![]() Participants: Critically ill patients admitted to the ICU. Setting: ICUs of two tertiary Australian hospitals. We aimed to study the accuracy of three commonly used methods. Objective: The accuracy of different non-invasive body temperature measurement methods in intensive care unit (ICU) patients is uncertain. In this chapter, authors have attempted to categorise the various research domains in onco-critical care available for exploration and enumerated the requirement of addition of new knowledge by a young generation of critical care specialists, oncologists, medical scientists and researchers.KeywordsTriageSeverity scoreOutcomeTreatmentEvidenceResearch mechanical ventilation, renal replacement therapy) and formulation of cancer-specific guidelines and care bundles. ![]() Being a relatively new subspecialty, onco-critical care has broad room for extensive research to resolve dilemmas and controversies related to various aspects such as development of unique early warning scores to recognize sick cancer patients in the ward, triage rules to rationalize the admissions to ICU, cancer-specific severity of illness scoring systems, determination of optimal timing and duration of the use of life-sustaining therapies (e.g. This has led to the birth of a new subspecialty of medicine termed as “Onco-critical care”. With the expansion of a growing number of dedicated, state of the art oncology centres across the world, we have seen parallel enthusiasm in cutting edge critical care services provided to oncology patients. Future studies should focus on developing connectivity with a continuous noninvasive temperature monitor to approximate core temperature during TTM. Bland–Altman analysis demonstrated good agreement with the superficial temperature monitor and core temperature measures in all patients overall, with a difference mean of 0.06 ± 0.39 C (P = 0.99) and no proportional bias noted (β =0.002, P = 0.917).ConclusionsĬontinuous noninvasive temperature monitoring is a suitable alternative method for assessing core temperature during TTM. There were a total of 999 h of paired patient temperature data from esophageal (50%), bladder (25%), and rectal (25%) temperatures. The comparison patient temperature source was predominantly esophageal (n = 10) followed by bladder (n = 5) or rectal (n = 5). The Bland–Altman method assessed agreement between the core and continuous noninvasive temperature monitor values, by measuring the mean difference (± 2 SD) between these values.ResultsThere were 20 subjects that underwent study between January 2018 and March 2018 (55% women, age: 57 ± 14 years old, BMI: 28.9 + 9.8 kg/m2, 100% mechanically ventilated). The two sets of temperature data were downloaded from a clinical data acquisition storage system at 1-min intervals. ![]() Core and continuous noninvasive temperature monitoring values were simultaneously recorded for up to 72 h of TTM. We assessed the ability of a continuous noninvasive temperature monitor to accurately approximate core temperature during TTM.MethodsĪll patients undergoing TTM using a gel pad surface TMD and an existing core temperature monitoring device were eligible for this study. Temperature modulating devices (TMD) currently utilize core temperature measurements during targeted temperature management (TTM) that are currently limited to esophageal (Et), bladder (Bt), or rectal (Rt) temperatures.
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