Reducing hypothermia in preterm infants following delivery
| Autor: | Anne Russo, Trang K. Huynh, Susan Venturini, Suzanne Handrinos, Rae Jean Hemway, Morgan Spaight, Deborah F. Perlmutter, Mary McCready, Amos Grunebaum, Lisandra Torres, Claudette Theuriere, Jeffrey M. Perlman |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Delivery Rooms Delivery room Infant Newborn Hypothermia Infant Premature Diseases Hypothermia induced Surgery Moderate hypothermia Anesthesia Pediatrics Perinatology and Child Health Medicine Intubation Humans medicine.symptom business Axillary temperature |
| Zdroj: | Pediatrics. 133(4) |
| ISSN: | 1098-4275 |
| Popis: | BACKGROUND:Moderate hypothermia (temperature METHODS:A multidisciplinary practice plan was implemented to determine in premature infants 37.5°C. The plan included use of occlusive wrap a transwarmer mattress and cap for all infants and maintaining an operating room temperature between 21°C and 23°C. Data were obtained at baseline (n = 66), during phasing in (n = 102), and at full implementation (n = 193).RESULTS:Infant axillary temperature in the delivery room (DR) increased from 36.1°C ± 0.6°C to 36.2°C ± 0.6°C to 36.6°C ± 0.6°C (P < .001), and admitting temperature increased from 36.0°C ± 0.8°C to 36.3°C ± 0.6°C to 36.7°C ± 0.5°C at baseline, phasing in, and full implementation, respectively (P < .001). The number of infants with temperature 37.5°C over time. The use of occlusive wrap, mattress, and cap increased from 33% to 88% at baseline versus full implementation. Control charts showed significant improvement in DR ambient temperature at baseline versus full implementation.CONCLUSIONS:The practice plan was associated with a significant increase in DR and admitting axillary infant temperatures and a corresponding decrease in the number of infants with moderate hypothermia. There was an associated reduction in intubation at 24 hours. These positive findings reflect increased compliance with the practice plan. |
| Databáze: | OpenAIRE |
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