Normative surface skin temperature changes due to blood redistribution: A prospective study

Abstract Aim We aimed to establish a normative range of surface skin temperature (SST) changes due to blood redistribution in adolescents and to register the time needed for complete postural change-related blood redistribution. Methods The healthy volunteers (age 15–18, n = 500, M 217, F 283) were recruited for this prospective multicenter study. The volunteers were asked to keep one extremity down and another extremity up in supine rest, sitting with straight legs, and upright rest. We obtained temperature readings being taken from the tips of the middle fingers and temperature readings from the tips of the first toes at the ambient temperature of 25 °C and 30 °C. The control group consisted of a 100 of adult volunteers. Results The resting temperature of the middle fingers for a sitting participant was 28.6 ± 0.8 °C. The physiological change of this temperature during body position changes was 4.5 ± 1.1 °C and for most of the participants remained within the 26.5–31.5 °C range at 25 °C. For the toe, physiological skin temperature range was 25.5–33 °C. At 30 °C, these ranges were 27–33 °C for the fingers and 27–34 °C for the toes. On average, 2–3 min were needed for such temperature changes. Conclusion At normal room temperature, the SST of thermoneutral adolescents may vary within a range of approximately 5 °C only due to the blood redistribution in the body. This range is specific for each person due to individual peculiarities of the vasomotor activity. This normative range of SSTs should be taken into account during investigations of thermoregulation.

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Differential knee skin temperature following total knee arthroplasty and its relationship with serum indices and outcome: A prospective study

Journal of International Medical Research ◽

10.1177/0300060516655237 ◽

2016 ◽

Vol 44 (5) ◽

pp. 1023-1033 ◽

Cited By ~ 4

Author(s):

Yirong Zeng ◽

Wenjun Feng ◽

Xinyu Qi ◽

Jie Li ◽

Jinlun Chen ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Prospective Study ◽

Skin Temperature ◽

Knee Arthroplasty ◽

Total Knee ◽

A Prospective Study

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Does Increased Electrocautery during Adenoidectomy Lead to Neck Pain?

Otolaryngology ◽

10.1016/j.otohns.2005.07.008 ◽

2005 ◽

Vol 133 (4) ◽

pp. 556-561 ◽

Cited By ~ 8

Author(s):

Lakeisha R. Henry ◽

Thomas J. Gal ◽

Eric A. Mair

Keyword(s):

Neck Pain ◽

Prospective Study ◽

Retrospective Analysis ◽

Velopharyngeal Insufficiency ◽

Temperature Changes ◽

Grisel’S Syndrome ◽

Prevertebral Fascia ◽

A Prospective Study ◽

The Impact

OBJECTIVES: The objective was to assess the impact of electrocautery on complications in adenoidectomy. We sought to quantify cautery-related temperature changes in prevertebral fascia that may occur during the procedure, retrospectively evaluate the incidence of cautery-related complications, and prospectively assess the role of cautery in postoperative neck pain. METHODS: Three consecutive related trials were performed. Initially, adenoidectomy was performed on 20 fresh cadavers, using a thermister to evaluate temperature changes in the prevertebral fascia after electrocautery (30 watts over a 30-second period). Next, retrospective analysis of adenoidectomy complications in 1206 children over a 5-year period was performed. Based on these findings, a prospective study of the incidence of neck pain following adenoidectomy was performed in a cohort of 276 children. Adenoidectomy technique, wattage, and duration of electro-cautery were recorded for each child. Children with significant neck pain were evaluated with MRI. RESULTS: Peak thermister readings averaged 74°C, for a mean change of 51.8°C. Complications observed in retrospective analysis included neck pain (3), Grisel's syndrome (1), prolonged velopharyngeal insufficiency (1), retropharyngeal edema (1), and severe nasopharyngeal stenosis (1). The incidence of neck pain in the prospective study was 12% (33 pts), and was independent of adenoidectomy technique, cautery wattage, or duration of cautery use. MRIs revealed edema without abscess. CONCLUSIONS: Cautery can result in substantial temperature changes in the surgical adenoid bed. Despite this, the incidence of complications, specifically neck pain, associated with adenoidectomy is low, although underreported. Complications appear to be independent of adenoidectomy technique and cautery use.

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Alcohol and respiratory and body temperature changes during tepid water immersion

Journal of Applied Physiology ◽

10.1152/jappl.1978.44.5.683 ◽

1978 ◽

Vol 44 (5) ◽

pp. 683-689 ◽

Cited By ~ 15

Author(s):

S. Martin ◽

K. E. Cooper

Keyword(s):

Heart Rate ◽

Body Temperature ◽

Skin Temperature ◽

Water Immersion ◽

Gas Liquid Chromatography ◽

Blood Alcohol ◽

Temperature Changes ◽

Tepid Water ◽

Surface Skin Temperature ◽

End Tidal

Resting subjects were immersed for 30 min in water at 22 and 30 degrees C after drinking alcohol. Total ventilation, end-tidal PCO2, rectal temperature, aural temperature, mean skin temperature, heart rate, and oxygen consumption were recorded during the experiments. Blood samples taken before the immersion period were analyzed by gas-liquid chromatography. The mean blood alcohol levels were 82.50 +/- 9.93 mg.(100 ml)-1 and 100.6 +/- 12.64 mg (100 ml)-1 for the immersions at 22 and 30 degrees C, respectively. There was no significant change in body temperature measured aurally or rectally, mean surface skin temperature, or heart rate at either water temperature tested. Total expired ventilation was significantly attenuated for the last 15 min of the immersion at 22 degrees C, after alcohol consumption as compared to the ventilation change in water at 22 degrees C without ethanol. This response was not consistently significantly altered during immersion in water at 30 degrees C. It is evident that during a 30-min immersion in tepid water with a high blood alcohol level, body heat loss is not affected but some changes in ventilation do occur.

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