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Thermoregulation of Sick and Low Birth Weight Neonates

Temperature Control. Temperature Monitoring. Thermal Environment

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  • 241 Seiten
  • 9 Lesestunden

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Over the past 15 years, the population of sick neonates has evolved, with average birthweights dropping to as low as 450g and gestational ages reaching 21-22 weeks. These infants have unique needs that require more complex healthcare, necessitating a shift from previous recommendations based on more mature neonates. This foreword outlines the rationale behind developing new guidelines, focusing on the monitoring and investigation of a baby's thermal condition. Body temperature measurement is crucial for assessing a newborn's thermal state. There is a general consensus that infant body temperature is measured either intermittently with a liquid expansion thermometer or continuously via rectal or axillary sensors. However, rectal temperature may not accurately reflect core temperature, with potential differences of up to 2°C. Such discrepancies can lead to misjudgments in patient assessment; for instance, cold lower limbs can cause venous blood returning from the legs to cool, resulting in a rectal temperature that is significantly lower than core temperature. Research has also indicated that rectal temperature readings can vary based on the depth of sensor insertion.

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Thermoregulation of Sick and Low Birth Weight Neonates, Jochim Koch Albert Okken

Sprache
Erscheinungsdatum
1995
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Titel
Thermoregulation of Sick and Low Birth Weight Neonates
Untertitel
Temperature Control. Temperature Monitoring. Thermal Environment
Sprache
Englisch
Verlag
Springer
Erscheinungsdatum
1995
Einband
Hardcover
Seitenzahl
241
ISBN10
3540601694
ISBN13
9783540601692
Reihe
Beschreibung
Over the past 15 years, the population of sick neonates has evolved, with average birthweights dropping to as low as 450g and gestational ages reaching 21-22 weeks. These infants have unique needs that require more complex healthcare, necessitating a shift from previous recommendations based on more mature neonates. This foreword outlines the rationale behind developing new guidelines, focusing on the monitoring and investigation of a baby's thermal condition. Body temperature measurement is crucial for assessing a newborn's thermal state. There is a general consensus that infant body temperature is measured either intermittently with a liquid expansion thermometer or continuously via rectal or axillary sensors. However, rectal temperature may not accurately reflect core temperature, with potential differences of up to 2°C. Such discrepancies can lead to misjudgments in patient assessment; for instance, cold lower limbs can cause venous blood returning from the legs to cool, resulting in a rectal temperature that is significantly lower than core temperature. Research has also indicated that rectal temperature readings can vary based on the depth of sensor insertion.