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Case
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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?
Maintaining the delivery room temperature at 23°C.
Covering the infant in plastic wrapping.
Placing the infant on an exothermic mattress.
Placing the infant under a radiant warmer.
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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