Preventing hypothermia in preterm newborns – simple principles for a complicated task
Journal Title: Jornal de Pediatria - Year 2018, Vol 94, Issue 4
Abstract
Hypothermia is a major contributor to newborn mortality worldwide1,2 and remains a common problem for very low birthweight (VLBW) infants, even in technologically advanced hospital settings.3,4 The attributable risk of mortality from hypothermia is difficult to establish from the scant randomized trials on delivery room stabilization of VLBW newborns,5 but the relationship between admission temperature and neonatal morbidities is U-shaped,6 suggesting that both hypothermia and hyperthermia are undesirable. Consequently, the recommended goal for postnatal stabilization is to maintain a normothermic temperature between 36.5 and 37.5°C.7 In the past decade, several reports have documented success in decreasing hypothermia rates at neonatal intensive care unit (NICU) admission,4,8 although high rates of hyperthermia were concomitantly induced in some studies.9,10
Authors and Affiliations
Joaquim Pinheiro
Keywords
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- EP ID EP489344
- DOI 10.1016/j.jped.2017.10.003
- Views 72
- Downloads 0
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