Differential diagnosis of pediatric esophageal temperature probe malfunction

Approach to the differential diagnosis of esophageal temperature probe malfunction:

  • The correct position of the esophageal temperature probe tip is in distal esophagus, otherwise sensor is malpositioned
  • Note: Sometimes you may see an additional temperature probe placed with its tip in an axillary position
  • Note: Sometimes you may see a temperature probe placed with its tip in rectum
  • Placement of the esophageal temperature probe tip into the airway or lung or pleural space can result in pneumothorax
  • Pnemopericardium, pneumomediastium, or pneumothorax after esophageal temperature probe placement should raise suspicion for perforation of esophagus
  • An esophageal temperature probe that is too straight after placement and that does not gently curve into stomach should be suspected of not being in stomach
  • An esophageal temperature probe tip that projects over the pelvis should be suspected of not being in stomach
  • Pneumoperitoneum after esophageal temperature probe placement is due to perforation of stomach