Evidence map›Paper›PMID 30467673›Full record

Observational studyJournal of clinical monitoring and computing2019

The focus of temperature monitoring with zero-heat-flux technology (3M Bair-Hugger): a clinical study with patients undergoing craniotomy.

Eero Pesonen, Marja Silvasti-Lundell, Tomi T Niemi, Riku Kivisaari, Juha Hernesniemi, Marja-Tellervo Mäkinen

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical monitoring and computing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04709627 (Verification of Clinical Utility), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04709627 completednot on this mapstarted 2021, after this paper: background citation

Verification of Clinical Utility: enFlow IV Fluid and Blood Warming System

TypeobservationalSponsorVyaire MedicalRan2021 to 2022Enrolled50ConditionsHypothermia, AnesthesiaArmsenFlow IV Fluid and Blood Warming System
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  3. Evaluation of non-invasive sensors for monitoring core temperature.Journal of clinical monitoring and computing · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Eero PesonenDivision of Anesthesiology, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. eero.pesonen@hus.fi.ORCID http://orcid.org/0000-0001-9624-3063
Marja Silvasti-LundellDivision of Anesthesiology, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Tomi T NiemiDivision of Anesthesiology, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Riku KivisaariDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Juha HernesniemiDepartment of Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Marja-Tellervo MäkinenDivision of Anesthesiology, Department of Anesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the noninvasive zero-heat-flux (ZHF) method, deep body temperature is brought to the skin surface when an insulated temperature probe with servo-controlled heating on the skin creates a region of ZHF from the core to the skin. The sensor of the commercial Bair-Hugger ZHF device is placed on the forehead. According to the manufacturer, the sensor reaches a depth of 1-2 cm below the skin. In this observational study, the anatomical focus of the Bair-Hugger ZHF sensor was assessed in pre- and postoperative CT or MRI images of 29 patients undergoing elective craniotomy. Assuming the 2-cm depth from the forehead skin surface, the temperature measurement point preoperatively reached the brain cortex in all except one patient. Assuming the 1-cm depth, the preoperative temperature measurement point did not reach the brain parenchyma in any of the patients and was at the cortical surface in two patients. Corresponding results were obtained postoperatively, although either sub-arachnoid fluid or air was observed in all CT/MRI images. Craniotomy did not have a detectable effect on the course of the ZHF temperatures. In Bland-Altman analysis, the agreement of ZHF temperature with the nasopharyngeal temperature was 0.11 (95% confidence interval - 0.54 to 0.75) °C and with the bladder temperature - 0.14 (- 0.81 to 0.52) °C. As conclusions, within the reported range of the Bair-Hugger ZHF measurement depth, the anatomical focus of the sensor cannot be determined. Craniotomy did not have a detectable effect on the course of the ZHF temperatures that showed good agreement with the nasopharyngeal and bladder temperatures.

Indexed as

Body TemperatureAdultAgedAnesthesiaBrainCraniotomyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMonitoring, IntraoperativePostoperative PeriodPreoperative PeriodSkullTomography, X-Ray ComputedBody temperatureCraniotomyThermometerZero-heat-flux temperature

Identifiers

PMID30467673
PMCPMC6710334

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.