Rectal thermometry

Rectal thermometry is taking a person's temperature by inserting a thermometer into the rectum via the anus.[1] This is generally regarded as the most accurate means of temperature-taking, but some may consider it to be an invasive or humiliating procedure. Thus, it is often used sparingly and primarily on infants, children, or adults for whom taking an oral temperature would risk injury (e.g., an unconscious patient, a post-oral surgery patient, or a person suffering a seizure) or be inaccurate (due to recently ingested liquids or breathing through the mouth).

History

The precise history of rectal thermometry is largely unknown, but medical thermometers have long been made in a tube shape that fits into the anus. Medical literature shows the practice dating back to at least the 18th century, and it is probable that rectal thermometry was thought to be a safer alternative to oral temperature-taking, due to the use of mercury and other toxic chemicals in early thermometers. As thermometry-related technology improves in the 21st century, rectal thermometry is becoming decreasingly pervasive, but it is still the preferred method for taking the temperature of infants and pets.

Use and procedure
different test prods (top: universal test prod, bottom: rectal test prod)

Rectal thermometry is widely used in veterinary medicine and pediatrics, as well as by adults at home who want the most accurate possible temperature reading and overlook the invasive nature associated with the painless procedure. It is accomplished by inserting the tip of a thermometer, usually lubricated with personal lubricant to eliminate friction and aid in insertion past the tightly retentive anal sphincter, to a depth of, for an adult 1.5 inches (3.8 cm),[2] or for a child between .5 and 1 inch (1.3 and 2.5 cm).[3] The thermometer tip must then be left in place until a reading can be derived, usually about 3 minutes for mercury thermometers and 1 minute for newer electronic types. It is important to remember that the normal human core temperature range measured with a rectal thermometer spans from 98.6 to 100.4 degrees Fahrenheit (37.0 to 38.0 degrees Celsius).

Rectal thermometers are often colored cherry red to differentiate them from oral or axillary thermometers, as well as have a shorter, squat, pear, or stubby bulb shape. They are not meant to be used interchangeably with other types of thermometers.

References
  1. King, Christopher; Henretig, Fred M. (2008). Textbook of Pediatric Emergency Procedures. Lippincott Williams & Wilkins. p. 29. ISBN 9780781753869. Retrieved 18 August 2018.
  2. "Chapter 17". Study – Flashcards. Quizlet. Retrieved 2020-07-21.
  3. Mayo Clinic Staff. "Infant and toddler health". Healthy Lifestyle. Mayo Clinic. Retrieved 2020-07-21.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.