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Thermoregulation of Sick and Low Birth Weight Neonates

Temperature Control. Temperature Monitoring. Thermal Environment

  • Conference proceedings
  • © 1995

Overview

Editors:
  1. Albert Okken

    1. Wilhelmina Childrens Hospital, Utrecht, The Netherlands

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  2. Jochim Koch

    1. Drägerwerk AG, Lübeck, Germany

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Table of contents (17 papers)

  1. Front Matter

    Pages I-XIII
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  4. Optimal Thermal Environment

    1. Front Matter

      Pages 101-101
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    2. Physical Properties of the Thermal Environment

      • Jochim Koch
      Pages 103-126

    3. Effect of the Thermal Environment on Neonatal Mortality and Morbidity: State of the Evidence

      • John C. Sinclair
      Pages 127-141

    4. Treatment of Sick Newborns in Incubators

      • Edward F. Bell
      Pages 143-151

    5. Treatment of Sick Newborns under Radiant Warmers

      • Stephen Baumgart
      Pages 153-191

    6. Treatment of Sick Newborns with Heated Mattress

      • Ragnar Tunell
      Pages 193-201

    7. Aspects of Hygiene

      • Heike Martiny
      Pages 203-216

  5. Extreme Thermal Conditions

    1. Front Matter

      Pages 217-217
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Keywords

About this book

Over the past 15 years, the population of sick neonates has changed. The average birthweight has decreased dramatically to as low as 450g while gestational age has been reduced to 22-21 weeks. These babies have totally different needs and require more complex health care. It is now time to change previous recommendations which were based on more mature neonates. In this foreword we aim to give some of the background into the ideas which lead to us starting work on new guidelines. The question was : Can the thermal condition of the baby be better monitored and investigated and, if so, how? Measurement of body temperature remains a very important method of ascertaining the thermal condition of a newborn baby. There is an implicit international agreement that the body temperature of an infant is measured either intermittently using a liquid expansion thermometer or continuously by means of temperature sensors placed in the rectum or the axilla. Rectal temperature is not necessarily identical to the core temperature. There may be up to a 2 °C difference and this could result in an incorrect assessment of the condition of the patient. For example in the presence of cold lower limbs, the cool venous blood returning from the legs will flow close to the rectum and, as a result, the rectal temperature may be significantly lower than that of the core. Other workers have shown how rectal temperature depends on the depth to which the sensor has been inserted.

Editors and Affiliations

  • Wilhelmina Childrens Hospital, Utrecht, The Netherlands

    Albert Okken

  • Drägerwerk AG, Lübeck, Germany

    Jochim Koch

Bibliographic Information

  • Book Title: Thermoregulation of Sick and Low Birth Weight Neonates

  • Book Subtitle: Temperature Control. Temperature Monitoring. Thermal Environment

  • Editors: Albert Okken, Jochim Koch

  • DOI: https://doi.org/10.1007/978-3-642-79934-1

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin 1995

  • Softcover ISBN: 978-3-642-79936-5Published: 16 December 2011

  • eBook ISBN: 978-3-642-79934-1Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XIII, 241

  • Topics: Pediatrics

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