Thermoregulation of Sick and Low Birth Weight Neonates Temperature C

This volume gives background information on thermoregulation as it applies to low birth weight and sick neonates. The physical principles of heat transfer of various heating devices, such as incubators, open radiant warmers, and heated mattresses, which a

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Albert Okken . Jochim Koch (Eds.)

Thermoregulation of Sick and Low Birth Weight Neonates Temperature Control Temperature Monitoring Thermal Environment

With 87 Figures

Springer

Prof. Dr. Albert Okken Wilhelmina Childrens Hospital P.O. Box 18009 3501 CA Utrecht The Netherlands Dr. Jochim Koch Dragerwerk AG Moislinger Allee 53/55 23542 Lubeck Germany

Cataloging-in-Publication Data applied for Die Deutsche Bibliothek - CIP-Einheitsaufnahme Thermoregulation of sick and low birth weight neonates: temperature control, temperature monitoring, thermal environment 1 Albert Okken; Jochim Koch. - Berlin; Heidelberg; New York; London; Paris; Tokyo; Springer, 1995

ISBN-13: 978-3-642-79936-5 DOl: 10 .1007/978- 3-642-79934-1

e-ISBN-13: 978-3-642-79934-1

NE: Okken, Albert; Koch Jochim This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other ways, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Q

Springer-Verlag Berlin 1995

Softcover reprint of the hardcover 1st edition 1995 The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. product Liability: the publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Typesetting: Camera-ready by authors SPIN: 10488501

16/3134 - 5 4 3 1 1 0 - Printed on acid-free paper

Preface 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 ex