Kleine Frühgeborene tolerieren die axilläre Temperaturmessung nicht besser als die rektale1 - Untersuchung zum Effekt von axillärer und rektaler Temperaturmessung auf Vitalparameter und zerebrale Hämodynamik und Oxygenierung

Autor:	J. Hüsing, L Hanssler, Claudia Roll, S Horsch
Rok vydání:	2000
Předmět:	business.industry Oxygenation index Obstetrics and Gynecology Gestational age Rectum Oxygenation medicine.anatomical_structure Anesthesia Maternity and Midwifery Pediatrics Perinatology and Child Health Heart rate Medicine Deoxygenated Hemoglobin Hemoglobin business Oxygen saturation (medicine)
Zdroj:	Zeitschrift für Geburtshilfe und Neonatologie. 204:193-197
ISSN:	1439-1651 0948-2393
DOI:	10.1055/s-2000-10219
Popis:	BACKGROUND Aim of this study was to assess, by use of monitoring parameters and near infrared spectroscopy (NIRS), whether premature infants tolerate axillary temperature measurement better than rectal. METHODS Twenty-one infants were studied. Birth weight was 540-1680 g (median 840 g), weight at the time of investigation 470-1500 g (Median 920 g), gestational age 24-31 weeks (median 29 weeks), age at time of investigation 4-25 days (median 11 days). Four pairs of axillary/rectal temperatures were taken in every infant. Heart rate and oxygen saturation were monitored. Using NIRS cerebral oxygenated and deoxygenated hemoglobin were measured and total cerebral hemoglobin and the cerebral oxygenation index were calculated. RESULTS Mean heart rate increased slightly but significantly from baseline during axillary and rectal temperature measurement (axillary: +6/min (+/- 7); p < 0.0001; rectal: +4/min (+/- 6); p < 0.0001). Peak increase in heart rate was significantly higher during axillary than during rectal temperature measurement (axillary: +18/min (+/- 10); rectal: +14/min (+/- 8); axillary versus rectal: p = 0.02). There was no difference in the number of measurements during which oxygen saturation dropped intermittently below 88% (rectal: 21% of measurements; axillary: 20% of measurements). NIRS parameters were not significantly different between axillary and rectal measurements: cerebral oxygenated hemoglobin and the oxygenation index showed a decrease in cerebral oxygenation during both, axillary and rectal measurement. CONCLUSIONS Axillary temperature measurement is not better tolerated than rectal in premature infants.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::4b3a15502790387b2eb71194c8b6ba42 https://doi.org/10.1055/s-2000-10219 Zobrazit plný text záznamu