Heart & lung : the journal of critical care
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Randomized Controlled Trial Comparative Study Clinical Trial
Accuracy of infrared ear thermometry and traditional temperature methods in young children.
To compare the accuracy of ear-based, rectal, and axillary temperature measurements in comparison to bladder temperature as a core reference. ⋯ The findings suggest that the additive core-mode adjustments in infrared ear thermometers are too low for young children, an ear tug is not an essential part of measurement technique, rectal temperature closely reflects bladder temperature, and axillary temperature is low and highly variable.
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Fentanyl-induced chest wall rigidity occurred in an 8-week-old infant girl recovering from surgical repair of coarctation of the aorta. The neonate received 30 minutes of a moderate dose continuous infusion of fentanyl before chest wall rigidity developed. Association of the chest wall rigidity with the fentanyl infusion resulted in the appropriate intervention of narcotic reversal and prevented irreversible hypoxic sequelae. Patients receiving fentanyl, even at moderate doses, are at risk for the development of chest wall rigidity.