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Optimizing Temperature During Resuscitation

Aimee Moore, Katy Farrell, Sandra Leibel and Akshaya Vachharajani
NeoReviews June 2013, 14 (6) e329-e331; DOI: https://doi.org/10.1542/neo.14-6-e329
Aimee Moore
*Fellow in Neonatal Perinatal-Medicine,
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Katy Farrell
*Fellow in Neonatal Perinatal-Medicine,
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Sandra Leibel
*Fellow in Neonatal Perinatal-Medicine,
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Akshaya Vachharajani
†Assistant Professor of Pediatrics, Washington University School of Medicine and St Louis Children’s Hospital, St Louis, MO.
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Case

⇓

Figure.

Please watch the video clip. Reproduced with permission of Akshaya Vachharajani, MD, and The Saigh Foundation Pediatric Simulation Center, St. Louis Children's Hospital & Washington University School of Medicine. Copyright 2012.

The following techniques are used to maintain temperature of neonates in the delivery room during stabilization. Which technique has the least evidence to support its use?

  1. Maintaining the delivery room temperature at 23°C.

  2. Covering the infant in plastic wrapping.

  3. Placing the infant on an exothermic mattress.

  4. Placing the infant under a radiant warmer.

  5. Covering the infant in plastic wrapping and placing the infant on an exothermic mattress.

Correct Response

A. Maintaining the delivery room temperature at 23°C.

Critique

In a study by Costeloe et al, hypothermia, defined as the first recorded temperature less than 35°C, was independently associated with death in a cohort of neonates born at less than 26 weeks’ gestational age. A similar association has recently been described by Miller et al.

Occlusive wrapping with a polyethylene bag at birth prevented low rectal temperature in premature infants less than 33 weeks’ gestational age in the immediate postnatal period in a retrospective study by Lenclen et al. The …

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1 Jun 2013
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Optimizing Temperature During Resuscitation
Aimee Moore, Katy Farrell, Sandra Leibel, Akshaya Vachharajani
NeoReviews Jun 2013, 14 (6) e329-e331; DOI: 10.1542/neo.14-6-e329

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Optimizing Temperature During Resuscitation
Aimee Moore, Katy Farrell, Sandra Leibel, Akshaya Vachharajani
NeoReviews Jun 2013, 14 (6) e329-e331; DOI: 10.1542/neo.14-6-e329
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