the cuff temperature sensor. An in-line HME increased in vivo tube temperature from baseline values by 1.13 +/- 0.80 degree C, while cuff temperature increased by 0.21 +/- 0.24 degree C. CONCLUSION: The cuff of the ETT is a reliable site for measuring body-core temperature in intubated patients.

Animals↗
PubMed1996

[Infrared temperature measurement in the ear canal with the DIATEK 9000 Instatemp and the DIATEK 9000 Thermoguide. Comparison with methods of temperature measurement in other body parts].

UNLABELLED: Temperature of the tympanic membrane is recommended as a "gold standard" of core-temperature recording. However, use of temperature probes in the auditory canal may lead to damage of tympanic membrane. Temperature measurement in the auditory canal with infrared thermometry does not pose this risk. Furthermore it is easy to perform and not very time-consuming. For this reason infrared thermometry of the auditory canal is becoming increasingly popular in clinical practice. We evaluated two infrared thermometers-the Diatek 9000 Thermoguide and the Diatek 9000 Instatemp-regarding factors influencing agreement with conventional tympanic temperature measurement and other core-temperature recording sites. In addition, we systematically evaluated user dependent factors that influence the agreement with the tympanic temperature. MATERIALS AND METHODS: In 20 volunteers we evaluated the influence of three factors: duration of the devices in the auditory canal before taking temperature (0 or 5 s), interval between two following recordings (30, 60, 90, 120, 180 s) and positioning of the grip relative to the auditory-canal axis (0, 60, 180 and 270 degrees). Agreement with tympanic contact probes (Mon-a-therm tympanic) in the contralateral ear was investigated in 100 postoperative patients. Comparative readings with rectal (YSI series 400) and esophageal (Mon-a-therm esophageal stethoscope with temperature sensor) probes were done in 100 patients in the ICU. The method of Bland and Altman was taken for comparison. RESULTS: Shortening of the interval between two consecutive readings led to increasing differences between the two measurements with the second reading decreasing. A similar effect was seen when positioning the infrared thermometers in the auditory canal before taking temperatures: after 5 s the recorded temperatures were significantly lower than temperature recordings taken immediately. Rotation of the devices out of the telephone handle position led to increasing lack of agreement between infrared thermometry and contact probes. Mean differences between infrared thermometry (Instatemp and Thermoguide, CAL-Mode) and tympanic probes were -0.41 +/- 0.67 degree C (2 SD) and -0.43 +/- 0.70 degree C, respectively. Mean differences between the Thermoquide (Rectal-Mode) and rectal probe were -0.19 +/- 0.72 degree C, and between the Thermoguide (Core Mode) and esophageal probe -0.13 +/- 0.74 degree C. DISCUSSION: Although easy to use, infrared thermometry requires careful handling. To obtain optimal recordings, the time between two consecutive readings should not be less than two min. Recordings should be taken immediately after positioning the devices in the auditory canal. Best results are obtained in the 60 degrees position with the grip of the devices following the ramus mandibulae (telephone handle position). The lower readings of infrared thermometry compared with tympanic contact probes indicate that the readings obtained represent the temperature of the auditory canal rather than of the tympanic membrane itself. To compensate for underestimation of core temperature by infrared thermometry, the results obtained are corrected and transferred into core-equivalent temperatures. This data correction reduces mean differences between infrared recordings and traditional core-temperature monitoring, but leaves limits of agreement between the two methods uninfluenced.

Body Temperature↗
PubMed1997

Core body temperature measurement: a comparison of axilla, tympanic membrane and pulmonary artery blood temperature.

This research study was undertaken to examine the relationship between pulmonary artery blood temperature (regarded as the 'gold standard' measurement for core body temperature), axilla temperature using the Tempa.DOT Ax chemical thermometer and tympanic membrane temperature using the Diatek 9000 InstaTemp thermometer. Sixty adult intensive care patients had their temperatures monitored. A single set of five simultaneous temperatures, i.e. left and right axilla, left and right tympanic membrane (TM), and pulmonary artery (PA) blood were recorded. The mean difference between left and right TM temperatures was 0.58 degree C, and although both were moderately well correlated with PA temperature (r = 0.63 and 0.78, respectively) the mean differences between the two sites were clinically significant (0.85 degree C and 0.94 degree C, respectively). The range of differences between the sites was significant. Plotting limits of agreement showed that both left and right TM temperatures may be up to 1.2 degrees C above or 1.3 degrees C below PA blood temperature: a clinically unacceptable range. In particular, large temperature differences were recorded when patients were lying with one side of their head to a pillow. Fan therapy directed to the head was not found to affect these differences significantly. The mean difference between left and right axilla temperatures was 0.36 degree C, and although both were modestly correlated with PA temperature (r = 0.48 and 0.53, respectively) the mean differences between the two sites were clinically significant (0.47 degree C and 0.50 degree C, respectively). The range of differences between the sites was particularly significant. Plotting limits of agreement showed that both left and right axilla temperatures may be up to 1.2 degrees C above or 1.6 degrees C below PA blood temperature: a clinically unacceptable range. Because the range of temperature differences found between PA blood and the other sites was so great, it is concluded that neither the chemical axilla thermometer nor the tympanic membrane thermometer used in this study are clinically reliable tools for adult intensive care patients.

Adult↗
PubMed1999

Embryonic temperature and gonadal sex organize male-typical sexual and aggressive behavior in a lizard with temperature-dependent sex determination.

Temperature during embryonic development determines gonadal sex in the leopard gecko, Eublepharis macularius. Moreover, both embryonic temperature and gonadal sex influence adult behavior. Yet it remains unclear whether the effects of embryonic temperature and gonadal sex on behavior are irreversibly organized during development. To address this question, we gonadectomized adult females and males generated from a temperature that produces mostly females (30 C) and a temperature that produces mostly males (32.5 C). Females and males from both temperatures were then treated with equivalent levels of various sex steroids. We found that both embryonic temperature and gonadal sex had persistent effects on the expression of male-typical sexual and aggressive behaviors. For example, adult females do not scent mark and display very little courtship and mounting behavior even when treated with levels of hormones (primarily androgens) that activate these behaviors in males. In contrast, species-typical aggressive displays were less sex specific and were activated by both dihydrotestosterone and testosterone (T) in males and by T in females. Nevertheless, the average duration of aggressive displays was significantly shorter in T-treated females than that in T-treated males. With regard to submissive behavior, androgens decreased flight behavior in males, but had no effect in females. Embryonic temperature had enduring effects on certain behaviors in males. For instance, males from a male-biased embryonic temperature scent-marked more than males from a female-biased embryonic temperature when treated with dihydrotestosterone or T. Conversely, and across hormone treatments, males from a female-biased embryonic temperature mounted more than males from a male-biased embryonic temperature. Finally, treatment with 17beta-estradiol decreased submissive behavior in males from a male-biased embryonic temperature compared with that in males from a female-biased embryonic temperature. Courtship and aggressive behavior were not influenced by temperature. These results strongly suggest that male-typical behaviors in the adult leopard gecko are permanently organized by both embryonic temperature and gonadal sex during development.

Aggression↗
PubMed1987

Effects of formula temperature on postprandial thermogenesis and body temperature of premature infants.

To study the effect of formula temperature on the thermogenic response to gavage feeding, we fed formula at room temperature (mean 24.0 degrees C, SD 1.1) and at body temperature (mean 36.9 degrees C, SD 1.7) to premature infants in a crossover design while monitoring their metabolic heat production and gastric, rectal, and skin temperatures. After feeding with room temperature formula, stomach temperature fell by 6.9 degrees C, rectal temperature by 0.2 degree C, and mean skin temperature by 0.6 degree C, and metabolic rate increased by 16% in the first postprandial hour. After body temperature feedings, mean skin temperature fell by 0.2 degree C, but stomach and rectal temperatures did not change appreciably. The metabolic rate rose by 12% in the first hour, which was not significantly less than the rise after room temperature feeding. The heat required to warm the formula to body temperature did not result in a detectably greater rise in metabolic rate after cool feeding than after warm feeding. The effects of feed temperatures below room temperature were not studied, but it remains possible that cooler feedings might produce even greater body cooling and a greater thermogenic response.

Basal Metabolism↗
PubMed2000

Determination of time-dependent skin temperature decrease rates in the case of abrupt changes of environmental temperature.

The present study deals with the development of a method for determining time-dependent temperature decrease rates and its application to postmortem surface cooling. The study concentrates on evaluating skin cooling behavior since data on skin cooling in the forensic literature are scarce. Furthermore, all heat transfer mechanisms strongly depend on the temperature gradient between body surface and environment. One of the main problems in modelling postmortem cooling processes is the dependence on the environmental temperature. All models for postmortem rectal cooling essentially presuppose a constant environmental temperature. In medico-legal practice, the temperature of the surrounding of a corpse mostly varies; therefore, an approach for extending the models to variable environmental temperatures is desirable. It consists in 'localizing' them to infinitesimal small intervals of time. An extended model differential equation is obtained and solved explicitly. The approach developed is applied to the single-exponential Newtonian model of surface cooling producing the following differential equation:T(S)'(t)=-lambda(t)(T(S)(t)-T(E)(t))(with T(S)(t) the surface/skin temperature, T(E)(t) the environmental temperature, lambda(t) the temperature decrease rate and T(S)'(t) the actual change of skin temperature or first-order derivative of T(S)). The differential equation directly provides an estimator:lambda(t)=-T(S)'(t)T(S)(t)-T(E)(t)for the time-dependent temperature decrease rate. The estimator is applied to two skin cooling experiments with different types of abrupt changes of environmental temperature, peak-like and step-like; the values of the time-dependent temperature decrease rate function were calculated. By reinserting them, the measured surface temperature curve could be accurately reconstructed, indicating that the extended model is well suited for describing surface cooling in the case of abrupt changes of environmental temperature.

Autopsy↗
PubMed1998

Interrelation of tissue temperature versus flow velocity in two different kinds of temperature controlled catheter radiofrequency energy applications.

UNLABELLED: The influence of blood flow cooling down the energy delivering electrode during temperature controlled radiofrequency energy application is an important factor for ablation success. In this experimental in-vitro study, using tempered saline as blood equivalent, we observed a highly significant increase in tissue temperature, lesion depth and required energy amount with increasing flow velocity. Second, we found significant deeper lesions with use of pulsed radiofrequency energy application compared to continuous application. We conclude that, even with lower electrode temperatures, success can be achieved dependent on the local blood flow velocity, and deeper lesions can be created with the use of pulsed radiofrequency energy application. BACKGROUND: Success in temperature-controlled radiofrequency (RF) catheter ablation of arrhythmogenic areas in human hearts depend largely (among others) on the size of the electrode, developed pressure of electrode against tissue, as well as on the localization of the thermistor sensor within the electrode. In addition, the blood flow velocity at various sites of ablation is an important factor for the calculation of heat transport from the electrode, which obviously has not been given much consideration of in the past. The aim of the present in-vitro study, therefore, was to evaluate this important factor's influence on the temperature developed at the electrode and within the myocardial tissue. METHODS AND RESULTS: All experiments were carried out in a bath containing NaCl solution at 37 degrees C. Four different flow velocities were applied (0, 110, 180, 320 ml/cm2 *min). During and after temperature-controlled unipolar radiofrequency energy delivery (60 degrees C, 40 sec) the electrode temperature, the tissue temperature 5 mm in depth, and the total energy delivered were measured, as well as the actual depth of the lesion. The amount of energy applied to the electrode was regulated by the thermosensor in the electrode to obtain a maximum temperature of 60 degrees C. Two different kinds of radiofrequency energy delivery have been used: (1) continuous radiofrequency energy delivery as usual regarding clinical use, (2) pulsed radiofrequency energy delivery with a duty cycle length of 10 ms and a pause of at least the same duration during two consecutive duty cycles. At pulsed radiofrequency energy application, the energy for each duty cycle was held constant during delivery. The amount of pulses delivered to the electrode was regulated by the electrode's thermosensor. With both modes of radiofrequency energy delivery a uniform observation could be made. The more the flow velocity applied accelerated, the more the tissue temperature rose (R = 0.85; p < 0.00000001), and the lesion depth increased in spite of electrode temperature being held constant. The amount of the total energy delivered rose in proportion to the cooling down of the electrode dependent on the flow velocity (R = 0.69, p < 0.0000004). Steady-state temperatures had not been accomplished after 40 sec time. When energy was delivered at the pulsed mode, intramyocardial temperatures proved higher compared to the continuous mode with significant differences (p < 0.05) at comparable flow velocities applied between 180 and 320 ml/cm2*min and at same electrode temperatures. This resulted in significantly (p < 0.05) larger lesion depths in pulsed radiofrequency energy delivery. We suppose that this significant difference can be explained by a higher amount of total energy delivered at comparable electrode temperature in the pulsed mode as compared to the continuous mode.

Acceleration↗
PubMedDate not supplied

Increasing the systemic temperature during regional hyperthermia: effect of a cooling strategy on tumour temperatures and side-effects.

In the application of regional hyperthermia, optimization of the temperature distribution remains necessary. One of the tools that might be used is a modest increase in the systemic temperature to diminish cooling by blood perfusion. This study investigates (1) if it is feasible to increase the systemic temperature by applying other cooling strategies, without inducing unacceptable systemic stress, and (2) whether a rise in systemic temperature results in improvement of tumour temperatures. Eleven patients with locally advanced cervical carcinoma and 12 patients with locally advanced prostate carcinoma were treated with our Coaxial TEM regional hyperthermia system. In this system, the temperature of the open water bolus can be easily adjusted. Two cooling methods were applied alternately, one with a relatively low water temperature (method A), the other with a higher water bolus temperature in combination with extensive head/chest cooling by a hand shower (method B). Method B resulted in significantly higher systemic temperatures, for both patient groups separately (0.8, respectively, 0.5 degrees C) and for the total patient group (0.7 degrees C). Additionally, all tumour index temperatures were higher. For the combined group (for T50: 0.4 degrees C) and for the cervix group (for T50: 0.7 degrees C), it reached statistical significance. The raise in core temperature led to a significantly higher increase in heart rate. For the group of cervix patients, higher systemic temperatures resulted in more treatment-limiting systemic stress. For the prostate patients, systemic stress was not an important issue. Since the raise in systemic temperature did not influence the overall tolerance of treatment, method B could be applied to this group. However, the increases in tumour temperatures were small, and potential hazards of systemic temperature increase should be considered.

Adult↗
PubMed1972

The influence of deep body temperatures and skin temperatures on respiratory frequency in the pig.

1. The influences on respiratory frequency of ambient temperature, the temperature of the skin, the temperature and humidity of the inspired air, hypothalamic temperature, the temperature of the spinal cord, rectal temperature and some temperatures in the abdomen have been studied in the pig.2. At a constant ambient temperature the effect on respiratory frequency of heating a thermode in the hypothalamus was modified by the temperature of the skin of the trunk which was varied independently by means of a temperature-controlled coat. A cold skin inhibited panting; a warm skin enhanced panting. The effect of heating a thermode over the spinal cord was similarly modified by skin temperatures.3. Simultaneous heating of thermodes in the hypothalamus and spinal cord increased respiratory frequency more than heating either alone, and in a warm environment the rectal temperature influenced the extent to which respiratory frequency increased on heating the thermodes.4. Cooling the thermodes decreased respiratory frequency in a warm environment and the cooling of one thermode enhanced the effect of cooling the other.5. At a constant trunk skin temperature the effect on respiratory frequency of heating the thermode in the hypothalamus depended on ambient temperature.6. Changing the temperature of thermodes in the abdomen did not affect respiration nor was there any evidence that the temperature and humidity of the inspired air had a direct effect on respiration.

Animals↗
PubMed1993

Patterns of body temperature during feeding in rats under varying ambient temperatures.

Relationships between feeding and body temperature of rats were investigated at three ambient temperatures during the whole light/dark cycle. Basal liver temperature was negatively correlated with ambient temperature. Only at 29 degrees C liver temperature indicated activation of autonomic and locomotory thermoregulatory responses due to heat stress. At 21 degrees C, liver temperature was always higher than skin temperature. Both showed a clear circadian rhythm with higher values during the dark phase. Meal-associated temperature patterns were superimposed on this circadian rhythm. Liver and skin temperatures showed a preprandial and prandial rise. Liver temperature reached an almost similar peak value just above 39 degrees C at the end of a meal, irrespective of meal size and ambient temperatures of 13 degrees C and 21 degrees C. Liver temperature reached this peak about 2 min earlier and dropped sooner than skin temperature. These results indicate a threshold liver temperature at which feeding activity stops. The present study suggests that temperatures do not exceed this value by adaptive autonomic thermoregulatory responses shifting heat flow from core to skin and by stopping all locomotory activities including feeding, thereby avoiding deterioration of vital organs and physiological processes due to hyperthermia.

Animals↗
PubMed1995

Increasing mean skin temperature linearly reduces the core-temperature thresholds for vasoconstriction and shivering in humans.

BACKGROUND: The contribution of mean skin temperature to the thresholds for sweating and active precapillary vasodilation has been evaluated in numerous human studies. In contrast, the contribution of skin temperature to the control of cold responses such as arteriovenous shunt vasoconstriction and shivering is less well established. Accordingly, the authors tested the hypothesis that mean skin and core temperatures are linearly related at the vasoconstriction and shivering thresholds in men. Because the relation between skin and core temperatures might vary by gender, the cutaneous contribution to thermoregulatory control also was determined in women. METHODS: In the first portion of the study, six men participated on 5 randomly ordered days, during which mean skin temperatures were maintained near 31, 34, 35, 36, and 37 degrees C. Core hypothermia was induced by central venous infusion of cold lactated Ringer's solution sufficient to induce peripheral vasoconstriction and shivering. The core-temperature thresholds were then plotted against skin temperature and a linear regression fit to the values. The relative skin and core contributions to the control of each response were calculated from the slopes of the regression equations. In the second portion of the study, six women participated on three randomly ordered days, during which mean skin temperatures were maintained near 31, 35, and 37 degrees C. At each designated skin temperature, core hypothermia sufficient to induce peripheral vasoconstriction and/or shivering was again induced by central venous infusion of cold lactated Ringer's solution. The cutaneous contributions to control of each response were then calculated from the skin- and core-temperature pairs at the vasoconstriction and shivering thresholds. RESULTS: There was a linear relation between mean skin and core temperatures at the response thresholds in the men: r = 0.90 +/- 0.06 for vasoconstriction and r = 0.94 +/- 0.07 for shivering. Skin temperature contributed 20 +/- 6% to vasoconstriction and 19 +/- 8% to shivering. Skin temperature in the women contributed to 18 +/- 4% to vasoconstriction and 18 +/- 7% to shivering, values not differing significantly from those in men. There was no apparent correlation between the cutaneous contributions to vasoconstriction and shivering in individual volunteers. CONCLUSIONS: These data indicate that skin and core temperatures contribute linearly to the control of vasoconstriction and shivering in men and that the cutaneous contributions average approximately 20% in both men and women. The same coefficients thus can be used to compensate for experimental skin temperature manipulations in men and women. However, the cutaneous contributions to each response vary among volunteers; furthermore, the contributions to the two responses vary within volunteers.

Adult↗
PubMed1975

Effect of head skin temperature on tympanic and oral temperature in man.

Five subjects were sequentially heated and cooled in a double-climate chamber while mean skin temperature (except the head) and head skin temperature were separately varied. The tympanic membrane temperatures of these subjects were disproportionately influenced by changes in head skin temperature. By heating and cooling localized regions of the head, changes in tympanic membrane temperature that followed changes in skin temperature on the ipsilateral side of the head could be produced. During heating of the head, oral and tympanic membrane temperatures were influenced to a similar degree, while esophageal temperature remained essentially unaffected. However, under conditions in which the legs and feet were heated in a water bath, esophageal temperature showed more rapid changes than either tympanic membrane or oral temperature. These findings suggest that tympanic membrane temperature and, to a lesser degree, oral temperature may be affected by thermal exchange occurring between arteries and veins in the cervical and cephalic regions. In addition, the ability to influence selectively esophageal and tympanic membrane temperatures brings into question the arbitrary use of these measurements under widely different experimental conditions as estimates of core temperature.

Body Temperature Regulation↗
PubMed1987

An evaluation of milk temperature measurement for detecting oestrus in dairy cattle. I. Factors affecting measurement of milk temperature.

The paper reports the development of an electronic system of milk temperature measurement and the results of investigations into the influence of milk yield, milk flow and ambient temperature on milk temperature. The milk and body temperatures of randomly selected multiparous Friesian cows were recorded at afternoon milkings. Temperature was measured by bead thermistors housed in perspex probes from which a digital read-out with an accuracy of +/- 0.1 degree C was obtained. Milk temperature was measured at four sites: the short milk tube (SMT), claw piece (CT), and the beginning (BLT) and end of the long milk tube (ELT) with readings being taken every 30 s from the commencement of milking. Body temperature measured with a probe in the vagina (VT) 38.85 +/- 0.02 degrees C) was significantly higher than milk temperature at any of the four sites although a significant positive correlation existed between milk and body temperature. Milk temperature measured at each site decreased with distance from the cows (SMT: 38.64 +/- 0.03 degrees C, ELT: 37.92 +/- 0.04 degrees C). The difference between body and milk temperature was greatest in cows in which milk flow rates were below average (less than 1.37 kg/min) and/or milk yields were below average (less than 7.82 kg/milking). Milk temperature sites SMT and CT were least affected by variation in milk yield or flow, and showed the closest relationship between maximum milk temperature and body temperature. Milk temperature measurement was most reliable when taken during the full flow of milk.

Animals↗
PubMed1997

[Determination of core body temperature. A comparison of esophageal, bladder, and rectal temperature during postoperative rewarming].

OBJECTIVE: The data of 60 postoperatively sedated and ventilated patients were studied for analysis of oesophageal, bladder, and rectal temperatures. The purpose of the investigation was to clarify whether changes of oesophageal temperature are adequately reflected by bladder and rectal temperatures and whether the rate of rewarming has an influence on the accuracy of the latter two sites. METHODS: For temperature recording, a Hi-Lo Temp esophageal stethoscope (Mallinckrodt Medical), a Foley FC400-18 catheter temperature sensor (Respiratory Support Products, Mallinckrodt Medical), and a rectal temperature probe N401 (YSI) were used. Each probe and matching recording unit was calibrated over a range of 30-40 degrees C against a reference quartz thermometer (Hewlett packard Model 2801 A) in a thermostated water bath before the investigation. Five measuring points distributed over the whole period of rewarming were evaluated. Patients were assigned to groups with slow and fast rewarming, respectively. Agreement between the methods of measurement was assessed as described by Bland and Altman. Furthermore, differences between the oesophageal and bladder or rectal temperature were checked at each measuring point for statistical significance using the t-test. RESULTS: In regard to oesophageal temperature, the bladder and rectal temperatures had biases of -0.01 degree C and -0.03 degree C, respectively. Limits of agreement (+/- s) were +/-0.68 degree C and +/-0.82 degree C, respectively. The bias of the bladder temperature was independent of the rate of rewarming (Fig. 3). The bias of the rectal temperature, however, differed in regard to the rewarming rate, being +0.06 degree C in the group with slow rewarming and -0.13 degree C in the group with fast rewarming (Tables 1 and 2, Fig. 1 and 2). These differences were significant for the measuring points 4 and 5 (Fig. 4). CONCLUSIONS: Bladder and rectal temperatures can accurately indicate the oesophageal temperature with a very small bias in postoperatively sedated and ventilated patients. Since the rate of rewarming influences the accuracy of rectal temperature readings, monitoring of bladder temperature seems to be more favourable in the postoperative period.

Body Temperature↗
PubMed2000

Jugular vein temperature reflects brain temperature during hypothermia.

PURPOSE: The neuroprotective properties of mild to moderate hypothermia are well recognized but may not be employed correctly because brain temperature cannot usually be measured directly. This study investigated the jugular vein as a more accessible site that accurately reflects the actual brain temperature during mild, induced hypothermia. METHODS: We selected ten mongrel dogs (mean weight 12 +/- 2 kg) and measured temperatures of the brain, jugular vein, cisterna magna, pulmonary artery and rectum during hypothermia, including cooling and rewarming. The brain temperature needle probe was inserted 2.0 cm into the parenchyma. A temperature probe was placed in the cisterna magna with an epidural needle. Swan-Ganz thermistor probes measured the jugular venous and pulmonary artery blood temperatures. RESULT: The brain temperature decreased from 37.5 +/- 0.3 to 33.0 +/- 0.3 degrees C over an average 150 +/- 45 min cooling period. Stable cool was maintained for 245 +/- 32 min, followed by 165 +/- 50 min for rewarming from 33.5 +/- 0.3 to 37.5 +/- 0.3 degrees C. Jugular, cisterna magna and pulmonary arterial blood (PAB), but not rectal temperature, were close to brain temperature during stable cool. The mean jugular and cisterna magna temperatures were near the brain temperature at 0.1 degrees C higher and 0.1 degrees C lower, respectively. No significant effects of hypothermia were noted on hemodynamics in any phase. CONCLUSION: Jugular vein temperature, along with cisterna magna and pulmonary artery blood and rectal temperature, reflected brain temperature during hypothermia. The jugular vein and cisterna magna sites more sensitively reflected brain temperature than other sites.

Animals↗
PubMed2004

Comparison of brain temperature to core temperature: a review of the literature.

In both animal models and human studies examining acute neurological injury, elevated core temperatures have been shown to exacerbate the degree of neuronal injury. There is an assumption that core temperature and brain temperature are the same. With the introduction of brain temperature monitoring technology, it has become possible to examine the difference between core and brain temperatures. The purpose of this integrated review was to examine the published literature comparing core temperatures (blood, rectal, bladder, and esophageal) with brain temperatures (measured by direct contact with the brain or measured in any of the spaces surrounding the brain, excluding intraoperative measurements). Fifteen studies from 1990 and 2002 were found. All 15 studies found that brain temperature was higher than all measures of core temperature with mean differences of 0.39 to 2.5 degrees C reported. Only three studies employed a t test to examine the differences; all found statistical significance. Temperatures greater than 38 degrees C were found in 11 studies. This review demonstrates that brain temperatures have been found to be higher than core temperatures; however, existing studies are limited by low sample sizes, limited statistical analysis, and inconsistent measures of brain and core temperatures. Because fever is prevalent in acutely injured neurological patients, its detection and treatment are essential interventions. In the absence of brain temperature monitoring, detection of a 'brain fever' may be limited. Future research is needed to further examine the relationship between brain and core temperatures and their impact on intracranial dynamics.

Body Temperature↗
PubMed2006

Effects of Rubisco kinetics and Rubisco activation state on the temperature dependence of the photosynthetic rate in spinach leaves from contrasting growth temperatures.

Recently, several studies reported that the optimum temperature for the initial slope [IS(Ci)] of the light-saturated photosynthetic rate (A) versus intercellular CO2 concentration (Ci) curve changed, depending on the growth temperature. However, few studies compare IS(Ci) with ribulose 1,5-bisphosphate carboxylase/oxygenase (Rubisco) properties. Here, we assessed Rubisco activation state and in vitro Rubisco kinetics, the main determinants of IS(Ci), in spinach leaves grown at 30/25 [high temperature (HT)] and 15/10 degrees C [low temperature (LT)]. We measured Rubisco activation state and A at a CO2 concentration of 360 microL L(-1) (A360) at various temperatures. In both HT and LT leaves, the Rubisco activation state decreased with increasing temperatures above the optimum temperatures for A360, while the activation state remained high at lower temperatures. To compare Rubisco characteristics, temperature dependences of the maximum rate of ribulose 1,5-bisphosphate (RuBP) carboxylation (Vcmax), specificity factor (Sc/o) and thermal stability were examined. We also examined Vcmax, and thermal stability in the leaves that were transferred from HT to LT conditions and were subsequently kept under LT conditions for 2 weeks (HL). Rubisco purified from HT, LT and HL leaves are called HT, LT and HL Rubisco, respectively. Thermal stabilities of LT and HL Rubisco were similar and lower than that of HT Rubisco. Both Vcmax and Sc/o in LT Rubisco were higher than those of HT Rubisco at low temperatures, while these were lower at high temperatures. Vcmax in HL Rubisco were similar to those of LT Rubisco at low temperatures, and to those of HT Rubisco at high temperatures. The predicted photosynthetic rates, taking account of the Rubisco kinetics and the Rubisco activation state, agreed well with A360 in both HT and LT leaves. This study suggests that photosynthetic performance is largely determined by the Rubisco kinetics at low temperature and by Rubisco Kinetics and the Rubisco activation state at high temperature.

Enzyme Activation↗