NCT02756910

Brief Summary

A new wireless axillary thermometer from Raiing Medical uses a proprietary system, iThermonitor (WT701), to provide better estimates of core temperature than a conventional axillary probe. Improvement results in part because the axillary probe measures and records temperatures continuously every 4 seconds and includes software to compensate for ambient temperature and positional changes including arm abduction. Whether the iThermonitor is sufficiently accurate for clinical use remains unknown. The investigators thus propose to evaluate the system in perioperative patients who often experience thermal perturbations over a range of several °C. Specifically, the investigators propose to determine the precision and accuracy of iThermonitor in surgical patients and during the initial hour of recovery. As in previous studies, the investigators will consider the thermometer sufficiently accurate for clinical use if most Raiing temperatures are within ±0.5°C of the reference temperature.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started May 2016

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 3, 2016

Completed
26 days until next milestone

First Posted

Study publicly available on registry

April 29, 2016

Completed
2 days until next milestone

Study Start

First participant enrolled

May 1, 2016

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2016

Completed
4.7 years until next milestone

Results Posted

Study results publicly available

May 14, 2021

Completed
Last Updated

May 14, 2021

Status Verified

February 1, 2021

Enrollment Period

4 months

First QC Date

April 3, 2016

Results QC Date

February 25, 2021

Last Update Submit

April 22, 2021

Conditions

Keywords

open abdominal surgeryanesthesia, general

Outcome Measures

Primary Outcomes (1)

  • Accuracy of iThermonitor in Surgical Patients

    Accuracy, defined as the true difference between reference and iThermonitor temperature. The esophageal temperature will be the core temperature reference during surgery. The primary outcome measure is the proportion of iThermonitor measurements for a patient that are within 0.5° C of the reference will be calculated, and this proportion (median, quartiles, 95% CI) will be summarized across patients. The Secondary outcome measure are bias and 95% CIs determined by repeated-measures Bland-Altman analysis. For each patient the average difference between the iThermometer and the reference temperature will be calculated. Patient iThermonitor measurements will be regressed on patient reference measurements to assess the Pearson correlation and 95% CI between iThermonitor and reference and to estimate the bias (slope) of device versus reference.

    From 1 to 3 hours after induction of anesthesia

Study Arms (1)

Surgery Patients >1.5 Hrs

Use esophageal catheter for core temperature monitoring, Foley catheter for bladder temperature monitoring, and iThermonitor (WT701) for axillary temperature monitoring

Device: iThermonitor (WT701)

Interventions

Continuously monitor the axillary temperature during surgery

Surgery Patients >1.5 Hrs

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult surgery patients

You may qualify if:

  • adults having an American Society of Anesthesiologists (ASA) physical status of 1-3
  • must be scheduled for surgery of the abdomen or pelvis that is expected to last 1.5-4 hours
  • require general endotracheal anesthesia and insertion of a Foley catheter

You may not qualify if:

  • patients in whom neither esophageal nor nasopharyngeal temperature monitoring is practical
  • patients in whom active intravenous infusion is required in both arms
  • patients who are allergic to hydrogel

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Dept. of Anesthesiology, PUMCH

Beijing, 100730, China

Location

Related Publications (47)

  • Sessler DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology. 2008 Aug;109(2):318-38. doi: 10.1097/ALN.0b013e31817f6d76.

    PMID: 18648241BACKGROUND
  • Sessler DI. Perioperative heat balance. Anesthesiology. 2000 Feb;92(2):578-96. doi: 10.1097/00000542-200002000-00042.

    PMID: 10691247BACKGROUND
  • Sessler DI. Complications and treatment of mild hypothermia. Anesthesiology. 2001 Aug;95(2):531-43. doi: 10.1097/00000542-200108000-00040. No abstract available.

    PMID: 11506130BACKGROUND
  • Schmied H, Kurz A, Sessler DI, Kozek S, Reiter A. Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. Lancet. 1996 Feb 3;347(8997):289-92. doi: 10.1016/s0140-6736(96)90466-3.

    PMID: 8569362BACKGROUND
  • Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group. N Engl J Med. 1996 May 9;334(19):1209-15. doi: 10.1056/NEJM199605093341901.

    PMID: 8606715BACKGROUND
  • Lenhardt R, Marker E, Goll V, Tschernich H, Kurz A, Sessler DI, Narzt E, Lackner F. Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesthesiology. 1997 Dec;87(6):1318-23. doi: 10.1097/00000542-199712000-00009.

    PMID: 9416715BACKGROUND
  • Simon HB. Hyperthermia. N Engl J Med. 1993 Aug 12;329(7):483-7. doi: 10.1056/NEJM199308123290708. No abstract available.

    PMID: 8332154BACKGROUND
  • Sessler DI. Malignant hyperthermia. J Pediatr. 1986 Jul;109(1):9-14. doi: 10.1016/s0022-3476(86)80563-7. No abstract available.

    PMID: 3522838BACKGROUND
  • Sessler DI. A proposal for new temperature monitoring and thermal management guidelines. Anesthesiology. 1998 Nov;89(5):1298-300. doi: 10.1097/00000542-199811000-00061. No abstract available.

    PMID: 9822041BACKGROUND
  • Bissonnette B, Sessler DI, LaFlamme P. Intraoperative temperature monitoring sites in infants and children and the effect of inspired gas warming on esophageal temperature. Anesth Analg. 1989 Aug;69(2):192-6.

    PMID: 2764288BACKGROUND
  • Cork RC, Vaughan RW, Humphrey LS. Precision and accuracy of intraoperative temperature monitoring. Anesth Analg. 1983 Feb;62(2):211-4.

    PMID: 6829923BACKGROUND
  • Sessler DI. Temperature monitoring and management during neuraxial anesthesia. Anesth Analg. 1999 Feb;88(2):243-5. doi: 10.1097/00000539-199902000-00003. No abstract available.

    PMID: 9972734BACKGROUND
  • Amoateng-Adjepong Y, Del Mundo J, Manthous CA. Accuracy of an infrared tympanic thermometer. Chest. 1999 Apr;115(4):1002-5. doi: 10.1378/chest.115.4.1002.

    PMID: 10208200BACKGROUND
  • Suleman MI, Doufas AG, Akca O, Ducharme M, Sessler DI. Insufficiency in a new temporal-artery thermometer for adult and pediatric patients. Anesth Analg. 2002 Jul;95(1):67-71, table of contents. doi: 10.1097/00000539-200207000-00012.

    PMID: 12088945BACKGROUND
  • Harioka T, Matsukawa T, Ozaki M, Nomura K, Sone T, Kakuyama M, Toda H. "Deep-forehead" temperature correlates well with blood temperature. Can J Anaesth. 2000 Oct;47(10):980-3. doi: 10.1007/BF03024869.

    PMID: 11032273BACKGROUND
  • Imamura M, Matsukawa T, Ozaki M, Sessler DI, Nishiyama T, Kumazawa T. The accuracy and precision of four infrared aural canal thermometers during cardiac surgery. Acta Anaesthesiol Scand. 1998 Nov;42(10):1222-6. doi: 10.1111/j.1399-6576.1998.tb05281.x.

    PMID: 9834809BACKGROUND
  • Giuliano KK, Scott SS, Elliot S, Giuliano AJ. Temperature measurement in critically ill orally intubated adults: a comparison of pulmonary artery core, tympanic, and oral methods. Crit Care Med. 1999 Oct;27(10):2188-93. doi: 10.1097/00003246-199910000-00020.

    PMID: 10548205BACKGROUND
  • Moran JL, Peter JV, Solomon PJ, Grealy B, Smith T, Ashforth W, Wake M, Peake SL, Peisach AR. Tympanic temperature measurements: are they reliable in the critically ill? A clinical study of measures of agreement. Crit Care Med. 2007 Jan;35(1):155-64. doi: 10.1097/01.CCM.0000250318.31453.CB.

    PMID: 17095941BACKGROUND
  • Nussmeier NA, Cheng W, Marino M, Spata T, Li S, Daniels G, Clark T, Vaughn WK. Temperature during cardiopulmonary bypass: the discrepancies between monitored sites. Anesth Analg. 2006 Dec;103(6):1373-9. doi: 10.1213/01.ane.0000242535.02571.fa.

    PMID: 17122206BACKGROUND
  • Robinson J, Charlton J, Seal R, Spady D, Joffres MR. Oesophageal, rectal, axillary, tympanic and pulmonary artery temperatures during cardiac surgery. Can J Anaesth. 1998 Apr;45(4):317-23. doi: 10.1007/BF03012021.

    PMID: 9597204BACKGROUND
  • Webb GE. Comparison of esophageal and tympanic temperature monitoring during cardiopulmonary bypass. Anesth Analg. 1973 Sep-Oct;52(5):729-33. No abstract available.

    PMID: 4542341BACKGROUND
  • Patel N, Smith CE, Pinchak AC, Hagen JF. Comparison of esophageal, tympanic, and forehead skin temperatures in adult patients. J Clin Anesth. 1996 Sep;8(6):462-8. doi: 10.1016/0952-8180(96)00103-1.

    PMID: 8998260BACKGROUND
  • Lefrant JY, Muller L, de La Coussaye JE, Benbabaali M, Lebris C, Zeitoun N, Mari C, Saissi G, Ripart J, Eledjam JJ. Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method. Intensive Care Med. 2003 Mar;29(3):414-8. doi: 10.1007/s00134-002-1619-5. Epub 2003 Feb 8.

    PMID: 12577157BACKGROUND
  • Kaufman RD. Relationship between esophageal temperature gradient and heart and lung sounds heard by esophageal stethoscope. Anesth Analg. 1987 Oct;66(10):1046-8. No abstract available.

    PMID: 3631570BACKGROUND
  • Mekjavic IB, Rempel ME. Determination of esophageal probe insertion length based on standing and sitting height. J Appl Physiol (1985). 1990 Jul;69(1):376-9. doi: 10.1152/jappl.1990.69.1.376.

    PMID: 2394660BACKGROUND
  • Horrow JC, Rosenberg H. Does urinary catheter temperature reflect core temperature during cardiac surgery? Anesthesiology. 1988 Dec;69(6):986-9. doi: 10.1097/00000542-198812000-00037. No abstract available.

    PMID: 3195774BACKGROUND
  • Tandberg D, Sklar D. Effect of tachypnea on the estimation of body temperature by an oral thermometer. N Engl J Med. 1983 Apr 21;308(16):945-6. doi: 10.1056/NEJM198304213081607. No abstract available.

    PMID: 6835296BACKGROUND
  • Arkilic CF, Akca O, Taguchi A, Sessler DI, Kurz A. Temperature monitoring and management during neuraxial anesthesia: an observational study. Anesth Analg. 2000 Sep;91(3):662-6. doi: 10.1097/00000539-200009000-00031.

    PMID: 10960396BACKGROUND
  • Langham GE, Maheshwari A, Contrera K, You J, Mascha E, Sessler DI. Noninvasive temperature monitoring in postanesthesia care units. Anesthesiology. 2009 Jul;111(1):90-6. doi: 10.1097/ALN.0b013e3181a864ca.

    PMID: 19512860BACKGROUND
  • Giuliano KK, Giuliano AJ, Scott SS, MacLachlan E, Pysznik E, Elliot S, Woytowicz D. Temperature measurement in critically ill adults: a comparison of tympanic and oral methods. Am J Crit Care. 2000 Jul;9(4):254-61.

    PMID: 10888148BACKGROUND
  • Insler SR, Sessler DI. Perioperative thermoregulation and temperature monitoring. Anesthesiol Clin. 2006 Dec;24(4):823-37. doi: 10.1016/j.atc.2006.09.001.

    PMID: 17342966BACKGROUND
  • Erickson RS. The continuing question of how best to measure body temperature. Crit Care Med. 1999 Oct;27(10):2307-10. doi: 10.1097/00003246-199910000-00051. No abstract available.

    PMID: 10548236BACKGROUND
  • Matsukawa T, Ozaki M, Hanagata K, Iwashita H, Miyaji T, Kumazawa T. A comparison of four infrared tympanic thermometers with tympanic membrane temperatures measured by thermocouples. Can J Anaesth. 1996 Dec;43(12):1224-8. doi: 10.1007/BF03013429.

    PMID: 8955971BACKGROUND
  • Yaron M, Lowenstein SR, Koziol-McLain J. Measuring the accuracy of the infrared tympanic thermometer: correlation does not signify agreement. J Emerg Med. 1995 Sep-Oct;13(5):617-21. doi: 10.1016/0736-4679(95)00065-i.

    PMID: 8530778BACKGROUND
  • Matsukawa T, Kashimoto S, Miyaji T, Hanagata K, Iriki M, Kumazawa T. A new infrared tympanic thermometer in surgery and anesthesia. J Anesth. 1993 Jan;7(1):33-9. doi: 10.1007/s0054030070033.

    PMID: 15278493BACKGROUND
  • Greenes DS, Fleisher GR. Accuracy of a noninvasive temporal artery thermometer for use in infants. Arch Pediatr Adolesc Med. 2001 Mar;155(3):376-81. doi: 10.1001/archpedi.155.3.376.

    PMID: 11231805BACKGROUND
  • Ikeda T, Sessler DI, Marder D, Xiong J. Influence of thermoregulatory vasomotion and ambient temperature variation on the accuracy of core-temperature estimates by cutaneous liquid-crystal thermometers. Anesthesiology. 1997 Mar;86(3):603-12. doi: 10.1097/00000542-199703000-00012.

    PMID: 9066326BACKGROUND
  • Giuffre M, Heidenreich T, Carney-Gersten P, Dorsch JA, Heidenreich E. The relationship between axillary and core body temperature measurements. Appl Nurs Res. 1990 May;3(2):52-5. doi: 10.1016/s0897-1897(05)80158-2.

    PMID: 2357072BACKGROUND
  • Lodha R, Mukerji N, Sinha N, Pandey RM, Jain Y. Is axillary temperature an appropriate surrogate for core temperature? Indian J Pediatr. 2000 Aug;67(8):571-4. doi: 10.1007/BF02758482.

    PMID: 10984997BACKGROUND
  • Muma BK, Treloar DJ, Wurmlinger K, Peterson E, Vitae A. Comparison of rectal, axillary, and tympanic membrane temperatures in infants and young children. Ann Emerg Med. 1991 Jan;20(1):41-4. doi: 10.1016/s0196-0644(05)81116-3.

    PMID: 1984726BACKGROUND
  • Ogren JM. The inaccuracy of axillary temperatures measured with an electronic thermometer. Am J Dis Child. 1990 Jan;144(1):109-11. doi: 10.1001/archpedi.1990.02150250121048.

    PMID: 2294708BACKGROUND
  • Sund-Levander M, Forsberg C, Wahren LK. Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review. Scand J Caring Sci. 2002 Jun;16(2):122-8. doi: 10.1046/j.1471-6712.2002.00069.x.

    PMID: 12000664BACKGROUND
  • Matsukawa T, Sessler DI, Ozaki M, Hanagata K, Iwashita H, Kumazawa T. Comparison of distal oesophageal temperature with "deep" and tracheal temperatures. Can J Anaesth. 1997 Apr;44(4):433-8. doi: 10.1007/BF03014466.

    PMID: 9104528BACKGROUND
  • Matsukawa T, Ozaki M, Sessler DI, Nishiyama T, Imamura M, Kumazawa T. Accuracy and precision of "deep sternal" and tracheal temperatures at high- and low-fresh-gas flows. Br J Anaesth. 1998 Aug;81(2):171-5. doi: 10.1093/bja/81.2.171.

    PMID: 9813517BACKGROUND
  • Eshraghi Y, Nasr V, Parra-Sanchez I, Van Duren A, Botham M, Santoscoy T, Sessler DI. An evaluation of a zero-heat-flux cutaneous thermometer in cardiac surgical patients. Anesth Analg. 2014 Sep;119(3):543-549. doi: 10.1213/ANE.0000000000000319.

    PMID: 25045862BACKGROUND
  • Sessler DI, Lee KA, McGuire J. Isoflurane anesthesia and circadian temperature cycles in humans. Anesthesiology. 1991 Dec;75(6):985-9. doi: 10.1097/00000542-199112000-00010.

    PMID: 1741520BACKGROUND
  • Winkler M, Akca O, Birkenberg B, Hetz H, Scheck T, Arkilic CF, Kabon B, Marker E, Grubl A, Czepan R, Greher M, Goll V, Gottsauner-Wolf F, Kurz A, Sessler DI. Aggressive warming reduces blood loss during hip arthroplasty. Anesth Analg. 2000 Oct;91(4):978-84. doi: 10.1097/00000539-200010000-00039.

    PMID: 11004060BACKGROUND

Results Point of Contact

Title
Lijian Pei
Organization
Peking Union Medical College Hospital

Study Officials

  • Lijian Pei, MD

    Associate Prof. of Dept. of Anesthesiology, PUMCH

    PRINCIPAL INVESTIGATOR
  • Yuguang Huang, MD

    Chair of Dept. of Anesthesiology, PUMCH

    STUDY CHAIR
  • Daniel I Sessler, MD

    Chair of Dept. of Outcomes Research, Anesthesiology Institute, Cleveland Clinic

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

April 3, 2016

First Posted

April 29, 2016

Study Start

May 1, 2016

Primary Completion

September 1, 2016

Study Completion

September 1, 2016

Last Updated

May 14, 2021

Results First Posted

May 14, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations